| Internal Medicine Associates Of Ponca City Pllc | |
|
100 Elmwood Ave Ponca City OK 74601-3406 | |
| (580) 716-1778 | |
| (580) 382-4157 |
| Full Name | Internal Medicine Associates Of Ponca City Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Elmwood Ave, Ponca City, Oklahoma |
| Authorized Official Name and Position | Melinda R Allen (OWNER DO) |
| Authorized Official Contact | 58076161778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates Of Ponca City Pllc 100 Elmwood Ave Ponca City OK 74601-3406 Ph: (580) 716-1778 | Internal Medicine Associates Of Ponca City Pllc 100 Elmwood Ave Ponca City OK 74601-3406 Ph: (580) 716-1778 |
| NPI Number | 1811073158 |
|---|---|
| Provider Enumeration Date | 10/30/2006 |
| Last Update Date | 01/27/2016 |
| Medicare PECOS PAC ID | 9931174463 |
|---|---|
| Medicare Enrollment ID | O20040830000069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811073158 | NPI | - | NPPES |
| 200037370A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 3741 (Oklahoma) | Primary |
| Provider Name | Melinda Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396737888 PECOS PAC ID: 6305757444 Enrollment ID: I20040831001174 |
| Provider Name | Mark A Oatman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205814449 PECOS PAC ID: 2668550492 Enrollment ID: I20080421000100 |
| Provider Name | Megan A Lawver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821407180 PECOS PAC ID: 5698997138 Enrollment ID: I20141117001397 |
| Provider Name | Lisa Y Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912424243 PECOS PAC ID: 2163755927 Enrollment ID: I20190610002285 |
Mark Oatman Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 N 3rd St, Ponca City, OK 74601 Phone: 580-762-1777 Fax: 580-762-1771 | |
Dsk Medical Group, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Fairview Ave, Building 3, Ste. 20, Ponca City, OK 74601 Phone: 580-765-6647 Fax: 580-765-6699 | |
Bruce Baugher D.o., Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1908 N 14th St, Suite 207, Ponca City, OK 74601 Phone: 580-763-5900 Fax: 580-763-5901 | |
Urgent Care And Family Practice Center Of Ponca City Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1715 N 5th St, Ponca City, OK 74601 Phone: 580-762-9292 Fax: 580-762-1660 | |
Limb Salvage International, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2210 N 14th St, Ponca City, OK 74604 Phone: 580-718-0002 Fax: 580-718-0003 | |
Bradley Bibb Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1201 E Hartford Ave, Ponca City, OK 74601 Phone: 580-762-1911 Fax: 580-762-0887 | |
John W. Holden, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 427 Fairview Ave, Ponca City, OK 74601 Phone: 580-765-9299 Fax: 580-765-2199 |