| Great Plains Family Practice | |
|
3500 Nw 56th St Ste 100 Oklahoma City OK 73112-4517 | |
| (405) 951-2855 | |
| (405) 951-2858 |
| Full Name | Great Plains Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 3500 Nw 56th St Ste 100, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Neal Clemenson (CHAIRMAN) |
| Authorized Official Contact | 4059512855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Plains Family Practice 3500 Nw 56th St Ste 100 Oklahoma City OK 73112-4517 Ph: (405) 951-2855 | Great Plains Family Practice 3500 Nw 56th St Ste 100 Oklahoma City OK 73112-4517 Ph: (405) 951-2855 |
| NPI Number | 1285708164 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9335188184 |
|---|---|
| Medicare Enrollment ID | O20050430000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285708164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Alexa G Woodson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720082266 PECOS PAC ID: 6103853460 Enrollment ID: I20050719000855 |
| Provider Name | Kori M Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760417851 PECOS PAC ID: 6800821430 Enrollment ID: I20051025000356 |
| Provider Name | Terrence T Truong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508805300 PECOS PAC ID: 3577699669 Enrollment ID: I20100329000123 |
| Provider Name | Philip Palmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780624833 PECOS PAC ID: 5092841197 Enrollment ID: I20100329000176 |
| Provider Name | Tomas P Owens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013963115 PECOS PAC ID: 2365620234 Enrollment ID: I20110623000200 |
| Provider Name | Jason S Breed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821301011 PECOS PAC ID: 1456525047 Enrollment ID: I20111116000607 |
| Provider Name | Aubrey A Kavanaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487966313 PECOS PAC ID: 6709044092 Enrollment ID: I20120215000683 |
| Provider Name | Bob Joe Schank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417243882 PECOS PAC ID: 2062637432 Enrollment ID: I20140627001863 |
| Provider Name | Patrick James Kennedye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649650649 PECOS PAC ID: 7214222835 Enrollment ID: I20170207002726 |
| Provider Name | Braxton Lane Nottingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821528480 PECOS PAC ID: 2668745399 Enrollment ID: I20181117000269 |
| Provider Name | Tyler S Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376993659 PECOS PAC ID: 2961794615 Enrollment ID: I20190315001995 |
| Provider Name | David De Gaston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457701609 PECOS PAC ID: 6305139023 Enrollment ID: I20190727000128 |
| Provider Name | Kristen Buzzard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972031961 PECOS PAC ID: 7911324900 Enrollment ID: I20200908000790 |
| Provider Name | Ashley Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942798343 PECOS PAC ID: 1153676820 Enrollment ID: I20210624000524 |
| Provider Name | Cameron Phillip Steele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891319893 PECOS PAC ID: 0941623094 Enrollment ID: I20210910001693 |
| Provider Name | Brooke N Frantz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912497470 PECOS PAC ID: 7214286285 Enrollment ID: I20220420003116 |
| Provider Name | Whitney L Crowe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316574932 PECOS PAC ID: 7416379946 Enrollment ID: I20230901000560 |
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Oklahoma Pain & Rehab Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2149 Sw 59th St, Suite 201, Oklahoma City, OK 73119 Phone: 405-681-5800 | |
Board Of Regents Of The Univ Of Okla Ou Physicians Employer Spons Clin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Robinson Ave, Suite 200, Oklahoma City, OK 73102 Phone: 405-271-8880 Fax: 405-208-8732 | |
St Anthony North Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 1010, Oklahoma City, OK 73118 Phone: 405-772-8687 Fax: 405-772-8688 | |
Barreto Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3418 Nw 135th St, Oklahoma City, OK 73120 Phone: 405-286-1075 Fax: 405-608-1075 |