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PARK PLACE MEDICAL
NPI 1114334885
Pediatrics in Mustang, OK

Active since July 15, 2014
500 PARK PL, MUSTANG, OK 73064(406) 376-5439(405) 376-6459 Get Directions Write a Review

NPPES record last updated: July 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Park Place Medical NPPES

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

PARK PLACE MEDICAL (NPI 1114334885) is a healthcare organization registered as a pediatrics in Mustang, Oklahoma and active in the NPI registry since July 2014. The organization lists Donna Raye Cosby, Owner, as its authorized official.

NPPES Registry Identity

NPI1114334885
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePARK PLACE MEDICAL
Location Address500 PARK PLMustang, OK 73064-3104
Mailing Address500 Park PlMustang, OK 73064-3104 · (406) 376-5439 · Fax (405) 376-6459
Phone(406) 376-5439
Fax(405) 376-6459
Organization SubpartNo
Authorized OfficialDonna Raye CosbyOwner · (405) 376-5439
Enumeration DateJuly 15, 2014
✔ NPI 1114334885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OK · 15742
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.
500 PARK PL, Mustang, OK 73064
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 ›

Other Providers at the Same Location NPPES 2

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

MRS. KALEI KANANI-BLUE MUNIZ APRN-CNP
Nurse Practitioner (Family)
500 PARK PL
MUSTANG, OK 73064
Canadian County (405) 376-5439
MRS. CANDICE BAXENDALE RN
Nurse Practitioner (Family)
500 PARK PL
MUSTANG, OK 73064
Canadian County (405) 376-6459

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 Park Place Medical's NPI number?

The NPI number for Park Place Medical is 1114334885. It was assigned to this organization in the NPPES registry on July 15, 2014.

Where is Park Place Medical located?

Park Place Medical is located at 500 Park Pl, Mustang, OK 73064. The listed phone number is (406) 376-5439.

What is Park Place Medical's specialty?

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

What insurance does Park Place Medical 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 list Park Place Medical 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 Park Place Medical was last updated on July 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.