Premise Health of Oklahoma Medical PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PREMISE HEALTH OF OKLAHOMA MEDICAL PC

Practice address

1105 Michelin Rd
Ardmore, OK 73401-1085

Phone

(580) 224-8750

Fax

(580) 224-8751

NPI assigned

May 17, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edward William Schwartz

Title

President

Phone

(844) 407-7557

Specialties & licenses 1

Addresses

Other names 1

• Michelin Family Heatlh Center-Ardmore Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Premise Health of Oklahoma Medical PC

  • Multi-Specialty Clinic/Center
  • Oklahoma City, OK
  • NPI 1902475957

  O20050322000100

  Same enrollment
• Premise Health of Oklahoma Medical, P.C

  • Family Medicine Physician
  • Stillwater, OK
  • NPI 1427112648

  O20050322000100

  Same enrollment
• Premise Health of Oklahoma Medical, P.C

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1841360336

  O20050322000100

  Same enrollment

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1740540327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277048",
            "telephone_number": "580-224-8750",
            "fax_number": "580-224-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 MICHELIN RD",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011085",
            "telephone_number": "580-224-8750",
            "fax_number": "580-224-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMISE HEALTH OF OKLAHOMA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-407-7557"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michelin Family Heatlh Center-Ardmore",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Michelin Family Heatlh Center-Ardmore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Preferred Diagnostic Imaging, LLC
• Deanne Lee Pregno, PRSS
• Premier Health Care LLC
• Premise Health of Oklahoma Medical PC
• Premise Health of Oklahoma Medical PC
• Monique Lashawn President
• Jeni Presley, LPC
• Rickeal L Preston, M.S., LBP
• Tasha Renee Preston, ARNP
• Clarissa Prigmore

• Clinic/Center in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.