| Primary Care Of Ada, Llc | |
|
1705 Cradduck Rd Ada OK 74820-9491 | |
| (580) 279-6313 | |
| Not Available |
| Full Name | Primary Care Of Ada, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1705 Cradduck Rd, Ada, Oklahoma |
| Authorized Official Name and Position | Randi Ivy (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5802720485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Of Ada, Llc 1705 Cradduck Rd Ste B Ada OK 74820-9491 Ph: () - | Primary Care Of Ada, Llc 1705 Cradduck Rd Ada OK 74820-9491 Ph: (580) 279-6313 |
| NPI Number | 1851744312 |
|---|---|
| Provider Enumeration Date | 07/20/2016 |
| Last Update Date | 12/23/2021 |
| Medicare PECOS PAC ID | 8022392828 |
|---|---|
| Medicare Enrollment ID | O20170222002032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851744312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mary K Machado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942357215 PECOS PAC ID: 2163526518 Enrollment ID: I20070326000103 |
| Provider Name | Charles M Rogers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932158342 PECOS PAC ID: 6800897273 Enrollment ID: I20130614000454 |
| Provider Name | Phillip T Fuller |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871720300 PECOS PAC ID: 9335373802 Enrollment ID: I20140826002478 |
| Provider Name | Lindsay Kates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821466954 PECOS PAC ID: 8224335559 Enrollment ID: I20160331000214 |
| Provider Name | Kailee Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902278609 PECOS PAC ID: 3476846528 Enrollment ID: I20160727000227 |
| Provider Name | Michael Cody Curry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144515016 PECOS PAC ID: 8325332117 Enrollment ID: I20160802000709 |
Ada Family Medical Center, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 N Monte Vista St, Ada, OK 74820 Phone: 580-310-9510 Fax: 580-436-4447 | |
Central Oklahoma Family Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 N Monte Vista St, Ada, OK 74820 Phone: 580-436-5111 Fax: 580-925-9149 | |
Central Oklahoma Family Medical Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Colony Drive Bldg, Ada, OK 74820 Phone: 580-925-3286 | |
Hrh Medical Group, Primary Care Of Ada Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1705 Cradduck Rd, Ada, OK 74820 Phone: 580-304-7017 | |
Myhealth Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 N Broadway Ave, Ada, OK 74820 Phone: 405-594-0191 | |
Hale Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 428 E 10th St, 429 E. 10th St, Ada, OK 74820 Phone: 580-310-9755 | |
Family Physician Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1509 Augusta Dr, Ada, OK 74820 Phone: 918-728-4942 Fax: 918-770-8456 |