Advanced Family Care, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ADVANCED FAMILY CARE, PLLC

Practice address

9320 S Mingo Rd
Tulsa, OK 74133-5710

Phone

(918) 901-9701

Fax

(918) 901-9702

NPI assigned

Apr 17, 2024

Last updated

May 18, 2024By 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

Kenneth Reed, MDNPI 1033315437

Title

Owner

Phone

(918) 921-5701

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

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.

• Kenneth Calrisian Reed, MD

  • Pain Medicine (Anesthesiology) Physician
  • Tulsa, OK
  • NPI 1033315437
  Medicare reassignment NPD Authorized official
• Scott Anthony Ghere, DO

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1124286919
  Medicare reassignment NPD
• Lam D. Nguyen, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tulsa, OK
  • NPI 1902082258
  Medicare reassignment NPD

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715990400000",
    "number": "1104670884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335710",
            "telephone_number": "918-921-5701",
            "fax_number": "918-901-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335710",
            "telephone_number": "918-901-9701",
            "fax_number": "918-901-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-05-18",
        "certification_date": "2024-05-18",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-921-5701",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advance Invasive Pain Management of Tulsa
• Advanced Anesthesia Associates, LLC
• Advanced Billing Solution, LLC
• Advanced Chiropractic and Injury Specialists, LLC
• Advanced Chirorpactic Care PLLC
• Advanced Imaging Resources Co (Servant Medical Imaging of South Tulsa)
• Advanced Infusion Therapeutics, LLC
• Advanced Invasive Pain Management of Houston
• Advanced Invasive Pain Management of Tulsa, PLLC
• Advanced Medical Enterprises LP

• Family Medicine Physician in Tulsa, OK
• Providers in Tulsa, 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 May 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.