GWEN FUENTES MD PEDIATRIC CLINIC – Medical Specialty Clinic/Center, NPI 1083830608

GWEN FUENTES MD PEDIATRIC CLINIC is a healthcare provider. based in Ardmore, Oklahoma. specializing in Medical Specialty Clinic/Center. The organization holds a License No. 13171 (OK). The NPI Number for GWEN FUENTES MD PEDIATRIC CLINIC is 1083830608

Main info

Organization
Name
GWEN FUENTES MD PEDIATRIC CLINIC
NPI
1083830608
Phone
(580) 223-5693
Address
919 15TH AVE NW
Authorized Official
DR. GWEN CANARIAS FUENTES OWNER M.D.
Enumeration Date
18 April 2007
Last Update Date
30 January 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for GWEN FUENTES MD PEDIATRIC CLINIC

  • 919 15TH AVE NW

    ARDMORE, OK 734011809

    Phone: (580) 223-5693

    Fax: (580) 223-8909

    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)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73401)

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Frequently asked questions

What identifier follows GWEN FUENTES MD PEDIATRIC CLINIC across health systems?
The NPI 1083830608 uniquely identifies GWEN FUENTES MD PEDIATRIC CLINIC in U.S. healthcare data.
Does the public listing show GWEN FUENTES MD PEDIATRIC CLINIC as active?
GWEN FUENTES MD PEDIATRIC CLINIC's NPI record reflects an active status in NPPES.
Which specialty label fits GWEN FUENTES MD PEDIATRIC CLINIC?
NPPES ties GWEN FUENTES MD PEDIATRIC CLINIC to Medical Specialty Clinic/Center in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to GWEN FUENTES MD PEDIATRIC CLINIC?
GWEN FUENTES MD PEDIATRIC CLINIC is associated with Ardmore, Oklahoma in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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