| Triad Complete Healthcare | |
|
2703 N 14th St Ponca City OK 74601 | |
| (580) 765-9451 | |
| Not Available |
| Full Name | Triad Complete Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 2703 N 14th St, Ponca City, Oklahoma |
| Authorized Official Name and Position | Amy Beverley (BILLING MANAGER) |
| Authorized Official Contact | 5807659451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Triad Complete Healthcare 2703 N 14th St Ponca City OK 74601 Ph: (580) 765-9451 | Triad Complete Healthcare 2703 N 14th St Ponca City OK 74601 Ph: (580) 765-9451 |
| NPI Number | 1245867258 |
|---|---|
| Provider Enumeration Date | 03/27/2020 |
| Last Update Date | 06/08/2020 |
| Medicare PECOS PAC ID | 1355763160 |
|---|---|
| Medicare Enrollment ID | O20200624002858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245867258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark A Oatman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205814449 PECOS PAC ID: 2668550492 Enrollment ID: I20080421000100 |
| Provider Name | Lela J Goatley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407008816 PECOS PAC ID: 8123170404 Enrollment ID: I20110831000759 |
| Provider Name | Megan A Lawver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821407180 PECOS PAC ID: 5698997138 Enrollment ID: I20141117001397 |
| Provider Name | Eva Case |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750820841 PECOS PAC ID: 8224303839 Enrollment ID: I20171009000386 |
| Provider Name | Taylor Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992277297 PECOS PAC ID: 0143553867 Enrollment ID: I20190612002515 |
| Provider Name | Sean W Reid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538517842 PECOS PAC ID: 1759669633 Enrollment ID: I20201119001188 |
| Provider Name | Terri Lynn Quintero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700483302 PECOS PAC ID: 3375957137 Enrollment ID: I20210208000275 |
| Provider Name | Natalie Nicole Downing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760027379 PECOS PAC ID: 7517374572 Enrollment ID: I20210318002970 |
| Provider Name | Gigi Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134701451 PECOS PAC ID: 8820489321 Enrollment ID: I20211216001600 |
| Provider Name | Jodi Lee Wiley |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1851974653 PECOS PAC ID: 4284016429 Enrollment ID: I20220803003956 |
| Provider Name | Zakary B Rose-reneau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629654744 PECOS PAC ID: 9931578150 Enrollment ID: I20221212000007 |
| Provider Name | Nicki Carriere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326528266 PECOS PAC ID: 8628472834 Enrollment ID: I20230814001789 |
| Provider Name | Kari Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982198131 PECOS PAC ID: 3476944828 Enrollment ID: I20231013001432 |
Mark Oatman Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 N 3rd St, Ponca City, OK 74601 Phone: 580-762-1777 Fax: 580-762-1771 | |
Dsk Medical Group, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Fairview Ave, Building 3, Ste. 20, Ponca City, OK 74601 Phone: 580-765-6647 Fax: 580-765-6699 | |
Bruce Baugher D.o., Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1908 N 14th St, Suite 207, Ponca City, OK 74601 Phone: 580-763-5900 Fax: 580-763-5901 | |
Urgent Care And Family Practice Center Of Ponca City Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1715 N 5th St, Ponca City, OK 74601 Phone: 580-762-9292 Fax: 580-762-1660 | |
Lsi Clinics (lsi Foot, Shoe, Wound Or Orthotics) Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2210 N 14th St, Ponca City, OK 74604 Phone: 580-718-0002 Fax: 580-718-0003 | |
John W. Holden, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 427 Fairview Ave, Ponca City, OK 74601 Phone: 580-765-9299 Fax: 580-765-2199 |