SOUTHWESTERN EMERGENCY DEPARTMENT PHYSICIAN SERVICES, LLC – Primary Care Clinic/Center, NPI 1255344206

SOUTHWESTERN EMERGENCY DEPARTMENT PHYSICIAN SERVICES, LLC is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in Primary Care Clinic/Center. The organization holds a License No. 2231 (OK). The NPI Number for SOUTHWESTERN EMERGENCY DEPARTMENT PHYSICIAN SERVICES, LLC is 1255344206

Main info

Organization
Name
SOUTHWESTERN EMERGENCY DEPARTMENT PHYSICIAN SERVICES, LLC
NPI
1255344206
Phone
(405) 751-4664
Address
4401 W MEMORIAL RD
Authorized Official
MR. GEORGE KRUGER CHIEF FINANCIAL OFFICER
Enumeration Date
14 August 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for SOUTHWESTERN EMERGENCY DEPARTMENT PHYSICIAN SERVICES, LLC

  • West Memorial Road, Oklahoma City, Oklahoma County, Oklahoma, 73142, United States

    SUITE 121

    OKLAHOMA CITY, OK 731341785

    Phone: (405) 751-4664

    Fax: (405) 749-4561

    Type: Mailing

  • Southwestern Medical Center, 5602, Southwest Lee Boulevard, Lawton, Comanche County, Oklahoma, 73505, United States

    LAWTON, OK 735059635

    Phone: (580) 531-4700

    Fax: (580) 531-4889

    Type: Location

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 ·

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 73134)

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Reviews

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Frequently asked questions

How do payers reference SOUTHWESTERN EMERGENCY DEPARTMENT PHYSICIAN SERVICES, LLC?
For SOUTHWESTERN EMERGENCY DEPARTMENT PHYSICIAN SERVICES, LLC, use NPI 1255344206 as the unique 10-digit identifier.
Is SOUTHWESTERN EMERGENCY DEPARTMENT PHYSICIAN SERVICES, LLC shown as active in public data?
Registry records indicate SOUTHWESTERN EMERGENCY DEPARTMENT PHYSICIAN SERVICES, LLC maintains an active NPI.
What clinical focus is listed for SOUTHWESTERN EMERGENCY DEPARTMENT PHYSICIAN SERVICES, LLC?
At a glance, SOUTHWESTERN EMERGENCY DEPARTMENT PHYSICIAN SERVICES, LLC is tied to Primary Care Clinic/Center. Clinical services aligned with this taxonomy classification.
Where in Oklahoma is SOUTHWESTERN EMERGENCY DEPARTMENT PHYSICIAN SERVICES, LLC registered?
Use Oklahoma City, Oklahoma as the headline location for SOUTHWESTERN EMERGENCY DEPARTMENT PHYSICIAN SERVICES, LLC here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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