EXPRESS FAMILY CARE LLC (NPI# 1861873085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861873085 |
| Entity Type | Organization |
| Organization Name | EXPRESS FAMILY CARE LLC |
| Practice Address |
7117 W. Wilshire Blvd Oklahoma City OK 73132 |
| Mailing Address |
7117 W Wilshire Blvd Oklahoma City OK 73132-5575 |
| Practice Telephone | 4054701224 |
| Practice Fax Number | 4052170063 |
| Mailing Telephone | 4054701224 |
| Mailing Fax Number | 4052170063 |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | JIMMY LEE TISDALE (OWNER) |
| Authorized Official Telephone | 4054701224 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
F0613916 | OK | Ambulatory Health Care Facilities |
| Street Address |
7117 W. WILSHIRE BLVD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790348266 | Solid Rock Home Care Assistance LLC | Registered Nurse | 6408 Galaxie Dr., Oklahoma City, OK 73132 | 2019-04-19 |
| 1427525443 | Allison Latham | Counselor | 6812 St. Pl., Oklahoma City, OK 73132 | 2018-10-29 |
| 1811426182 | Larry D. Brown | Counselor | 4717 Nw 70th St., Oklahoma City, OK 73132 | 2017-06-08 |
| 1639600307 | Tram Nguyen | Physician Assistant | 500 Sw44th Street, Oklahoma City, OK 73132 | 2017-03-24 |
| 1386190973 | Moneka Jeffers | Counselor | 8117 Nw 81st St, Oklahoma City, OK 73132 | 2016-09-01 |
| 1689941809 | Ade A Bajulaiye | Psychologist | 8122 N.w. 78th Ter, Okc, Oklahoma, OK 73132 | 2011-11-17 |
| 1457633281 | Chandell Bell | Counselor | 6908 Woodlake Dr, Okc, OK 73132 | 2011-09-19 |
| 1588944615 | Jason Bennell Rayfield | Social Worker | 7221 Edenborough, Oklahoma City, OK 73132 | 2011-08-20 |
| 1952600785 | Derell Jovan Spires | Counselor | 9242 North Mcarthur Blvd Apt A, Oklahoma City, OK 73132 | 2011-03-18 |
| 1932351871 | Kathleen Craig Lyman | Nurse Practitioner | 6102 N.w. 63rd, Oklahoma City, OK 73132 | 2008-10-22 |
| Find all providers in zip 73132 | ||||
| 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 | 73132 |
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| 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.