| Nr Norman Llc | |
|
4019 N Flood Ave Norman OK 73069-8354 | |
| (405) 501-6261 | |
| Not Available |
| Full Name | Nr Norman Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4019 N Flood Ave, Norman, Oklahoma |
| Authorized Official Name and Position | Tim Bales (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4055016261 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nr Norman Llc 3908 N Peniel Ave Ste 450 Bethany OK 73008-3402 Ph: (405) 501-6261 | Nr Norman Llc 4019 N Flood Ave Norman OK 73069-8354 Ph: (405) 501-6261 |
| NPI Number | 1942919998 |
|---|---|
| Provider Enumeration Date | 11/18/2022 |
| Last Update Date | 11/18/2022 |
| Medicare PECOS PAC ID | 3072988898 |
|---|---|
| Medicare Enrollment ID | O20230410001916 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942919998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | (* (Not Available)) | Secondary |
| Provider Name | Taylor Lancaster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760521645 PECOS PAC ID: 3274686373 Enrollment ID: I20120924000520 |
| Provider Name | Susan Alfert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457831943 PECOS PAC ID: 6901134972 Enrollment ID: I20190829000412 |
| Provider Name | Sarah Emily Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629739891 PECOS PAC ID: 2961897566 Enrollment ID: I20220317001830 |
| Provider Name | Julie Lynne Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174211841 PECOS PAC ID: 4880041276 Enrollment ID: I20231107000611 |
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