AHS OKLAHOMA PHYSICIAN GROUP, LLC – NPI #1972628352
Family Medicine

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

AHS OKLAHOMA PHYSICIAN GROUP, LLC is a provider located in PRYOR CREEK, OK. NPPES has assigned the NPI number 1972628352 to AHS OKLAHOMA PHYSICIAN GROUP, LLC on March 21, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adolescent Medicine

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AHS OKLAHOMA PHYSICIAN GROUP, LLC below.

NPI Profile for
AHS OKLAHOMA PHYSICIAN GROUP, LLC

NPI Number
1972628352
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AHS OKLAHOMA PHYSICIAN GROUP, LLC
Primary location
562 S ELLIOTT ST
PRYOR CREEK, OK 74361-6411
Phone: (918) 825-3389 Fax: (918) 825-5505
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAUL BATTLES
PROVIDER
Phone: (918) 825-3389
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0000X
- Family Medicine / Adolescent Medicine (Primary)
OK 2080

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.