Unknown Individual – Family Medicine Physician, NPI 1336114461
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for Unknown Individual
310, 2nd Avenue Southwest, Miami, Ottawa County, Oklahoma, 74354, United States
STE 203
MIAMI, OK 743546743
Phone: (918) 540-7788
Fax: (918) 540-7786
Type: Location
5300, North Independence Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States
280
OKLAHOMA CITY, OK 731125556
Phone: (918) 540-7788
Fax: (918) 540-7786
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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 74354)
Loading plans...
Provider's Procedures
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.