Ideal Touch Health Care Inc

Organization Active NPI Family Nurse Practitioner · Enid, OK

NPI 1578033858 · NPPES record last updated May 20, 2023

Key facts

NPI
1578033858
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
Legal business name
IDEAL TOUCH HEALTH CARE INC
Practice address
915 E Owen K Garriott Rd Ste D-2
Enid, OK 73701-6156
Phone
(580) 302-9101
Fax
(580) 302-9102
NPI assigned
Nov 29, 2018
Organization subpart
No

Authorized official

Name
Emmanuel Stephen
Title
Owner
Phone
(580) 302-9101

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OK

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240702003466 OK Part B Supplier - Clinic/Group Practice 8729522602 Receives reassigned benefits from 1 practitioner
Practice locations: Enid, OK

National Provider Directory

Locations

915 E Owen K Garriott Rd
Ste D2
Enid, OK 73701
Phone (580) 302-9101

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LF0000X Yes

Addresses

Primary practice location

915 E Owen K Garriott Rd Ste D-2
Enid, OK 73701-6156

Mailing address

915 E Owen K Garriott Rd Ste D-2
Enid, OK 73701-6156
Phone (580) 302-9101

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 20, 2023.

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684540800000",
    "number": "1578033858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 E OWEN K GARRIOTT RD STE D-2",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737016156",
            "telephone_number": "580-302-9101",
            "fax_number": "580-302-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 E OWEN K GARRIOTT RD STE D-2",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737016156",
            "telephone_number": "580-302-9101",
            "fax_number": "580-302-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL TOUCH HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2023-05-20",
        "certification_date": "2023-05-20",
        "status": "A",
        "authorized_official_last_name": "STEPHEN",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-302-9101"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

All providers in Enid, OK · Family Nurse Practitioner in Oklahoma

Sources for this page

Verify at the official NPI Registry.