Individual provider Active NPI

Kelsey Jordan Lemay, D.O.

  • Obstetrics & Gynecology Physician
  • Ardmore, OK
National Provider Identifier
1760942957
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
7001 Issued in OK
Practice address
731 12TH Ave NW Ste 201
Ardmore, OK 73401-5764
Phone
(580) 226-3003
Fax
(580) 298-3124
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 7001 OK Primary

Addresses

Primary practice location

731 12TH Ave NW Ste 201
Ardmore, OK 73401-5764

Mailing address

731 12TH Ave NW Ste 201
Ardmore, OK 73401-5764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230810003789 OK Practitioner - Obstetrics/Gynecology 8729440557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Oklahoma State University College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

731 12TH Nwave
200 Mercy Clinic
Ardmore, OK 73401-5763
Phone (580) 220-6189

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7001OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oklahoma Communities CurrentSince Aug 15, 2023 Accepting new patients
Mercy Hospital Ada, Inc Past Accepting new patients
Mercy Hospital Ardmore, Inc. Past Accepting new patients
Mercy Hospital Oklahoma City, Inc PastSince Aug 15, 2023 Accepting new patients

Locations

731 12th Ave NW
Ste 200
Ardmore, OK 73401
Phone (580) 220-6189

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1760942957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 12TH AVE NW STE 201",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734015764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 12TH AVE NW STE 201",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734015764",
            "telephone_number": "580-226-3003",
            "fax_number": "580-298-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMAY",
        "first_name": "KELSEY",
        "middle_name": "JORDAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "7001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.