| Nr Yukon Llc | |
|
12801 Nw 10th St Yukon OK 73099-4175 | |
| (405) 914-6677 | |
| (405) 669-3517 |
| Full Name | Nr Yukon Llc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 12801 Nw 10th St, Yukon, Oklahoma |
| Authorized Official Name and Position | Timothy C Bales (CEO/OWNER) |
| Authorized Official Contact | 4059537221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nr Yukon Llc 3705 Nw 63rd St Ste 200 Oklahoma City OK 73116-1937 Ph: (405) 953-7221 | Nr Yukon Llc 12801 Nw 10th St Yukon OK 73099-4175 Ph: (405) 914-6677 |
| NPI Number | 1336971860 |
|---|---|
| Provider Enumeration Date | 08/14/2024 |
| Last Update Date | 03/03/2025 |
| Medicare PECOS PAC ID | 4385176544 |
|---|---|
| Medicare Enrollment ID | O20241014002632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336971860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Stephanie Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558786541 PECOS PAC ID: 4688899818 Enrollment ID: I20140702001011 |
| Provider Name | Jennifer Hinkle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003057670 PECOS PAC ID: 6002967429 Enrollment ID: I20140929000153 |
| Provider Name | Ivy R Cherian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578296042 PECOS PAC ID: 5092158212 Enrollment ID: I20240205002890 |
Aquilo Medical Home Team Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1491 Health Center Pkwy, Yukon, OK 73099 Phone: 405-990-6654 | |
Michael D. Furgeson, M. D.,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 508 W Vandament Ave, Suite 100, Yukon, OK 73099 Phone: 405-350-8100 Fax: 405-350-6418 | |
Php Yukon Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1820 Commons Cir Ste B, Yukon, OK 73099 Phone: 405-265-2778 Fax: 405-494-7274 | |
Lance Doyle Dc Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1050 W Vandament Ave, Yukon, OK 73099 Phone: 405-354-5753 Fax: 405-354-5828 | |
Catrina Bourne, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1820 Commons Cir, Suite A, Yukon, OK 73099 Phone: 405-265-2778 Fax: 405-494-7274 | |
Family First Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 Cornwell Drive, Yukon, OK 73099 Phone: 405-265-2300 |