Ardmore Family Health Care, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21765 Issued in OK

Legal business name

ARDMORE FAMILY HEALTH CARE, PLLC

Practice address

812 12TH Ave NW
Ardmore, OK 73401-5708

Phone

(580) 223-1313

Fax

(580) 223-1629

NPI assigned

Aug 2, 2006

Last updated

Aug 22, 2020By 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

Kevin J Shelton, MD

Title

Director

Phone

(580) 223-1313

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407863053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 12TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734015708",
            "telephone_number": "580-223-1313",
            "fax_number": "580-223-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 12TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734015708",
            "telephone_number": "580-223-1313",
            "fax_number": "580-223-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDMORE FAMILY HEALTH CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "580-223-1313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "21765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ardmore Hearing Aid Service, Inc
• Ardmore OBGYN, PLLC
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• Ardmore Pet Associates (Ardmore Diagnostic Imaging)

• Family Medicine Physician in Ardmore, OK
• Providers in Ardmore, 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 Aug 22, 2020; 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.