PATHWAYS MEDICAL LLC NPI 1194185090

NPI Information

  • NPI: 1194185090
  • Provider Name: PATHWAYS MEDICAL LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 13707 FAIRHILL AVE
    EDMOND, OK
    ZIP 73013
  • Phone: (405) 607-4041

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NPI Details

PATHWAYS MEDICAL LLC is a primary care clinic center in Edmond, OK. PATHWAYS MEDICAL LLC NPI is 1194185090. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13707 FAIRHILL AVE
EDMOND, OK
ZIP 73013
Phone: (405) 607-4041
Fax: (405) 463-0090

The provider's authorized official is Zachory Randall .
The authorized official title is Ceo/president and has the following contact phone number (405) 607-4041.

The enumeration date for this NPI number is 3/4/2016 and was last updated on 5/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2261QP2300XClinic/CenterPrimary CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200640210AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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