KP MEDICAL GROUP, LLC (NPI# 1558603738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558603738 |
| Entity Type | Organization |
| Organization Name | KP MEDICAL GROUP, LLC |
| Practice Address |
2301 W I 44 Service Rd Suite 300 Oklahoma City OK 73112-8729 |
| Practice Telephone | 4056072233 |
| Practice Fax Number | 4052861303 |
| Mailing Telephone | 4056072233 |
| Mailing Fax Number | 4052861303 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2015-03-05 |
| Authorized Official Name | DR. MARVIN LANE PEYTON (OWNER) |
| Authorized Official Telephone | 4057534994 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
OK24005 | OK | Ambulatory Health Care Facilities |
| Street Address |
2301 W I 44 SERVICE RD SUITE 300 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-8729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578644803 | Marvin L Peyton | Psychiatry & Neurology | 2301 W I 44 Service Rd, Suite 300, Oklahoma City, OK 73112-8729 | 2006-10-17 |
| 1417492752 | Wellness and Therapy Services, LLC | Psychologist | 2301 W I 44 Service Rd, Suite 200, Oklahoma City, OK 73112-8729 | 2016-12-22 |
| 1871986786 | Hometown Sleep, LLC | Clinic/Center | 2301 W I 44 Service Rd, Ste. 200, Oklahoma City, OK 73112-8729 | 2015-03-17 |
| 1568720951 | Psychiatry and Psychotherapy of Central Oklahoma, Pllc | Psychiatry & Neurology | 2301 W I 44 Service Rd, Suite 300, Oklahoma City, OK 73112-8729 | 2012-04-24 |
| 1356652259 | William Trent Hancock | Counselor | 2301 W I 44 Service Rd, Suite 300, Oklahoma City, OK 73112-8729 | 2010-06-24 |
| 1750539680 | Pahl & Associates, PC | Clinic/Center | 2301 W I 44 Service Rd, Suite 310, Oklahoma City, OK 73112-8729 | 2008-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164866737 | Vitality Wellness | Clinic/Center | 5740 Nw 135th St., Oklahoma City, OK 73142 | 2013-04-25 |
| 1992008072 | Arthritis & Rheumatology Center of Oklahoma | Clinic/Center | 1111 N Lee Ave Ste 249, Oklahoma City, OK 73103-2600 | 2010-12-13 |
| 1598072050 | Health Watch Medical Center | Clinic/Center | 1924 N Portland Ave, Oklahoma City, OK 73107-1532 | 2010-09-04 |
| 1609821370 | Rhea Health LLC | Clinic/Center | 1421 S Council Rd, Oklahoma City, OK 73128-9504 | 2006-05-23 |
| 1407327851 | Oklahoma Health and Wellness 97 | Clinic/Center | 5700 N Portland Ave Ste 102, Oklahoma City, OK 73112-1662 | 2018-12-11 |
| 1467972729 | Shawnaree L. Lee, Do Pllc | Clinic/Center | 3433 Nw 56th St Ste 210b, Oklahoma City, OK 73112-4445 | 2017-06-27 |
| 1912448754 | Revive Hormone Clinic Pllc | Clinic/Center | 13316 S Western Ave, Suite F, Oklahoma City, OK 73170-7302 | 2017-03-13 |
| 1205105780 | Brain & Eye Connection Vision Clinic, PC | Clinic/Center | 1530 Sw 89th St, Ste D2, Oklahoma City, OK 73159-6366 | 2011-12-29 |
| 1639321110 | Concentra Health Services, Inc. | Clinic/Center | 7100 S. I-35 Service Road, Suite 7, Oklahoma City, OK 73149-2740 | 2008-10-16 |
| 1649422122 | Concentra Health Services, Inc. | Clinic/Center | 36 West Memorial Rd., Suite C3, Oklahoma City, OK 73114-2325 | 2008-10-16 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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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.