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

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: August 16, 2026.

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

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

Other Providers at the Same Location NPPES 20

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

MARK ALLEN MCCULLOUGH MA, LADC-MH CAND
Counselor
13707 FAIRHILL AVE
EDMOND, OK 73013
Oklahoma County (405) 607-4041
PATHWAYS PROFESSIONAL COUNSELING LLC
Community/Behavioral Health
13707 FAIRHILL AVE
OKLAHOMA CITY, OK 73013
Oklahoma County (405) 607-4041
MATTHEW HEWES
Counselor (Mental Health)
13707 FAIRHILL AVE
EDMOND, OK 73013
Oklahoma County (405) 607-4041
TYRA WILLIAMS
Counselor
13707 FAIRHILL AVE
EDMOND, OK 73013
Oklahoma County (405) 607-4041
CHELSEA SUTTON LPC CANDIDATE
Counselor (Mental Health)
13707 FAIRHILL AVE
EDMOND, OK 73013
Oklahoma County (808) 227-3466
JAKE WILLARD MA
Counselor (Mental Health)
13707 FAIRHILL AVE
EDMOND, OK 73013
Oklahoma County (405) 607-4041
STACY ZENO
Peer Specialist
13707 FAIRHILL AVE
EDMOND, OK 73013
Oklahoma County (405) 607-4041
HEATHER RANDALL RN
Registered Nurse
13707 FAIRHILL AVE
EDMOND, OK 73013
Oklahoma County (405) 412-3494

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 Pathways Medical LLC's NPI number?

The NPI number for Pathways Medical LLC is 1194185090. It was assigned to this organization in the NPPES registry on March 4, 2016.

Where is Pathways Medical LLC located?

Pathways Medical LLC is located at 13707 Fairhill Ave, Edmond, OK 73013. The listed phone number is (405) 607-4041.

What is Pathways Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Pathways Medical LLC was last updated on June 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.