SITESOURCE MEDICAL, LLC


Address: 324 N Robinson Ave, Oklahoma City, OK 73102-6416
Phone: 4057480122

SITESOURCE MEDICAL, LLC (NPI# 1932591419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932591419
Entity Type Organization
Organization Name SITESOURCE MEDICAL, LLC
Practice Address 324 N Robinson Ave
Oklahoma City
OK 73102-6416
Mailing Address Po Box 18622
Oklahoma City
OK 73154-0622
Practice Telephone 4057480122
Mailing Telephone 4057480122
Enumeration Date 2015-02-20
Last Update Date 2015-04-01
Authorized Official Name KARIE BAILEY (OWNER)
Authorized Official Telephone 4057480122
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 324 N ROBINSON AVE
City OKLAHOMA CITY
State OK
Zip Code 73102-6416

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548895931 Court Assistance Programs Inc. Counselor 600 N Dewey Avenue Suite 100, Oklahoma City, OK 73102 2020-03-06
1013434117 Mark Jeffrey Allison I Case Manager/Care Coordinator 400 North Walker Avenue, Suite 190, Oklahoma City, OK 73102 2017-08-29
1770009052 Christopher Minh Nguyen Clinical Neuropsychologist 601 Robert S Kerr Ave Apt 108, Oklahoma City, OK 73102 2017-08-17
1700263928 Micaela Lupov Physician Assistant 101 N Robinson Ave Ste 200, Oklahoma City, OK 73102 2015-04-27
1639577885 La Fuente Prosthetics Prosthetic/Orthotic Supplier 229 N.w. 9th Street, Oklahoma City, OK 73102 2014-12-19
1518378603 Whitney Thorne Surgery 608 Nw 9th St Ste 2200, Oklahoma City, OK 73102 2014-05-12
1356680078 Dustin W Choate Counselor 101 Park Ave Ste 1300, Oklahoma City, OK 73102 2013-02-01
1174889778 Sailesh Arulkumar Anesthesiology 535 Nw 9th St Ste 305, Oklahoma City, OK 73102 2012-04-09
1790092328 Stephanie Brill Counselor 415 Nw 5th Street, Oklahoma City, OK 73102 2010-09-02
1205157120 Mohammad Omar Ramadan Urology Ssm Health Medical Group Urology, 608 Nw 9th St., Suite 5000, Oklahoma City, OK 73102 2010-06-15
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932560760 Robert Darryl Fisher Family Medicine 2203 E Wilshire Blvd, Oklahoma City, OK 73111-8604 2016-03-07
1659441228 Terrance Patrick Mcdermott Family Medicine 2536 Sw 29th Street, Mcdermott Clinic, Oklahoma City, OK 73119 2006-11-09
1265916522 Devika Patel Family Medicine 4913 W Reno Ave, Oklahoma City, OK 73127-6339 2018-09-21
1255425377 William M. Mcafee Family Medicine 3400 S Douglas Blvd, Suite 200, Oklahoma City, OK 73150-1014 2006-10-03
1154373488 Larhonda Kay Sims Family Medicine 3330 Nw 56th St, Ste 500, Oklahoma City, OK 73112-4479 2006-05-16
1275518367 Valerie B Manning Do Pllc Family Medicine 3330 Nw 56th St, Suite 305, Oklahoma City, OK 73112-4479 2005-12-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699025973 Great Salt Plains Health Center, Inc. Family Medicine 619 Front Street, Medford, OK 73759-1209 2012-09-14
1447543798 House Call Physicians, Inc Family Medicine 3456 Nw 172nd Ter, Edmond, OK 73012-7098 2011-05-19
1639406325 Leslie Ann Masters Family Medicine 8172 S Lewis Ave Ste D, Tulsa, OK 74137-1248 2009-11-17
1487817375 Brad Alan Liston Family Medicine 1908 N 14th St Ste 204, Ponca City, OK 74601-2039 2008-07-09
1962537902 Gary Erle Johnston Family Medicine 53468 Mineral Springs Rd, Hodgen, OK 74939-3064 2007-02-22
1861436677 Thomas Ray Crow Family Medicine 9170 Us Hwy 70, Waurika, OK 73573 2006-06-15
1699761981 Larry Dean Sumner Family Medicine 204 Woodlawn Ave, Tahlequah, OK 74464-3318 2005-09-22
1942810197 Kristin Holetzky Family Medicine 224 S Chestnut Ave, Moore, OK 73160-5223 2020-08-03
1538672001 Jeri L Ellis Md, Mph, PC Family Medicine 420 N Kickapoo Ave, Shawnee, OK 74801-6643 2017-11-07
1578917217 Brett Tyler Grobman Family Medicine 301 N 1st St, Altus, OK 73523-5004 2016-04-19
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Competitor

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City OKLAHOMA CITY
Zip Code 73102

Improve Information

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Dataset Information

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.

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