ADVANCED FAMILY CARE, PLLC - NPI 1104670884 - Family Medicine in Tulsa, OK

Q: What is Advanced Family Care, PLLC's NPI number?

The NPI number for Advanced Family Care, PLLC is 1104670884. It was assigned to this organization in the NPPES registry on April 17, 2024.

Q: What is Advanced Family Care, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Advanced Family Care, Pllc NPPES

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

ADVANCED FAMILY CARE, PLLC (NPI 1104670884) is a healthcare organization registered as a family medicine in Tulsa, Oklahoma and active in the NPI registry since April 2024. The organization lists Kenneth Reed, Owner, as its authorized official.

NPPES Registry Identity

NPI1104670884

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameADVANCED FAMILY CARE, PLLC

Location Address9320 S MINGO RDTulsa, OK 74133-5710

Mailing Address9320 S Mingo RdTulsa, OK 74133-5710 · (918) 921-5701 · Fax (918) 901-9702

Phone(918) 901-9701

Fax(918) 901-9702

Organization SubpartNo

Authorized OfficialKenneth ReedOwner · (918) 921-5701

Enumeration DateApril 17, 2024

Last NPPES UpdateMay 18, 20242 updates tracked since enumeration

NPPES CertifiedMay 18, 2024

✔ NPI 1104670884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

9320 S MINGO RD, Tulsa, OK 74133

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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 37D2308434

Advanced Family Care · Tulsa, OK

Expired · Jul 28, 2026

CLIA Number37D2308434

Laboratory TypePhysician Office

Certificate Effective DateJuly 29, 2024

Certificate Expiration DateJuly 28, 2026

Laboratory DirectorKenneth C. Reed

Laboratory Phone(918) 921-5701

Laboratory LocationAdvanced Family Care9716 Riverside Pkwy, Ste 200, Tulsa, OK 74137

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

KENNETH CALRISIAN REED MD

Anesthesiology (Pain Medicine)