Active NPI
Anna Ardoin
- Pediatrics Physician
- Bethany, OK
National Provider Identifier
1902476104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 39578
- Practice address
- 6800 NW 39TH Expy
Bethany, OK 73008-2513 - Phone
- (405) 789-6711
- NPI assigned
- Jun 29, 2021
- Last updated
- Aug 12, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Pediatrics Physician | 208000000X | 39578 | OK | Primary |
Addresses
Primary practice location
6800 NW 39TH Expy
Bethany, OK 73008-2513
Mailing address
6800 NW 39TH Expy
Bethany, OK 73008-2513
Phone (405) 613-2779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39578 | OK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ou Medicine Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1902476104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 NW 39TH EXPY",
"city": "BETHANY",
"state": "OK",
"postal_code": "730082513",
"telephone_number": "405-613-2779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 NW 39TH EXPY",
"city": "BETHANY",
"state": "OK",
"postal_code": "730082513",
"telephone_number": "405-789-6711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARDOIN",
"first_name": "ANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-29",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "39578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethany, OK
- Alpha Healthcare Services Inc (United Home Health Care INC)
- Alejandra Maria Alvizu
- Viktorya Alvizu
- Jenna L Anderson, PT, DPT
- Angela L. Zayas, LCSW, PLLC
- Betty Lynn Arduine
- Arkansas Liver and Gastroenterology, PA (The Liver Care Clinics)
- Aspen Clinic
- Assisted Living Properties, Inc. (Alterra Sterling House of Bethany)
- Erica Astrino
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.