Immediate Care of Oklahoma LLC
Organization Active NPI Urgent Care Clinic/Center · Oklahoma City, OK
NPI 1164697694 · NPPES record last updated Apr 3, 2014
Key facts
- NPI
- 1164697694
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- IMMEDIATE CARE OF OKLAHOMA LLC
- Practice address
- 11808 South May Avenue
Oklahoma City, OK 73170-2560 - Phone
- (405) 735-2370
- Fax
- (405) 735-2369
- NPI assigned
- Apr 25, 2008
- Organization subpart
- No
Authorized official
- Name
- Kevin Penwell, DO
- Title
- Com
- Phone
- (405) 378-2197
Other NPIs on the same Medicare enrollment 3
Practitioners 52
-
Gloria Ayisi, APRN-CNP
-
Molly Beth Bullard, APRN
-
Kelli Le Cox, APRN, CNP
-
Karen Gates, APRN
-
Cynthia Hames, FNP-C
-
Vanessa Joann Harvey, APRN
-
David Holland, APRN-CNP
-
Debra Ann Johnson, APRN
-
Holly Kowalsky, NP
-
Sabrina R Lafrance, CNP-FNP
-
Jackson Donald Laizure, APRN-CNP
-
Tina Ledet, ARNP
-
Rubi Ann Litteral, APRN-CNP
-
Ralph Josef Nelson, D.O.
-
Becky Pata, FNP-C
-
Samir Patel, FNP
-
Angela Zea Patrick, ARNP
-
Kevin M Penwell, DO
-
Heather Michelle Rowell, APRN-CNP
-
Allison Staley, DNP
-
Soumya Sunny, APRN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D1086372 | Immediate Care of Oklahoma S May | Certificate of waiver | Jun 2, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081002000355 | OK | Part B Supplier - Clinic/Group Practice | 2668540774 |
Receives reassigned benefits from 50 practitioners 3 other NPIs on this enrollment Practice locations: Choctaw, OK; Edmond, OK; Norman, OK; Oklahoma City, OK; Tecumseh, OK; Yukon, OK |
National Provider Directory
Locations
1664 S Choctaw Rd
Choctaw, OK 73020
Phone (405) 281-2144
1664 S Choctaw Rd
Ste 101
Choctaw, OK 73020
Phone (405) 281-2144
805 W Covell Rd
Ste 200
Edmond, OK 73003
Phone (405) 216-5373
3321 W Tecumseh Rd
Ste 125
Norman, OK 73072
Phone (405) 307-6900
10616 W Highway 66
#100
Yukon, OK 73099
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
11808 South May Avenue
Oklahoma City, OK 73170-2560
Mailing address
PO Box 721776
Norman, OK 73070-8360
Phone (405) 600-6869
Other providers in Oklahoma City, OK
- Norman Kerr Imes
- Img Clinic PLLC
- Kaylee Imke
- Immediate Care of Oklahoma - SE Okc Lab
- Immediate Care of Oklahoma L.L.C.
- Immediate Care of Oklahoma, LLC
- Immediate Care of Oklahoma, LLC
- Immediate Care of Oklahoma, LLC
- Immediate Smiles
- Stella Imose
All providers in Oklahoma City, OK · Urgent Care Clinic/Center in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.