ASMG SAND SPRINGS NPI 1902140056

NPI Information

  • NPI: 1902140056
  • Provider Name: ASMG SAND SPRINGS
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 37D2050059
  • Address: 3905 S HIGHWAY 97
    SAND SPRINGS, OK
    ZIP 74063
  • Phone: (918) 260-2093

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NPI Details

ASMG SAND SPRINGS is a primary care clinic center in Sand Springs, OK. ASMG SAND SPRINGS NPI is 1902140056. The provider is registered as an organization entity type.

The provider's business location address is:

3905 S HIGHWAY 97
SAND SPRINGS, OK
ZIP 74063-839
Phone: (918) 260-2093
Fax: (918) 508-7442

The provider's authorized official is Kelly D Ferrell .
The authorized official title is Manager and has the following contact phone number (918) 260-2075.

The CLIA number assigned to this NPI record is 37D2050059 - other - pcp with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 12/3/2012.

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
1261QP2300XClinic/CenterPrimary CareYes

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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