Unknown Individual – Family Medicine Physician, NPI 1265467120
Family Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
3100 MEDICAL PKWY
CLAREMORE, OK 740171088
Phone: (918) 341-1000
Fax: (918) 293-3141
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74017)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OK | 83036 | Hemoglobin A1C level | 28 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OK | |
| Family Practice | NY | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Internal Medicine | OK | |
| Internal Medicine | OK | |
| - | OK | |
| Family Practice | OK | |
| Family Practice, General Practice, Emergency Medicine | ND | |
| Mental Health Counselor | OK |
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