| Ccf Group | |
|
1501 Nw 174th Ct Edmond OK 73012-9713 | |
| (918) 417-0878 | |
| (405) 300-1336 |
| Full Name | Ccf Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1501 Nw 174th Ct, Edmond, Oklahoma |
| Authorized Official Name and Position | Christopher Fisher (PRESIDENT) |
| Authorized Official Contact | 9184170878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccf Group 1501 Nw 174th Ct Edmond OK 73012-9713 Ph: () - | Ccf Group 1501 Nw 174th Ct Edmond OK 73012-9713 Ph: (918) 417-0878 |
| NPI Number | 1235910639 |
|---|---|
| Provider Enumeration Date | 10/11/2023 |
| Last Update Date | 07/08/2025 |
| Medicare PECOS PAC ID | 9739537747 |
|---|---|
| Medicare Enrollment ID | O20231201001785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235910639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Cynthia J Roe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972531465 PECOS PAC ID: 4789775180 Enrollment ID: I20070814000109 |
| Provider Name | Cody M Yochum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376898965 PECOS PAC ID: 7810146610 Enrollment ID: I20150210000266 |
| Provider Name | Christopher Charles Fisher |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1306333414 PECOS PAC ID: 2961730817 Enrollment ID: I20190829004326 |
| Provider Name | Ashli Stamper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790370559 PECOS PAC ID: 1759780356 Enrollment ID: I20210602001748 |
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