Organization Active NPI

Ada Men's Clinic LLC

Doing business as Ada Family Wellness Clinic

  • Primary Care Clinic/Center
  • Ada, OK
National Provider Identifier
1255187464
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ADA MEN'S CLINIC LLC
Doing business as
Ada Family Wellness Clinic
Practice address
729 E Main St
Ada, OK 74820-5613
Phone
(580) 967-6700
NPI assigned
Apr 29, 2024
Last updated
Apr 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Mrs. L Leigh Choyce, APRN-CNP
Title
Owner/ Nurse Practitioner
Phone
(580) 967-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

729 E Main St
Ada, OK 74820-5613

Mailing address

729 E Main St
Ada, OK 74820-5613
Phone (580) 967-6700

Other names 1

  • Ada Family Wellness Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240802001793 OK Part B Supplier - Clinic/Group Practice 6002353497 Receives reassigned benefits from 1 practitioner
Practice locations: Ada, OK

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2312975Ada Family Wellness Clinic729 E Main St, Ada, OK 74820Certificate of waiverOct 21, 2026

National Provider Directory

National Provider Directory

Locations

729 E Main St
Ada, OK 74820
Phone (580) 332-4447

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1255187464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 E MAIN ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748205613",
            "telephone_number": "580-967-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 E MAIN ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748205613",
            "telephone_number": "580-967-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADA MEN'S CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-28",
        "status": "A",
        "authorized_official_last_name": "CHOYCE",
        "authorized_official_first_name": "L",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER/ NURSE PRACTITIONER",
        "authorized_official_telephone_number": "580-967-6700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN-CNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ada Family Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.