| Care Pathways, Llc | |
|
330 S 5th St Ste 206 Enid OK 73701-5861 | |
| (405) 928-2727 | |
| (405) 928-2720 |
| Full Name | Care Pathways, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 330 S 5th St Ste 206, Enid, Oklahoma |
| Authorized Official Name and Position | John Kelly (MANAGER OF LLC) |
| Authorized Official Contact | 4059282727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Pathways, Llc 2910 Adams Rd Ste 110 Norman OK 73069-1023 Ph: (405) 928-2727 | Care Pathways, Llc 330 S 5th St Ste 206 Enid OK 73701-5861 Ph: (405) 928-2727 |
| NPI Number | 1104418151 |
|---|---|
| Provider Enumeration Date | 02/10/2021 |
| Last Update Date | 04/01/2024 |
| Medicare PECOS PAC ID | 5395152573 |
|---|---|
| Medicare Enrollment ID | O20210406001543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104418151 | NPI | - | NPPES |
| NONE | Other | NONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Secondary |
| Provider Name | Steven A Drabek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053316026 PECOS PAC ID: 2860441045 Enrollment ID: I20050114000021 |
| Provider Name | Kristen A Downs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770873069 PECOS PAC ID: 1355528589 Enrollment ID: I20110615000453 |
| Provider Name | Allison Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578155412 PECOS PAC ID: 0244647329 Enrollment ID: I20210408000597 |
| Provider Name | Roberta Lesli Mowdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285007401 PECOS PAC ID: 1951698885 Enrollment ID: I20210907000559 |
| Provider Name | Amelia B Swaim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821751694 PECOS PAC ID: 2860889110 Enrollment ID: I20220505000470 |
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