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DR. GWEN CANARIAS FUENTES M.D.
NPI 1013914324
Pediatrics in Ardmore, OK

Active since June 30, 2005CLIA 37D0471856 · Waiver
919 15TH AVE NW, ARDMORE, OK 73401(580) 223-5693(580) 223-8909 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gwen Canarias Fuentes M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GWEN CANARIAS FUENTES M.D. (NPI 1013914324) is an individual pediatrics provider in Ardmore, Oklahoma, licensed in Oklahoma (13171) and active in the NPI registry since June 2005. She holds a CLIA Waiver certificate valid through July 5, 2027.

NPPES Registry Identity

NPI1013914324
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. GWEN CANARIAS FUENTESCredential: M.D.
Location Address919 15TH AVE NWArdmore, OK 73401-1809
Mailing Address919 15th Ave NwArdmore, OK 73401-1809 · (580) 223-5693 · Fax (580) 223-8909
Phone(580) 223-5693
Fax(580) 223-8909
Sole ProprietorNo
Enumeration DateJune 30, 2005
Last NPPES UpdateJuly 9, 2007
✔ NPI 1013914324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OK · 13171
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
919 15TH AVE NW, Ardmore, OK 73401
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Other Identifiers 1

Medicare UPINF24254OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D0471856

Gwen C Fuentes MD · Ardmore, OK
Active · expires Jul 5, 2027
CLIA Number37D0471856
Laboratory TypePhysician Office
Certificate Effective DateJuly 6, 2025
Certificate Expiration DateJuly 5, 2027
Laboratory DirectorGwen C. Fuentes MD
Laboratory Phone(580) 223-5693
Laboratory LocationGwen C Fuentes MD919 15th NW, Ardmore, OK 73401
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GWEN FUENTES MD PEDIATRIC CLINIC
Clinic/Center (Medical Specialty)
919 15TH AVE NW
ARDMORE, OK 73401
Carter County (580) 223-5693

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwen Fuentes's NPI number?

The NPI number for Gwen Fuentes is 1013914324. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Gwen Fuentes located?

Gwen Fuentes practices at 919 15th Ave NW, Ardmore, OK 73401. The listed phone number is (580) 223-5693.

What is Gwen Fuentes's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Gwen Fuentes hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0471856) is associated with this NPI, valid through July 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gwen Fuentes accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Gwen Fuentes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gwen Fuentes was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.