Mercy Health Services - Southern Oklahoma, LLC
Mercy Occupational Medicine · Clinic/Center (Occupational Medicine)

Address: 921 14th Ave Nw, Ardmore, OK 73401-1837
Phone: 5802235311

Mercy Health Services - Southern Oklahoma, LLC (NPI# 1114982527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1114982527
Entity Type Organization
Organization Name MERCY HEALTH SERVICES - SOUTHERN OKLAHOMA, LLC
Other Organization Name MERCY OCCUPATIONAL MEDICINE
Practice Address 921 14th Ave Nw
Ardmore
OK 73401-1837
Practice Telephone 5802235311
Practice Fax Number 5802238227
Mailing Address 921 14th Ave Nw
Ardmore
OK 73401-1837
Mailing Telephone 5802235311
Mailing Fax Number 5802238227
Authorized Official Name Benjamin Baker Fore (MEDICAL DIRECTOR)
Authorized Official Telephone 5802267246
Authorized Official Credential DO
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2006-04-19
Last Update Date 2008-05-07

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QX0100X Clinic/Center · Occupational Medicine Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
MERCY OCCUPATIONAL MEDICINE Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 261QX0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Occupational Medicine

Taxonomy Definition

Definition to come...

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1083021125 Joe Mansour Clinic/Center 11805 Oldwick Cir, Oklahoma City, OK 73162-3225 2014-07-21
1629328364 National Occupational Health Services, LLC Clinic/Center 6848 E 41st St, Tulsa, OK 74145-4513 2012-09-10
1043483894 Occuhealth Associates Clinic/Center 427 N Meridian Ave, Oklahoma City, OK 73107-6509 2008-04-11
1891836052 Ohc of Oklahoma, L.l.c. Clinic/Center 302 S Quadrum Dr, Oklahoma City, OK 73108-1110 2007-02-09
1952937237 Mosaic Medical Foundation North Okc Clinic/Center 10201 N May Ave, Oklahoma City, OK 73120-2510 2020-03-18
1528694916 Mosaic Foundation Central Okc Clinic/Center 701 Ne 36th St, Oklahoma City, OK 73105-7203 2020-03-17
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1154742948 Occupational Health Centers of The Southwest Pa Clinic/Center 1500 W I 240 Service Rd, Suite A-14, Oklahoma City, OK 73159-8209 2013-12-20
1316134141 Ellis Clinic, P.C. Clinic/Center 5100 N Brookline Ave Ste 465, Oklahoma City, OK 73112-3625 2007-09-25
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Office Location

Street Address 921 14TH AVE NW
City ARDMORE
State OK
Zip Code 73401-1837

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457331175 Medical Arts Clinic of Ardmore Inc Internal Medicine 921 14th Ave Nw, Ardmore, OK 73401-1837 2006-01-19
1912395898 Lisa Burton Nurse Practitioner 921 14th Ave Nw, Ardmore, OK 73401-1837 2014-12-31
1932448347 Jerad Scott Wagner Physician Assistant 921 14th Ave Nw, Ardmore, OK 73401-1837 2013-02-05
1376703595 Summer Kirby Family Medicine 921 14th Ave Nw, Ardmore, OK 73401-1837 2008-06-11
1487854642 Derek Todd Landis Pediatrics 921 14th Ave Nw, Ardmore, OK 73401-1837 2007-07-24
1205929320 Ashley V Kelley Internal Medicine 921 14th Ave Nw, Ardmore, OK 73401-1837 2006-10-02
1679595144 Bobby J Ellis Internal Medicine 921 14th Ave Nw, Ardmore, OK 73401-1837 2006-07-24
1306889878 Sallie J Walker Nurse Practitioner 921 14th Ave Nw, Ardmore, OK 73401-1837 2006-06-13
1235176629 Wilfred S Gauthier Surgery 921 14th Ave Nw, Ardmore, OK 73401-1837 2006-06-02
1194779975 Toribio C Velasquez Internal Medicine 921 14th Ave Nw, Ardmore, OK 73401-1837 2006-05-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497391452 Abbie Deeann Mclemore Nurse Practitioner 915 10th Ave, Ardmore, OK 73401 2019-11-25
1790349991 Shirley Denise Brown Licensed Psychiatric Technician 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 2019-04-24
1427512359 Billy Joe Oshields Case Manager/Care Coordinator 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 2019-01-24
1174007595 Tawnya Dawn Peery Nurse Practitioner 1108 W. Walnut Drive, Ardmore, OK 73401 2018-09-21
1679055016 Teresa Marie Hernandez Behavior Technician 1219 K St. Nw, Ardmore, OK 73401 2018-09-01
1063991974 Sawyer Rae Shamburger Occupational Therapy Assistant 208 North Praire St, Pilot Point, TX 73401 2018-08-10
1417473521 Chelsye Bacon Peer Specialist 905 Holiday Drive, Ardmore, OK 73401 2017-08-21
1003279746 Jeni Presley Marriage & Family Therapist Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 2016-03-31
1982080909 Alison Hill Pharmacist 1111 N. Commerce, Ardmore, OK 73401 2015-07-31
1316346547 Olivia Larae Carrell Counselor 15 Monroe Street Ne, Ardmore, OK 73401 2014-08-13
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Competitor

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City ARDMORE
Zip Code 73401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.