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TRIAD COMPLETE HEALTHCARE Z16 LLC
NPI 1144014176
Family Medicine in Ponca City, OK

Active since April 07, 2025CLIA 37D2304295 · Waiver
2703 N 14TH ST, PONCA CITY, OK 74601(580) 749-7846 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Triad Complete Healthcare Z16 Llc NPPES

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

TRIAD COMPLETE HEALTHCARE Z16 LLC (NPI 1144014176) is a healthcare organization registered as a family medicine in Ponca City, Oklahoma and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through May 9, 2028 and lists Matthew Bintz, President, as its authorized official.

NPPES Registry Identity

NPI1144014176
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRIAD COMPLETE HEALTHCARE Z16 LLC
Location Address2703 N 14TH STPonca City, OK 74601-1738
Mailing Address2703 N 14th StPonca City, OK 74601-1738 · (580) 749-7846
Phone(580) 749-7846
Organization SubpartNo
Authorized OfficialMatthew BintzPresident · (970) 270-7929
Enumeration DateApril 7, 2025
NPPES CertifiedApril 6, 2025
✔ NPI 1144014176 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 Practitioner · FamilyTaxonomy 363LF0000X
2703 N 14TH ST, Ponca City, OK 74601
Open in Google Maps ↗

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

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 37D2304295

Triad Complete Healthcare, LLC · Ardmore, OK
Active · expires May 9, 2028
CLIA Number37D2304295
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2026
Certificate Expiration DateMay 9, 2028
Laboratory DirectorJamin Graham
Laboratory Phone(580) 749-7846
Laboratory LocationTriad Complete Healthcare, LLC1023 15th Ave NW, Ardmore, OK 73401
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 3

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

TRIAD HEALTH SYSTEMS LLC
Family Medicine
2703 N 14TH ST
PONCA CITY, OK 74601
Kay County (580) 765-9451
TRIAD COMPLETE CARE, LLC
Family Medicine
2703 N 14TH ST
PONCA CITY, OK 74601
Kay County (580) 749-7846
TAYLOR LEWIS APRN-CNP
Nurse Practitioner (Family)
2703 N 14TH ST
PONCA CITY, OK 74601
Kay County (580) 765-9451

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 Triad Complete Healthcare Z16 LLC's NPI number?

The NPI number for Triad Complete Healthcare Z16 LLC is 1144014176. It was assigned to this organization in the NPPES registry on April 7, 2025.

Where is Triad Complete Healthcare Z16 LLC located?

Triad Complete Healthcare Z16 LLC is located at 2703 N 14th St, Ponca City, OK 74601. The listed phone number is (580) 749-7846.

What is Triad Complete Healthcare Z16 LLC's specialty?

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

Does Triad Complete Healthcare Z16 LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2304295) is associated with this NPI, valid through May 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Triad Complete Healthcare Z16 LLC was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.