PATHWAYS MEDICAL LLC
NPI 1194185090
Clinic/Center - Primary Care in Edmond, OK

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

Active since March 04, 2016

13707 FAIRHILL AVE, EDMOND, OK 73013(405) 607-4041(405) 463-0090 Get Directions Write a Review

NPPES record last updated: June 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 6, 2026, May 18, 2021, Mar 4, 2016 (3 updates tracked since 2016).

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About Pathways Medical Llc NPPES

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

PATHWAYS MEDICAL LLC (NPI 1194185090) is a healthcare organization registered as a primary care in Edmond, Oklahoma and active in the NPI registry since March 2016. The organization lists Zachory Randall, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1194185090

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NamePATHWAYS MEDICAL LLC

Location Address13707 FAIRHILL AVEEdmond, OK 73013

Mailing Address13707 Fairhill AveEdmond, OK 73013 · (405) 607-4041 · Fax (405) 463-0090

Phone(405) 607-4041

Fax(405) 463-0090

Organization SubpartNo

Authorized OfficialZachory RandallCeo/president · (405) 607-4041

Enumeration DateMarch 4, 2016

Last NPPES UpdateJune 6, 20263 updates tracked since enumeration

NPPES CertifiedJune 6, 2026

✔ NPI 1194185090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedFamily MedicineTaxonomy 207Q00000X

13707 FAIRHILL AVE, Edmond, OK 73013

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Other Identifiers 1

Medicaid200640210AOK

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