Lee Ann Habben (NPI# 1396739264, PAC ID# 2961390208) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1396739264 |
| PAC ID by PECOS | 2961390208 |
| Professional Enrollment ID | I20040308001152 |
| Full Name | Lee Ann Habben |
| Organization Legal Name | PRIMECARE FAMILY CLINIC LLC |
| Address |
1019 15th Ave Nw Ardmore OK 73401-1810 |
| Phone Number | 5804903336 |
| Gender | F |
| Credential | PA |
| Graduation Year | 1995 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2365757358 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370047 | MERCY HOSPITAL ARDMORE, INC |
| Address | Phone | Organization |
|---|---|---|
| 1019 15th Ave Nw, Ardmore, OK 73401-1810 | 5804903336 | PRIMECARE FAMILY CLINIC LLC |
| Organization Legal Name | PRIMECARE FAMILY CLINIC LLC |
| Physicians | 1 |
| Street Address |
1019 15TH AVE NW |
| City | ARDMORE |
| State | OK |
| Zip | 73401-1810 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip E Carron | Family Medicine | Medexpress Primary Care Oklahoma PC | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Vanessa Pearson | Preventative Medicine | Medexpress Primary Care Oklahoma PC | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Pinky B Pratt | Nurse Practitioner | Medexpress Primary Care Oklahoma PC | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Stephanie Sims | Nurse Practitioner | Medexpress Primary Care Oklahoma PC | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Marci Story | Nurse Practitioner | Medexpress Primary Care Oklahoma PC | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Margaret I Scifres | Nurse Practitioner | Healthworks Medical Group of Oklahoma, P.C. | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Suzanne Tuck | Nurse Practitioner | Healthworks Medical Group of Oklahoma, P.C. | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Phillip Nokes | Family Practice | Healthworks Medical Group of Oklahoma, P.C. | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Stephen Klassen | Physical Therapy | Imc of Oklahoma LLC | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Joel K Troop | Orthopedic Surgery | Southern Oklahoma Multiple Services Inc P C | 2002 12th Ave Nw, Suite B, Ardmore, OK 73401-1206 |
| Find all physicians in zip 73401 | |||
| City | ARDMORE |
| Zip Code | 73401 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ARDMORE + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.