| NR Norman LLC | |
|
640 24th Ave Sw Norman OK 73069-3913 | |
| (405) 295-7833 | |
| (405) 669-3517 |
| Full Name | NR Norman LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 640 24th Ave Sw, Norman, 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 Norman LLC 3705 Nw 63rd St Ste 200 Oklahoma City OK 73116-1937 Ph: (405) 953-7221 | NR Norman LLC 640 24th Ave Sw Norman OK 73069-3913 Ph: (405) 295-7833 |
| NPI Number | 1942919998 |
|---|---|
| Provider Enumeration Date | 11/18/2022 |
| Last Update Date | 08/13/2026 |
| Certification Date | 08/13/2026 |
| Medicare PECOS PAC ID | 3072988898 |
|---|---|
| Medicare Enrollment ID | O20230410001916 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942919998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 208100000X | Physical Medicine & Rehabilitation | () | Secondary |
| Provider Name | Taylor Lancaster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760521645 PECOS PAC ID: 3274686373 Enrollment ID: I20120924000520 |
| Provider Name | April N Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689060725 PECOS PAC ID: 1759693674 Enrollment ID: I20150707001996 |
| Provider Name | Misti Moon Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487157772 PECOS PAC ID: 0143576348 Enrollment ID: I20180702000126 |
| Provider Name | Terri Lynn Oberst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104642362 PECOS PAC ID: 1153842364 Enrollment ID: I20250304003227 |
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