DR. SOFYA ILMER


Address: 72d Medical Group, 7050 Air Depot Blvd, Blvd 1094, Tinker Afb, OK 73145-8716
Phone: 4055826610

DR. SOFYA ILMER (NPI# 1013302322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013302322
Entity Type Individual
Full Name DR. SOFYA ILMER
Practice Address 72d Medical Group, 7050 Air Depot Blvd
Blvd 1094
Tinker Afb
OK 73145-8716
Mailing Address 7050 Air Depot Blvd
Bldg 1094
Tinker Afb
OK 73145-8716
Practice Telephone 4055826610
Mailing Telephone 4055826610
Enumeration Date 2015-04-02
Last Update Date 2019-10-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 285311 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 72D MEDICAL GROUP, 7050 AIR DEPOT BLVD
BLVD 1094
City TINKER AFB
State OK
Zip Code 73145-8716

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922630946 The Janz Corporation Durable Medical Equipment & Medical Supplies Tinker Afb Exchange, 3360 N. Avenue Bldg. 685, Tinker Afb, OK 73145 2020-02-07
1578863437 Stephanie Brushett Audiologist 8941 Entrance Road A, Bldg 3334, Rm 125, Tinker Afb, OK 73145 2010-10-26
1972530053 Mark Robert Bacon Physician Assistant 72nd Medical Group, 5700 Arnold St, Tinker Afb, OK 73145 2006-06-26
1417945346 Heather Renee' Ranger Kobel Psychologist 590 Mitchell Blvd, Tinker Afb, OK 73145 2005-10-13
1003332404 Davis Brigman Psychologist 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 2017-08-17
1801321393 Carolyne Bangurah Registered Nurse 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 2017-04-21
1598148850 Adrianna Harrell Social Worker 7050 Air Depot Blvd, Tinker Afb, OK 73145 2015-07-06
1558748491 Caitlin Clare Stevens General Practice 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 2015-04-29
1699015032 Alan Robert Miner General Practice 7050 Air Depot Blvd, Oklahoma City, OK 73145 2013-02-21
1033498571 Sarah Katherine Turbush Dentist 72d Medical Group, Tinker Afb, OK 73145 2011-08-16
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558748491 Caitlin Clare Stevens General Practice 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 2015-04-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417565433 Robinson Medical Clinic West, LLC General Practice 1900 W 2nd St Ste D, Elk City, OK 73644-4328 2020-07-15
1669080891 Prairie Gardens Medical LLC General Practice 1213 Nw 122nd St Ste 401, Oklahoma City, OK 73114-7000 2020-07-14
1801431135 Cristina Elisa Collazo-suarez General Practice 401 Nw 76th St, Lawton, OK 73505-5338 2019-11-11
1578117859 Tulsa Wellness Management, LLC General Practice 3501 S Yale Ave Ste A, Tulsa, OK 74135-8014 2019-07-25
1053875781 Oumi Clinics LLC General Practice 1200 Childrens Ave Ste 11200, Oklahoma City, OK 73104-4637 2019-01-28
1902396294 Gail Renee Marchant General Practice 8784 E 105th Ct, Tulsa, OK 74133-7063 2018-05-13
1528578499 Revive Medical LLC General Practice 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 2017-10-05
1992214548 Lifestyle Medical Center, Pllc General Practice 4505 S Harvard Ave, Tulsa, OK 74135-2905 2017-09-27
1265884449 Turning Point Health LLC General Practice 736 W Main St, Jenks, OK 74037-3519 2016-07-12
1891149647 Daniel Enriquez General Practice 1040 7050 S Air Depot Blvd, Oklahoma City, OK 73135 2016-04-18
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Competitor

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City TINKER AFB
Zip Code 73145

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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