FIRST MED CLNIC N KELLY LLC (NPI# 1588003164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588003164 |
| Entity Type | Organization |
| Organization Name | FIRST MED CLNIC N KELLY LLC |
| Practice Address |
1221 N Kelly Ave Edmond OK 73003-4865 |
| Practice Telephone | 4054716400 |
| Mailing Telephone | 4054716400 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |
| Authorized Official Name | TODD LECHTENBERGER (CEO) |
| Authorized Official Telephone | 4054716400 |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVANCE PHYSICIANS GROUP LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1221 N KELLY AVE |
| City | EDMOND |
| State | OK |
| Zip Code | 73003-4865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851741052 | Melinda Natasha Kruger Kruger | Registered Nurse | 1221 N Kelly Ave, Edmond, OK 73003-4865 | 2016-06-17 |
| 1730599507 | Advance Physicians Group | Clinic/Center | 1221 N Kelly Ave, Edmond, OK 73003-4865 | 2014-05-02 |
| 1235550658 | Lavetrice Steele | Physician Assistant | 1221 N Kelly Ave, Edmond, OK 73003-4865 | 2014-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945202 | Korbin Hally | Dentist | 2600 Tayler Street, Edmond, OK 73003 | 2020-06-04 |
| 1003448325 | Diagnostic Resources, LLC | Physical Medicine & Rehabilitation | 1641 Saratoga Way, Edmond, OK 73003 | 2020-02-05 |
| 1861904021 | Rhonda Diane Pennington | Occupational Therapist | 515 S Santa Fe Ave Ste 103, Edmond, OK 73003 | 2017-10-27 |
| 1588173744 | Hpc Holdings LLC | Clinic/Center | 813 W Covell Rd, Edmond, OK 73003 | 2017-09-20 |
| 1194243568 | Nightengale Chiropractic, LLC | Chiropractor | 2616 Covell Village Dr Ste. 120, Edmond, OK 73003 | 2017-09-06 |
| 1104274927 | Bonsu Osei Asibey | Case Manager/Care Coordinator | 1301 Craig Blvd, Edmond, OK 73003 | 2016-06-02 |
| 1215390810 | Prince Yebo | Case Manager/Care Coordinator | 1817 Redland Dr, Edmond, OK 73003 | 2016-03-31 |
| 1548621691 | Charles Loftis | Physical Therapist | 1321 Fretz Drive, 100, Edmond, OK 73003 | 2016-03-17 |
| 1487013801 | Courage Counseling Center | Community/Behavioral Health | 1400 S. Fretz Ave, Suite 1400, Edmond, OK 73003 | 2016-02-12 |
| 1669889887 | Shannon Gogel | Occupational Therapy Assistant | 1309 Val Genes Rd, Edmond, OK 73003 | 2014-07-21 |
| Find all providers in zip 73003 | ||||
| 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 |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1629619473 | Lorie Shannon Shuler | Family Medicine | 1701 Kings Rd, Edmond, OK 73013-4325 | 2019-10-02 |
| 1760030399 | Optimum Primary Care Pllc | Family Medicine | 105 S Bryant Ave Ste 108, Edmond, OK 73034-6330 | 2019-08-27 |
| 1730732116 | Nugenex Health LLC | Family Medicine | 929 Nw 164th St # 342, Edmond, OK 73013-1002 | 2019-07-24 |
| 1265900807 | Zeng Medical Inc | Family Medicine | 1964 Bella Sera Dr, Edmond, OK 73034-2516 | 2018-11-12 |
| 1659855666 | Primary Care Centers of America, LLC | Family Medicine | 800 W 18th St Ste 130, Edmond, OK 73013-3759 | 2018-09-17 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1215399803 | Morfit Medical Pllc | Family Medicine | 2908 Via Esperanza, Edmond, OK 73013-8934 | 2016-03-23 |
| 1134537848 | Medstaffpc | Family Medicine | 28 East Main St, Ste 100, Edmond, OK 73083 | 2014-07-25 |
| 1861806986 | Family Care 323, Pllc | Family Medicine | 1716 Olde North Pl, Edmond, OK 73034-4974 | 2014-06-17 |
| Find all providers in EDMOND | ||||
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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.