TRINITY LOVELESS MD PLLC NPI 1629310230

NPI Information

  • NPI: 1629310230
  • Provider Name: TRINITY LOVELESS, MD, PLLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Doing Business As: A PLACE TO GROW PEDIATRICS
  • CLIA Number: 37D2060512
  • Address: 812 S MUSTANG RD
    YUKON, OK
    ZIP 73099
  • Phone: (405) 265-3900

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NPI Details

TRINITY LOVELESS, MD, PLLC is a medical specialty clinic center in Yukon, OK. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). TRINITY LOVELESS, MD, PLLC NPI is 1629310230. The provider is registered as an organization entity type.
The provider Is Doing Business As A Place To Grow Pediatrics.

The provider's business location address is:

812 S MUSTANG RD
YUKON, OK
ZIP 73099-719
Phone: (405) 265-3900
Fax: (405) 265-3905

The provider's authorized official is Trinity Michele Loveless .
The authorized official title is Physician/owner and has the following contact phone number (405) 265-3900.

The CLIA number assigned to this NPI record is 37D2060512 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2013 and was last updated on 3/21/2013.

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
1261QM2500XClinic/CenterMedical Specialty25703OKLAHOMAYes

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
1200173810AMEDICAIDOKLAHOMA

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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