Phil Abbuhl
Individual provider Active NPI Case Manager/Care Coordinator · Ponca City, OK
NPI 1720109416 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720109416
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 201 E Chestnut Ave
Ponca City, OK 74601-4311 - Phone
- (580) 763-6017
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
201 E Chestnut Ave
Ponca City, OK 74601-4311
Mailing address
1113 E Gary Ave
Ponca City, OK 74601-2928
Phone (580) 765-6744
Other providers in Ponca City, OK
- A F Vaidya MD PC
- A to Z DME LLC
- Aaron T. Buchanan, DDS PLLC
- Ashley Lee Adams
- Karen S Adams
- Parnell Ray Adams
- Relo Adams
- Christina M Aday
All providers in Ponca City, OK · Case Manager/Care Coordinator in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.