ADVANCE PHYSICIANS GROUP (NPI# 1790195568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790195568 |
| Entity Type | Organization |
| Organization Name | ADVANCE PHYSICIANS GROUP |
| Other Organization Name | FIRST MED URGENT CARE |
| Practice Address |
4510 Nw 39th St Oklahoma City OK 73122-2503 |
| Mailing Address |
1221 N Kelly Ave Edmond OK 73003-4865 |
| Practice Telephone | 4054955841 |
| Practice Fax Number | 4054716401 |
| Mailing Telephone | 4052858799 |
| Mailing Fax Number | 4054716401 |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |
| Authorized Official Name | MR. TODD LECHTENBERGER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4052858799 |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVANCE PHYSICIANS GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| First Med Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598175366 | Advance Physicians Group | Clinic/Center | 13420 N Penn Ave, Oklahoma City, OK 73120-9007 | 2014-05-02 |
| 1730599507 | Advance Physicians Group | Clinic/Center | 1221 N Kelly Ave, Edmond, OK 73003-4865 | 2014-05-02 |
| 1477963189 | Advance Physicians Group | Clinic/Center | 1140 Sw 104th St, Oklahoma City, OK 73139-2992 | 2014-05-02 |
| 1760892533 | Advance Physicians Group | Clinic/Center | 7807 S Walker Ave, Oklahoma City, OK 73139-9470 | 2014-05-02 |
| 1750395448 | Advance Physicians Group | General Practice | 1705 Renaissance Blvd, Suite 100, Edmond, OK 73013-3041 | 2006-07-28 |
| Street Address |
4510 NW 39TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73122-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114027927 | Bruce D Thompson | General Practice | 4510 Nw 39th St, Oklahoma City, OK 73122-2503 | 2006-09-22 |
| 1477992055 | First Med Clinic 39th LLC | Family Medicine | 4510 Nw 39th St, Oklahoma City, OK 73122-2503 | 2013-06-18 |
| 1083945992 | Elizabeth Arlana Varney | Physician Assistant | 4510 Nw 39th St, Oklahoma City, OK 73122-2503 | 2010-01-18 |
| 1063672608 | Samuel Brandon Hancock | Radiology | 4510 Nw 39th St, Oklahoma City, OK 73122-2503 | 2008-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765959 | Cullen Crawford | Behavior Technician | 4704 Nw 40th, Oklahoma City, OK 73122 | 2020-03-13 |
| 1700446259 | T&r Services, Inc. | In Home Supportive Care | 3844 N. Macarthur Blvd, Warr Acres, OK 73122 | 2019-06-17 |
| 1962997072 | Stephen Vaughn Johnson | Case Management | 5910 Nw 58th Steet, Oklahoma City, OK 73122 | 2018-06-30 |
| 1598279374 | Sikirat Iyanda | Case Manager/Care Coordinator | 5317 Willow Cliff Rd Apt 137, Okc, OK 73122 | 2017-11-30 |
| 1841650827 | Victoria Ekwueme | Counselor | 6421 Nw 36th Street, Oklahoma City, OK 73122 | 2016-03-03 |
| 1861760837 | John Bernard Gilleran | Anesthesiology | 4940 Nw 31st St, Oklahoma City, OK 73122 | 2011-12-06 |
| 1356623482 | Jerry Skariah George | Pharmacist | 5901 Nw 39th Expressway, Warr Acres, OK 73122 | 2011-09-14 |
| 1306134366 | Chelsea Nicole Haller | Physical Therapist | 5604 N.w. 41st, Suite 220, Oklahoma City, OK 73122 | 2011-07-12 |
| 1972824886 | Katrina Renee Klohn | Counselor | 5612 Nw 62nd St., Okc, OK 73122 | 2010-06-15 |
| 1205039377 | Larry L Winnard | Specialist/Technologist | 5300 N. W. 50th, Okla. City, OK 73122 | 2007-06-07 |
| Find all providers in zip 73122 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019556 | Dorissenia Anntionette Peoples | Clinic/Center | 5817 Nw 90th St, Oklahoma City, OK 73132-2830 | 2020-06-29 |
| 1447899778 | First Med Primary Care LLC | Clinic/Center | 1142 Sw 104th St, Oklahoma City, OK 73139 | 2020-01-03 |
| 1497306153 | Careatc | Clinic/Center | 424 Colcord Dr Ste A, Oklahoma City, OK 73102-2500 | 2019-09-24 |
| 1114578887 | Careatc | Clinic/Center | 13500 S Tulsa Dr Ste 302, Oklahoma City, OK 73170-9725 | 2019-09-24 |
| 1144700477 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 4200 Coletta Dr, Oklahoma City, OK 73120-8317 | 2018-08-16 |
| 1225518558 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 136 Nw 10th St Ste 110, Oklahoma City, OK 73103-4906 | 2018-08-16 |
| 1548788698 | Total Primary Care.pc | Clinic/Center | 6301 N Meridian Ave Ste 103, Oklahoma City, OK 73112-1267 | 2017-09-08 |
| 1639621246 | Careatc-okc Care | Clinic/Center | 424 Colcord Dr, Suite A, Oklahoma City, OK 73102-2215 | 2016-10-30 |
| 1609240423 | Today Clinic Pllc | Clinic/Center | 10201 N May Ave, Oklahoma City, OK 73120-2510 | 2015-11-17 |
| 1174995641 | Quad/med, LLC | Clinic/Center | 6801 S Sunnylane Rd, Oklahoma City, OK 73135-1712 | 2015-10-23 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73122 |
Please comment or provide details below to improve the information on ADVANCE PHYSICIANS GROUP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.