Karen S Adams, MD
Individual provider Active NPI Family Medicine Physician · Ponca City, OK
NPI 1104818368 · NPPES record last updated Dec 16, 2009
Key facts
- NPI
- 1104818368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 15203 (OK)
- Practice address
- 421 E Hartford Ave
Ponca City, OK 74601-1512 - Phone
- (580) 762-3342
- Fax
- (580) 762-5841
- NPI assigned
- Aug 15, 2005
- Reactivated
- Apr 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15203 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice of North Central Oklahoma, Inc | Family Medicine | Past |
Accepting new patients |
| Deaconess Physician Services LLC | Past | Accepting new patients | |
| North Central Palliative Care, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 15203 | OK | Yes |
Addresses
Primary practice location
421 E Hartford Ave
Ponca City, OK 74601-1512
Mailing address
421 E Hartford Ave
Ponca City, OK 74601-1512
Phone (580) 762-3342
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100201010A | Medicaid | OK | |
| 0004351236 | Other | OK | AETNA |
Other providers in Ponca City, OK
- A F Vaidya MD PC
- A to Z DME LLC
- Aaron T. Buchanan, DDS PLLC
- Phil Abbuhl
- Ashley Lee Adams
- Parnell Ray Adams
- Relo Adams
- Christina M Aday
- Sheri Kay Addington
- Esther Adedayo
All providers in Ponca City, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.