| Integrative Medical Solutions | |
|
65 S Saints Blvd Edmond OK 73034-3051 | |
| (405) 348-2323 | |
| (405) 348-2325 |
| Full Name | Integrative Medical Solutions |
|---|---|
| Speciality | Internal Medicine |
| Location | 65 S Saints Blvd, Edmond, Oklahoma |
| Authorized Official Name and Position | Wendy Parks (ADMINISTRATOR) |
| Authorized Official Contact | 4056080443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Medical Solutions Po Box 269084 Oklahoma City OK 73126-9084 Ph: (405) 348-2323 | Integrative Medical Solutions 65 S Saints Blvd Edmond OK 73034-3051 Ph: (405) 348-2323 |
| NPI Number | 1144471129 |
|---|---|
| Provider Enumeration Date | 10/08/2008 |
| Last Update Date | 09/11/2015 |
| Medicare PECOS PAC ID | 8921163932 |
|---|---|
| Medicare Enrollment ID | O20090206000507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144471129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Oklahoma) | Secondary |
| 207R00000X | Internal Medicine | (Oklahoma) | Primary |
| Provider Name | Wendy Louise Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346248473 PECOS PAC ID: 3971407172 Enrollment ID: I20031120000310 |
| Provider Name | Ashlee M Waugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831308899 PECOS PAC ID: 8820153844 Enrollment ID: I20090210000053 |
| Provider Name | Walter Scott Waugh |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1669531604 PECOS PAC ID: 2466502695 Enrollment ID: I20090610000369 |
| Provider Name | Cassie Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548616295 PECOS PAC ID: 9234411356 Enrollment ID: I20170126000152 |
| Provider Name | Kelly K Kozhulenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679237887 PECOS PAC ID: 8527447044 Enrollment ID: I20220614000303 |
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