Triad Complete Healthcare A12 LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TRIAD COMPLETE HEALTHCARE A12 LLC

Practice address

908 N Rockford Rd Ste a
Ardmore, OK 73401-2541

Phone

(580) 251-7104

NPI assigned

Jan 16, 2025

Organization subpart

No

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

Authorized official

Name

Matthew Bintz

Title

Ceo

Phone

(970) 270-7929

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Derek Smith, APRN-CNP

  • Family Nurse Practitioner
  • Ardmore, OK
  • NPI 1255981601
  Medicare reassignment Care Compare group NPD
• Gina Elizabeth Hernandez, PA

  • Physician Assistant
  • Ardmore, OK
  • NPI 1760403943
  Medicare reassignment Care Compare group
• Tamra Ann Morrow, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Ardmore, OK
  • NPI 1699006015
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1891506960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 N 14TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011738",
            "telephone_number": "580-749-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ROCKFORD RD STE A",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012541",
            "telephone_number": "580-251-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD COMPLETE HEALTHCARE A12 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "BINTZ",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-270-7929"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Tolbert
• Tony Stretesky DDS
• Totalcare Comprehensive Home Health Supply, LTD. (TotalCare)
• Travis M Storts
• Joseph Solomon Treanor, DDS
• Joel Keith Troop, M.D.
• Carol Ann Trovato, M.S
• Fasil Demere Tsehayu
• Jobrena Tucker
• Turrentine Family Clinic Inc (Doctors Clinic)

• Family Medicine Physician in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.