| Optimum Pac PLLC | |
|
1501 E 19th St Edmond OK 73013-6618 | |
| (405) 367-6180 | |
| Not Available |
| Full Name | Optimum Pac PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1501 E 19th St, Edmond, Oklahoma |
| Authorized Official Name and Position | Muhammad Sanaullah (CEO) |
| Authorized Official Contact | 4053676180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Pac PLLC 1501 E 19th St Edmond OK 73013-6618 Ph: (405) 367-6180 | Optimum Pac PLLC 1501 E 19th St Edmond OK 73013-6618 Ph: (405) 367-6180 |
| NPI Number | 1568352714 |
|---|---|
| Provider Enumeration Date | 07/08/2025 |
| Last Update Date | 07/13/2026 |
| Certification Date | 07/13/2026 |
| Medicare PECOS PAC ID | 3476052283 |
|---|---|
| Medicare Enrollment ID | O20250819001589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568352714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | David Rothwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417929308 PECOS PAC ID: 2567423239 Enrollment ID: I20041029000447 |
| Provider Name | Muzaffar M Saleemi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447241450 PECOS PAC ID: 2567536113 Enrollment ID: I20080731000239 |
| Provider Name | Ankur Mody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861586752 PECOS PAC ID: 0749345122 Enrollment ID: I20090218000584 |
| Provider Name | John C Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376619866 PECOS PAC ID: 0143316927 Enrollment ID: I20100812000330 |
| Provider Name | Muhammad Sanaullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699079400 PECOS PAC ID: 0345412656 Enrollment ID: I20111011000155 |
| Provider Name | Saqib S Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326366899 PECOS PAC ID: 0749474450 Enrollment ID: I20131223001347 |
| Provider Name | Munawar Ali |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508960030 PECOS PAC ID: 5395977151 Enrollment ID: I20140409000764 |
| Provider Name | Rocklynne R Rakowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841713278 PECOS PAC ID: 3476810425 Enrollment ID: I20171129000508 |
| Provider Name | Daniel Allen Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245740968 PECOS PAC ID: 1254687981 Enrollment ID: I20180710002764 |
| Provider Name | Tammie a Lockhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467938258 PECOS PAC ID: 0244583755 Enrollment ID: I20181031001028 |
| Provider Name | Tiffany R Lenhart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346716776 PECOS PAC ID: 6800132853 Enrollment ID: I20190111000525 |
| Provider Name | Kristi Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407417447 PECOS PAC ID: 0547599177 Enrollment ID: I20190907000267 |
| Provider Name | Amber L Surz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619524683 PECOS PAC ID: 1456683564 Enrollment ID: I20191022003254 |
| Provider Name | Elizabeth Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154962546 PECOS PAC ID: 0446685432 Enrollment ID: I20200122000703 |
| Provider Name | Doretta Jenison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962047183 PECOS PAC ID: 8022448380 Enrollment ID: I20200429000225 |
| Provider Name | Khabbab Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821526237 PECOS PAC ID: 6709215130 Enrollment ID: I20200526000812 |
| Provider Name | Nelly Nyambura Njaramba |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1326678186 PECOS PAC ID: 9032522982 Enrollment ID: I20210113002589 |
| Provider Name | Morgan Bell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083256374 PECOS PAC ID: 5294140158 Enrollment ID: I20210226001954 |
| Provider Name | Muhammad F Riaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912353475 PECOS PAC ID: 0547663528 Enrollment ID: I20210728002606 |
| Provider Name | Mudassir Mubeen Saleemi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437175379 PECOS PAC ID: 0042116931 Enrollment ID: I20210803001836 |
| Provider Name | Carol Lillian Njoki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164984993 PECOS PAC ID: 1456734102 Enrollment ID: I20220813000584 |
| Provider Name | Ali Chaudahry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164123451 PECOS PAC ID: 5496112914 Enrollment ID: I20230526002150 |
| Provider Name | Alaina Lee Guillory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225813132 PECOS PAC ID: 2567826308 Enrollment ID: I20230913001483 |
| Provider Name | Awaad Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477181121 PECOS PAC ID: 4880040864 Enrollment ID: I20231026004185 |
| Provider Name | Adil H.a Tumbi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003177700 PECOS PAC ID: 0547559916 Enrollment ID: I20240124003602 |
| Provider Name | Larry R Tevebaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619560984 PECOS PAC ID: 5092158600 Enrollment ID: I20240212001228 |
| Provider Name | Venessa Emma Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437781283 PECOS PAC ID: 2961829932 Enrollment ID: I20240430000567 |
| Provider Name | Laveda Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982978722 PECOS PAC ID: 4486816550 Enrollment ID: I20250618001319 |
| Provider Name | James Mburu Kinuthia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326910951 PECOS PAC ID: 6002300043 Enrollment ID: I20251208003919 |
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