ADA GYNECOLOGY & OBSTETRICS (NPI# 1881717544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881717544 |
| Entity Type | Organization |
| Organization Name | ADA GYNECOLOGY & OBSTETRICS |
| Practice Address |
1414 Arlington St Ste 1700 Ada OK 74820-2694 |
| Practice Telephone | 5804369088 |
| Practice Fax Number | 5804360035 |
| Mailing Telephone | 5804369088 |
| Mailing Fax Number | 5804360035 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JIMMY B WALLACE (OWNER) |
| Authorized Official Telephone | 5804369088 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 8279 | OK | Managed Care Organizations |
| Street Address |
1414 ARLINGTON ST STE 1700 |
| City | ADA |
| State | OK |
| Zip Code | 74820-2694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689120420 | Body Logistics | Preferred Provider Organization | 216 West Main, Ada, OK 74820 | 2016-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518316272 | Johnson Family Chiropractic Clinic | Preferred Provider Organization | 11914 N Pennsylvania Ave, Suite B3, Oklahoma City, OK 73120-7831 | 2016-06-03 |
| 1427455542 | Refresh Dentistry | Preferred Provider Organization | 732 W New Orleans St, Suite 132, Broken Arrow, OK 74011-1803 | 2014-12-04 |
| 1568885002 | Douglas Counseling | Preferred Provider Organization | 1 Buffalo Dr, Mcalester, OK 74501-4270 | 2014-02-03 |
| 1598198780 | Primary Care Physicians of Tulsa Region PC | Preferred Provider Organization | 8005 E 106th St, Tulsa, OK 74133-6600 | 2013-08-12 |
| 1528408523 | Altus Premier Health Clinic P.l.l.c. | Preferred Provider Organization | 304 S Park Ln Ste B, Altus, OK 73521-5754 | 2013-07-05 |
| 1083052724 | Creoaks Behavioral Health Services | Preferred Provider Organization | 2725 East Skelly Drive Ste. 202, Tulsa, OK 74105 | 2013-06-04 |
| 1427322361 | Blue and Red Dental LLC | Preferred Provider Organization | 2840 E 101st St, Tulsa, OK 74137-5601 | 2012-02-23 |
| 1265704183 | Parks Family Dental | Preferred Provider Organization | 1520 E. Main Street, Tishomingo, OK 73460 | 2012-02-08 |
| 1205105160 | Christi Miller | Preferred Provider Organization | 3337 Sw 48th St, Oklahoma City, OK 73119-4328 | 2011-12-22 |
| 1023398062 | Youthcare of Oklahoma | Preferred Provider Organization | 11297 N 1976 Rd, Elk City, OK 73644-6002 | 2011-08-22 |
| Find all providers with the same taxonomy | ||||
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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.