| Nr Edmond Llc | |
|
3520 S Boulevard Ste 100 Edmond OK 73013-5413 | |
| (405) 495-7391 | |
| (405) 669-3517 |
| Full Name | Nr Edmond Llc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 3520 S Boulevard Ste 100, Edmond, Oklahoma |
| Authorized Official Name and Position | Timothy Coit Bales (CEO) |
| Authorized Official Contact | 4059537221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nr Edmond Llc 3705 Nw 63rd St Ste 200 Oklahoma City OK 73116-1937 Ph: (405) 953-7221 | Nr Edmond Llc 3520 S Boulevard Ste 100 Edmond OK 73013-5413 Ph: (405) 495-7391 |
| NPI Number | 1659144384 |
|---|---|
| Provider Enumeration Date | 11/03/2023 |
| Last Update Date | 03/03/2025 |
| Medicare PECOS PAC ID | 5193174498 |
|---|---|
| Medicare Enrollment ID | O20231212002908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659144384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Anne A Munson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275584849 PECOS PAC ID: 3375508468 Enrollment ID: I20041201000001 |
| Provider Name | Sheila Diane Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164982104 PECOS PAC ID: 0446682827 Enrollment ID: I20191125000725 |
| Provider Name | Latrica Louise Dorsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538696083 PECOS PAC ID: 1658777024 Enrollment ID: I20210909003063 |
| Provider Name | Becky Annie Raju |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487423216 PECOS PAC ID: 8729421300 Enrollment ID: I20240212000139 |
Nathan Valentine, M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2308 Nw 158th St, Edmond, OK 73013 Phone: 405-887-6515 Fax: 866-707-6724 | |
Deer Creek Family Healthcare And Wellness Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19401 N. Portland, Edmond, OK 73012 Phone: 405-812-8208 | |
Mark R Lynn Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 S Bryant Ave, Suite 204a, Edmond, OK 73034 Phone: 405-359-3637 Fax: 405-359-2022 | |
Ali Nawaz Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2940 Hunter Crest Dr, Edmond, OK 73034 Phone: 917-558-4195 | |
Saint Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 W 15th St, Edmond, OK 73013 Phone: 405-513-8535 | |
Edmond Podiatry Associates Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 S Bryant Ave Ste 104, Edmond, OK 73034 Phone: 405-715-3102 Fax: 405-715-2905 | |
American Current Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3406 S Boulevard, Edmond, OK 73013 Phone: 405-230-9700 Fax: 405-230-9711 |