PREMISE HEALTH OF OKLAHOMA MEDICAL P.C NPI 1811548373

NPI Information

  • NPI: 1811548373
  • Provider Name: PREMISE HEALTH OF OKLAHOMA MEDICAL, P.C
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: OKC CARE EMPLOYEE MEDICAL CENTER
  • CLIA Number: 37D2176261
  • Address: 424 COLCORD DR STE A
    OKLAHOMA CITY, OK
    ZIP 73102
  • Phone: (405) 276-2030

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NPI Details

PREMISE HEALTH OF OKLAHOMA MEDICAL, P.C is a multi-specialty clinic center in Oklahoma City, OK. PREMISE HEALTH OF OKLAHOMA MEDICAL, P.C NPI is 1811548373. The provider is registered as an organization entity type.
The provider Is Doing Business As Okc Care Employee Medical Center.

The provider's business location address is:

424 COLCORD DR STE A
OKLAHOMA CITY, OK
ZIP 73102-500
Phone: (405) 276-2030
Fax: (405) 422-9760

The provider's authorized official is Jonathan Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The CLIA number assigned to this NPI record is 37D2176261 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2019 and was last updated on 10/13/2022.

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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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: 3/30/2025

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