Medexpress Primary Care Oklahoma, P.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MEDEXPRESS PRIMARY CARE OKLAHOMA, P.C.

Doing business as

Ardmore Michelin Family Health Center

Practice address

1105 Michelin Rd
Ardmore, OK 73401-1085

Phone

(580) 224-8750

Fax

(580) 224-8751

NPI assigned

Jul 2, 2018

Last updated

May 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joy Kimball

Title

Contract Manager

Phone

(763) 349-6740

Specialties & licenses 2

Addresses

Other names 1

• Ardmore Michelin Family Health Center Doing business as

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1972099927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 FORTRESS BLVD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265081351",
            "telephone_number": "304-225-2500",
            "fax_number": "304-985-6350"
        },
        {
            "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": "MEDEXPRESS PRIMARY CARE OKLAHOMA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "763-349-6740"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ardmore Michelin Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mco Health Plans, Inc. (HMC of Oklahoma)
• Mco Healthplans of Oklahoma (Healthcare Management Company of Oklahoma)
• Lauren Meade
• Gemma Lee Meador, LADC
• Tawna Lynn Mears
• Medical Arts Clinic of Ardmore Inc
• Medical Center Pharmacy of Durant Inc (Advanced Care Medical Equipment)
• Medical Services of America Inc (Arbuckle Medical Equipment)
• Toni Meeks, PMHNP
• Melissa Alworth DO PLLC

• General Practice Physician in Ardmore, OK
• Providers in Ardmore, OK by specialty
• General Practice Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.