TRI-COUNTY PRIMARY CARE LLC (NPI# 1194287086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194287086 |
| Entity Type | Organization |
| Organization Name | TRI-COUNTY PRIMARY CARE LLC |
| Practice Address |
200 N Easton Allen OK 74825-9713 |
| Mailing Address |
Po Box 170 Ozark AR 72949-0170 |
| Practice Telephone | 5808571300 |
| Practice Fax Number | 8332437203 |
| Mailing Telephone | 8662437203 |
| Mailing Fax Number | 8332437203 |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |
| Authorized Official Name | DAVID W CAMPBELL (OWNER) |
| Authorized Official Telephone | 5808571300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
200 N EASTON |
| City | ALLEN |
| State | OK |
| Zip Code | 74825-9713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205876752 | Rural Health Care Innovations | Family Medicine | 200 N Easton, Allen, OK 74825-0250 | 2006-06-06 |
| 1538375233 | Kelly Shannon Russell | Nurse Practitioner | 200 N Easton, Allen, OK 74825-9713 | 2007-05-16 |
| 1942357215 | Mary Kathryn Machado | Nurse Practitioner | 200 N Easton, Allen, OK 74825-9713 | 2007-01-05 |
| 1881794295 | Peggy Sue Atwood | Physician Assistant | 200 N Easton, Allen, OK 74825-9713 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912365685 | Krystal Shephard | Home Health | 208 E. Broadway Ave., Allen, OKLAHOMA 74825 | 2016-02-09 |
| 1174942361 | Holdenville Hospital Authority | Clinic/Center | 202 W Broadway, Allen, OK 74825 | 2014-04-15 |
| 1932557816 | Holdenville Hospital Authority | Clinic/Center | 202 W Broadway, Allen, OK 74825 | 2016-06-01 |
| 1073983961 | Heather Prentice | Registered Nurse | 202 West Broadway, Allen, OK 74825 | 2015-10-05 |
| 1265491237 | Jeffry Michael Bryen | Physician Assistant | 200 N. Easton, Allen, OK 74825-0250 | 2006-03-20 |
| 1891871885 | Holdenville General Hospital Scholarship Fund Inc | Clinic/Center | 202 West Broadway, Allen, OK 74825-0350 | 2006-10-31 |
| 1245514181 | Allen Public Schools | Local Education Agency (LEA) | 110 North Richmond, Allen, OK 74825-0430 | 2011-10-10 |
| 1912470949 | Lafave Melton Medical Inc | Family Medicine | 501 E Conway, Allen, OK 74825-2904 | 2019-01-02 |
| 1669840831 | Peggy Sue Rinehart | Peer Specialist | 15306 County Road 3680, Allen, OK 74825-6948 | 2015-09-04 |
| 1366529034 | Allen Neighborhood Pharmacy Inc | Pharmacy | 200 E Lexington, 200 East Lexington, Allen, OK 74825-9224 | 2006-11-01 |
| Find all providers in zip 74825 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366099194 | Family Care and Wellness, Pllc | Family Medicine | 915 W Exchange Pkwy Ste 210, Allen, TX 75013-7032 | 2019-08-26 |
| 1033764964 | Melony Ann Chilcoat | Family Medicine | 997 Raintree Cir Ste 140, Allen, TX 75013-4950 | 2019-08-07 |
| 1912470949 | Lafave Melton Medical Inc | Family Medicine | 501 E Conway, Allen, OK 74825-2904 | 2019-01-02 |
| 1174046452 | Vitals Family Medicine Pllc | Family Medicine | 1420 W Exchange Pkwy Ste 120, Allen, TX 75013-4696 | 2017-07-19 |
| 1952782518 | Fakhrudin Aaseemah Mohamed | Family Medicine | 940 W Stacy Rd, Allen, TX 75013-5214 | 2015-06-09 |
| 1619355708 | Beverly Tambe | Family Medicine | 2175 Fair Hill Dr, Allen, TX 75013-5659 | 2015-05-11 |
| 1356761522 | Jane Chandy Abraham | Family Medicine | 1105 Central Expy N Ste 2120, Allen, TX 75013-6117 | 2014-04-25 |
| 1811272719 | Shauntelle Dene Bonman | Family Medicine | 101c N Greenville Ave # 616, Allen, TX 75002-2235 | 2011-10-12 |
| 1407142987 | Ahmed A Darwish | Family Medicine | 1310 W Exchange Pkwy, Allen, TX 75013-7025 | 2011-06-23 |
| 1952530958 | John P Lavery Md Pa | Family Medicine | 997 Raintree Cir Ste 120, Allen, TX 75013-4951 | 2009-07-10 |
| Find all providers in ALLEN | ||||
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| 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.