Triad Complete Healthcare A07

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TRIAD COMPLETE HEALTHCARE A07

Doing business as

Triad Complete Healthcare

Practice address

3013 Azalea Park Dr
Muskogee, OK 74401-2285

Phone

(918) 691-8391

NPI assigned

Feb 6, 2023

Last updated

Feb 7, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Niki SykoraNPI 1609335173

Title

Owner

Phone

(918) 691-8391

Specialties & licenses 1

Addresses

Other names 1

• TRIAD COMPLETE HEALTHCARE Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shelly Dawn Mansker, FNP-C

  • Nurse Practitioner
  • Coweta, OK
  • NPI 1639436348
  Medicare reassignment NPD
• Mark A Oatman, MD

  • Family Medicine Physician
  • Ponca City, OK
  • NPI 1205814449
  Medicare reassignment NPD
• Niki Renee Sykora, PHARMD

  • Pharmacist
  • Muskogee, OK
  • NPI 1609335173
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1063118529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 AZALEA PARK DR",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012285",
            "telephone_number": "918-691-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 AZALEA PARK DR",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744012285",
            "telephone_number": "918-691-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD COMPLETE HEALTHCARE A07",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "SYKORA",
        "authorized_official_first_name": "NIKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-691-8391"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRIAD COMPLETE HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TRIAD COMPLETE HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Hoos DO PLLC
• Traditions Hospice of Chickasha, LLC
• Zereta Travis, BSW
• Tomi Rachelle Treat, MHR-LPC
• Jaime Trevino
• Triad Eye Institute PLLC
• Triad Surgery Center LLC
• Lesa Trickett, RRT
• Leslie Rene Trimble, OD
• Jerry R Troy, MD

• Family Medicine Physician in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.