PRIMARY CARE AT HOME LLC (NPI# 1871148908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871148908 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE AT HOME LLC |
| Practice Address |
9526 S 86th East Ave Tulsa OK 74133-6415 |
| Practice Telephone | 9183463094 |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |
| Authorized Official Name | LARRY MONTGOMERY (PRACTICE MANAGER) |
| Authorized Official Telephone | 9183463094 |
| Authorized Official Credential | MSN, RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396074357 | Primary Care At Home LLC | Nurse Practitioner | 8118 Old York Rd, Suite D, Elkins Park, PA 19027-1423 | 2009-12-21 |
| Street Address |
9526 S 86TH EAST AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74133-6415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871733519 | Mjr Enterprises LLC | Family Medicine | 3800 W. 71st, Inverness Village, Tulsa, OK 74132 | 2009-02-20 |
| 1588633028 | John Robert Gray Jr. | Family Medicine | 902 E Pine St, Tulsa, OK 74106-5928 | 2006-03-16 |
| 1225339385 | Rachel Veach | Family Medicine | 1705 E 19th St Ste 302, Tulsa, OK 74104-5410 | 2010-11-05 |
| 1205023538 | D. Price Kraft M.d. Inc. | Family Medicine | 6585 S Yale Ave, Suite 630, Tulsa, OK 74136-8384 | 2007-10-01 |
| 1871529198 | David Price Kraft | Family Medicine | 10507 E 91st St, Suite 210, Tulsa, OK 74133-5589 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568957348 | Home Run Healthcare | Family Medicine | 1425 East Lincoln Road, Suite A-3, Idabel, OK 74745 | 2018-06-25 |
| 1063905354 | Housecalls | Family Medicine | 4413 S Lee Ave, Oklahoma City, OK 73109 | 2018-06-11 |
| 1558816850 | Spectrum Healthcare Solutions, Pllc | Family Medicine | 1707 Wheaton Dr, Norman, OK 73071-7319 | 2016-08-17 |
| 1902221492 | Housecalls Transitional Care Associates | Family Medicine | 4311 S Prospect, Oklahoma City, OK 73129 | 2014-02-20 |
| 1952656530 | Alexander Frank Md, Pllc | Family Medicine | 343205 E 1020 Rd, Meeker, OK 74855-9191 | 2012-07-19 |
| 1316958218 | Eugene Allen Steinberg | Family Medicine | 921 Ne 10th St, Ste 4b113c, Oklahoma City, OK 73104 | 2006-08-10 |
| 1497761159 | Long Term Care Specialists, Inc | Family Medicine | 8900 Silver Hill Dr, Oklahoma City, OK 73132-3316 | 2006-08-01 |
| 1316913510 | Rickie Conrady | Family Medicine | 225 Lilac Dr Ste 200, Edmond, OK 73034-7287 | 2006-02-27 |
| 1962492553 | Gary Quick | Family Medicine | 1200 Fox Bluff Ct, Edmond, OK 73034-7319 | 2005-10-25 |
| 1003227547 | Moore Primary Care Geriatrics Aprn-cnp, PC | Family Medicine | 1400 Se 4th St, Ste C, Moore, OK 73160-7329 | 2014-05-19 |
| Find all providers with the same taxonomy | ||||
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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.