Active NPI
PHP Ok PC
Doing business as Primary Health Partners
- Family Medicine Physician
- Ardmore, OK
National Provider Identifier
1629796974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PHP OK PC
- Doing business as
- Primary Health Partners
- Practice address
- 1111 Walnut Dr
Ardmore, OK 73401-2354 - Phone
- (580) 223-9008
- Fax
- (580) 223-5051
- NPI assigned
- Aug 22, 2022
- Last updated
- Mar 13, 2024
- Organization subpart
- Yes
- Parent organization
- PHP ARDMORE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angie McKinney
- Title
- Operations Manager
- Phone
- (405) 577-6571
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1111 Walnut Dr
Ardmore, OK 73401-2354
Mailing address
1820 Commons Cir Ste B
Yukon, OK 73099-9518
Phone (405) 265-2778
Other names 1
- Primary Health Partners
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2272762 | Primary Health Partners-Ardmore | Certificate of waiver | Nov 28, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- PHP Ok PC
Other organizations with this tax ID 9
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710288000000",
"number": "1629796974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 COMMONS CIR STE B",
"city": "YUKON",
"state": "OK",
"postal_code": "730999518",
"telephone_number": "405-265-2778",
"fax_number": "405-494-7274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 WALNUT DR",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734012354",
"telephone_number": "580-223-9008",
"fax_number": "580-223-5051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHP OK PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PHP ARDMORE",
"enumeration_date": "2022-08-22",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A",
"authorized_official_last_name": "MCKINNEY",
"authorized_official_first_name": "ANGIE",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "405-577-6571"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Primary Health Partners",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.