Unknown Individual – Pediatrics Physician, NPI 1083696363
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1370, North Interstate Drive, Norman, Cleveland County, Oklahoma, 73072, United States
SUITE 154
NORMAN, OK 730723376
Phone: (405) 224-8111
Fax: (405) 222-9587
Type: Mailing
2222, West Iowa Avenue, Chickasha, Grady County, Oklahoma, 73018, United States
CHICKASHA, OK 730182738
Phone: (405) 224-8111
Fax: (405) 222-9587
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $32.
Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.
Last reported payment date: 2024-04-08 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($32).
Total Amount
$32
General + Research + Ownership
Payments
1
Total payment records
General Amount
$32
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $32 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73072)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| D E R M A T O L O G Y | OK | |
| - | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| General Practice | NY | |
| - | OK | |
| Family Practice | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Internal Medicine | OK | |
| - | OK |
Reviews
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