Nna of Oklahoma LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

NNA OF OKLAHOMA LLC

Practice address

1402 Brookview Dr
Ardmore, OK 73401-1219

Phone

(580) 226-9390

Fax

(580) 226-4555

NPI assigned

Aug 31, 2006

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Mark Fawcett

Title

Treasurer

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• RCG ARDMORE Doing business as

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1386756252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 BROOKVIEW DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011219",
            "telephone_number": "580-226-9390",
            "fax_number": "580-226-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 BROOKVIEW DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011219",
            "telephone_number": "580-226-9390",
            "fax_number": "580-226-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NNA OF OKLAHOMA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "FAWCETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RCG ARDMORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arielle Cyrelle Ngameni Mouani, MD
• Dennis Trandung Nguyen, PHARMD
• Garrett Nichols
• Montana Deane Nichols
• Carley Abbott Nitschmann, APRN-CNP
• Benjamin V Noah, PHD
• Phillip Alton Nokes, DO
• Deryn Norman, OD
• Megan Norman
• Shaylea Norman

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ardmore, OK
• Providers in Ardmore, OK by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.