Triad Pediatrics, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

TRIAD PEDIATRICS, LLC

Practice address

1001 Hospital Cir
Kingfisher, OK 73750-5002

Phone

(405) 375-7935

NPI assigned

May 19, 2022

Last updated

Sep 2, 2025By 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

Matt Bintz

Title

Ceo/Owner

Phone

(580) 765-3055

Specialties & licenses 1

Addresses

Other names 2

• Triad Complete Healthcare A14 Other name
• Triad Complete Healthcare Z14 Other name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 7

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.

• Evan H Laman, MD

  • Military Health Care Provider
  • Lawton, OK
  • NPI 1376112102
  Medicare reassignment Care Compare group NPD
• Ardeshir Faghih Nia, MD

  • Internal Medicine Physician
  • Idabel, OK
  • NPI 1902822802
  Medicare reassignment Care Compare group NPD
• Olaide O Owoloye

  • Family Nurse Practitioner
  • Weatherford, OK
  • NPI 1053971804
  Medicare reassignment Care Compare group NPD
• Rachel Cameron, APRN

  • Family Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1760779557
  Medicare reassignment NPD
• Amy Lynn Mason, APRN

  • Family Nurse Practitioner
  • Mustang, OK
  • NPI 1215661376
  Medicare reassignment NPD
• Amanda Marie Barritt, PA

  • Physician Assistant
  • Oklahoma City, OK
  • NPI 1114644770
  Medicare reassignment
• Victoria Hague

  • Physician Assistant
  • Stillwater, OK
  • NPI 1437887742
  Medicare reassignment

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1477290591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 N 14TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011738",
            "telephone_number": "580-765-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HOSPITAL CIR",
            "city": "KINGFISHER",
            "state": "OK",
            "postal_code": "737505002",
            "telephone_number": "405-375-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2025-09-02",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "BINTZ",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "580-765-3055"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triad Complete Healthcare A14",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Triad Complete Healthcare Z14",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Billie J Stewart
• Brittany Toho
• Toms Drug Store
• Brandon Michael Trachman, PT
• Trail Creek Wellness PC
• Anastacia Vega, DPT, PT
• Magen J Verkler, NUTRITIONIST
• Kayla J Voth, M.S.CCC-SLP
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0132)
• Diana Frances Warren, LADC-MH

• Family Nurse Practitioner in Kingfisher, OK
• Providers in Kingfisher, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.