INTEGRIS AMBULATORY CARE CORPORATION (NPI# 1750333936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750333936 |
| Entity Type | Organization |
| Organization Name | INTEGRIS AMBULATORY CARE CORPORATION |
| Other Organization Name | INTEGRIS MEDICAL GROUP |
| Practice Address |
5300 N Independence Ave Suite 280 Oklahoma City OK 73112-5556 |
| Mailing Address |
Po Box 269032 Oklahoma City OK 73126-9032 |
| Practice Telephone | 4059512298 |
| Practice Fax Number | 4059512996 |
| Mailing Telephone | 4059512298 |
| Mailing Fax Number | 4059512996 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2013-09-09 |
| Authorized Official Name | MR. GREG A MEYERS (VICE PRESIDENT) |
| Authorized Official Telephone | 4059493774 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100736700Q | 05 |
| Other Name | Type Code |
|---|---|
| INTEGRIS Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982238077 | Integris Ambulatory Care Corporation | Clinic/Center | 11801 S May Ave, Oklahoma City, OK 73170-2560 | 2020-02-27 |
| 1891329983 | Integris Ambulatory Care Corporation | Clinic/Center | 2901 Marilyn Williams Dr, Edmond, OK 73003-1001 | 2020-02-27 |
| 1245708957 | Integris Ambulatory Care Corporation | Clinic/Center | 7301 Sw 44th St Ste G, Oklahoma City, OK 73179-4308 | 2018-11-12 |
| 1568946119 | Integris Ambulatory Care Corporation | Clinic/Center | 11101 Hefner Pointe Dr Ste 207, Oklahoma City, OK 73120-5054 | 2018-09-19 |
| 1477090652 | Integris Ambulatory Care Corporation | Clinic/Center | 2203 S Main St, Grove, OK 74344-5329 | 2017-01-25 |
| 1023039187 | Integris Ambulatory Care Corporation | Clinic/Center | 2111 Riverwalk Dr, Moore, OK 73160-2700 | 2006-07-22 |
| 1114432507 | Integris Ambulatory Care Corporation | Family Medicine | 7301 Sw 44th St Ste A, Oklahoma City, OK 73179-4309 | 2017-12-06 |
| 1164669503 | Integris Ambulatory Care Corporation | Clinic/Center | 401 S 3rd St, Enid, OK 73701-5737 | 2009-01-07 |
| 1033320825 | Integris Ambulatory Care Corporation | Clinic/Center | 3434 Nw 56th St, Suite # 101, Oklahoma City, OK 73112-4488 | 2007-05-24 |
| Street Address |
5300 N INDEPENDENCE AVE SUITE 280 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-5556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114461100 | Tara Turvey | Occupational Therapist | 5300 N Independence Ave, Oklahoma City, OK 73112-5556 | 2016-12-08 |
| 1124487673 | Jennifer Waldron | Nurse Practitioner | 5300 N Independence Ave, Suite 280, Oklahoma City, OK 73112-5556 | 2016-02-12 |
| 1063897072 | Elizabeth Dolan | Physical Therapist | 5300 N Independence Ave, Suite 100, Oklahoma City, OK 73112-5556 | 2015-07-21 |
| 1063685055 | Liana Marie Dewberry | Occupational Therapist | 5300 N Independence Ave, Ste 120, Oklahoma City, OK 73112-5556 | 2008-04-10 |
| 1508039504 | Susan Michelle Kirby | Physical Therapist | 5300 N Independence Ave, Ste 120, Oklahoma City, OK 73112-5556 | 2008-04-10 |
| 1053582387 | Terry Tatarian | Physical Therapist | 5300 N Independence Ave, Suite #100, Oklahoma City, OK 73112-5556 | 2008-03-14 |
| 1003087578 | Shanun Micaela Atkins | Speech-Language Pathologist | 5300 N Independence Ave, Suite 100, Oklahoma City, OK 73112-5556 | 2008-03-12 |
| 1891974580 | Kara Janelle Mcdaniel | Specialist | 5300 N Independence Ave, Oklahoma City, OK 73112-5556 | 2007-10-30 |
| 1699978726 | Christa Anne Newgent | Physical Therapist | 5300 N Independence Ave, Oklahoma City, OK 73112-5556 | 2007-06-06 |
| 1619187200 | Kirsten Ann Wallace | Physical Therapist | 5300 N Independence Ave, Suite 100, Oklahoma City, OK 73112-5556 | 2007-05-23 |
| Find all providers in the same location | ||||
| 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 | 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 | 73112 |
Please comment or provide details below to improve the information on INTEGRIS AMBULATORY CARE CORPORATION.
| 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.