PHYSICIAN MANAGEMENT SERVICES OF OKLAHOMA II, LLC (NPI# 1396307328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396307328 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN MANAGEMENT SERVICES OF OKLAHOMA II, LLC |
| Practice Address |
1000 N Lee Ave Oklahoma City OK 73102-1036 |
| Mailing Address |
3113 Lawton Rd Ste 250 Orlando FL 32803-3517 |
| Practice Telephone | 8888298550 |
| Mailing Telephone | 8888298550 |
| Enumeration Date | 2019-06-29 |
| Last Update Date | 2019-06-29 |
| Authorized Official Name | BRETT KENEFICK (PRESIDENT) |
| Authorized Official Telephone | 8888298550 |
| Is Organization Subpart | Y |
| Parent Organization Name | VAXCARE CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1000 N LEE AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73102-1036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619902 | Kevin Jay Mckeown | Anesthesiology | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2005-06-16 |
| 1912516394 | Katelyn Ann Puryear | Physician Assistant | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2020-07-30 |
| 1518575406 | Julian Mahan Lowell | Nurse Practitioner | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2020-07-16 |
| 1730702895 | Michelle Mcnamara | Physician Assistant | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2020-05-24 |
| 1992345672 | Heather Dawn Smith-kenney | Dietitian, Registered | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2020-01-10 |
| 1265084693 | Laney T Combs | Nurse Practitioner | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2019-07-16 |
| 1770140014 | Deepika Mohan | Pharmacist | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2019-05-22 |
| 1477029452 | Donna Sue Drew | Registered Nurse | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2018-10-17 |
| 1497221626 | Mackenzie Borden | Nurse Practitioner | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2018-10-15 |
| 1730667296 | Hospitalist Medicine Physicians of Oklahoma-tcg, LLC | Internal Medicine | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2018-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548895931 | Court Assistance Programs Inc. | Counselor | 600 N Dewey Avenue Suite 100, Oklahoma City, OK 73102 | 2020-03-06 |
| 1013434117 | Mark Jeffrey Allison I | Case Manager/Care Coordinator | 400 North Walker Avenue, Suite 190, Oklahoma City, OK 73102 | 2017-08-29 |
| 1770009052 | Christopher Minh Nguyen | Clinical Neuropsychologist | 601 Robert S Kerr Ave Apt 108, Oklahoma City, OK 73102 | 2017-08-17 |
| 1700263928 | Micaela Lupov | Physician Assistant | 101 N Robinson Ave Ste 200, Oklahoma City, OK 73102 | 2015-04-27 |
| 1639577885 | La Fuente Prosthetics | Prosthetic/Orthotic Supplier | 229 N.w. 9th Street, Oklahoma City, OK 73102 | 2014-12-19 |
| 1518378603 | Whitney Thorne | Surgery | 608 Nw 9th St Ste 2200, Oklahoma City, OK 73102 | 2014-05-12 |
| 1356680078 | Dustin W Choate | Counselor | 101 Park Ave Ste 1300, Oklahoma City, OK 73102 | 2013-02-01 |
| 1174889778 | Sailesh Arulkumar | Anesthesiology | 535 Nw 9th St Ste 305, Oklahoma City, OK 73102 | 2012-04-09 |
| 1790092328 | Stephanie Brill | Counselor | 415 Nw 5th Street, Oklahoma City, OK 73102 | 2010-09-02 |
| 1205157120 | Mohammad Omar Ramadan | Urology | Ssm Health Medical Group Urology, 608 Nw 9th St., Suite 5000, Oklahoma City, OK 73102 | 2010-06-15 |
| Find all providers in zip 73102 | ||||
| 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 |
|---|---|---|---|---|
| 1164039632 | Axiom Medical Solutions, LLC | Family Medicine | 14132 Se 134th St, Oklahoma City, OK 73165-7669 | 2020-09-28 |
| 1104437219 | L and M Investments LLC | Family Medicine | 6001 Nw 139th St, Oklahoma City, OK 73142-1919 | 2020-08-12 |
| 1235748617 | Brook Noel Leland | Family Medicine | 3329 Nw 22nd St, Oklahoma City, OK 73107-3021 | 2020-07-30 |
| 1043835176 | Thomas Patrick Owens IIi | Family Medicine | 900 Ne 10th Street, Oklahoma City, OK 73104-5420 | 2020-06-15 |
| 1730703562 | Michael Williamson | Family Medicine | 3500 Nw 56th St Ste 10, Oklahoma City, OK 73112-4529 | 2020-06-08 |
| 1295363620 | Saint Medical Group, LLC | Family Medicine | 3400 S Douglas Blvd Ste 307, Oklahoma City, OK 73150-1001 | 2020-03-31 |
| 1881220580 | Sarah Laing | Family Medicine | 1111 N Lee Ave Ste 305, Oklahoma City, OK 73103-2620 | 2020-03-14 |
| 1881225290 | Neans Lynn Denson | Family Medicine | 2815 Sw 119th St, Oklahoma City, OK 73170-2605 | 2020-02-04 |
| 1114563699 | Aim Health Clinics, LLC | Family Medicine | 2301 W I 44 Service Rd Ste 310, Oklahoma City, OK 73112-8729 | 2019-11-20 |
| 1841843265 | Stephanie N White | Family Medicine | 3400 Nw Expressway Bldg C-815, Oklahoma City, OK 73112-4493 | 2019-07-24 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73102 |
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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.