MEMORIAL MEDICAL GROUP EMERGENCY PHYSICIANS LLC
NPI 1346449766
Emergency Medicine in Ardmore, OK

Active since July 16, 2007
1011 14TH AVE NW, ARDMORE, OK 73401(580) 223-5400 Get Directions Write a Review

NPPES record last updated: October 16, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Memorial Medical Group Emergency Physicians Llc NPPES

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

MEMORIAL MEDICAL GROUP EMERGENCY PHYSICIANS LLC (NPI 1346449766) is a healthcare organization registered as an emergency medicine in Ardmore, Oklahoma and active in the NPI registry since July 2007. The organization lists Tracy Enloe, Cfo, as its authorized official.

NPPES Registry Identity

NPI1346449766
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameMEMORIAL MEDICAL GROUP EMERGENCY PHYSICIANS LLC
Location Address1011 14TH AVE NWArdmore, OK 73401-1828
Mailing AddressPo Box 504539Saint Louis, MO 63150-0001 · (405) 759-7725 · Fax (405) 759-7730
Organization SubpartNo
Authorized OfficialTracy EnloeCfo · (405) 752-3161
Enumeration DateJuly 16, 2007
Last NPPES UpdateOctober 16, 2018
NPI 1346449766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1011 14TH AVE NW, Ardmore, OK 73401

Other Identifiers 1

Medicaid200015840AOK

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


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
1011 14TH AVE NW, ER DEPT.
ARDMORE, OK 73401
Nurse Practitioner
1011 14TH AVE NW, ER DEPT
ARDMORE, OK 73401
Emergency Medicine (Emergency Medical Services)
1011 14TH AVE NW, ER DEPT.
ARDMORE, OK 73401
Hospitalist
1011 14TH AVE NW
ARDMORE, OK 73401
Family Medicine
1011 14TH AVE NW
ARDMORE, OK 73401
Pathology (Anatomic Pathology & Clinical Pathology)
1011 14TH AVE NW
ARDMORE, OK 73401
Emergency Medicine
1011 14TH AVE NW
ARDMORE, OK 73401
Internal Medicine
1011 14TH AVE NW
ARDMORE, OK 73401
Pathology (Anatomic Pathology & Clinical Pathology)
1011 14TH AVE NW
ARDMORE, OK 73401
Specialist
1011 14TH AVE NW
ARDMORE, OK 73401
Preventive Medicine (Undersea and Hyperbaric Medicine)
1011 14TH AVE NW
ARDMORE, OK 73401
Nurse Anesthetist, Certified Registered
1011 14TH AVE NW
ARDMORE, OK 73401
Nurse Anesthetist, Certified Registered
1011 14TH AVE NW
ARDMORE, OK 73401
Anesthesiology
1011 14TH AVE NW
ARDMORE, OK 73401
Nurse Practitioner (Family)
1011 14TH AVE NW
ARDMORE, OK 73401
Emergency Medicine
1011 14TH AVE NW
ARDMORE, OK 73401
Hospitalist
1011 14TH AVE NW
ARDMORE, OK 73401
Nurse Practitioner
1011 14TH AVE NW
ARDMORE, OK 73401
Internal Medicine (Critical Care Medicine)
1011 14TH AVE NW
ARDMORE, OK 73401
Emergency Medicine (Emergency Medical Services)
1011 14TH AVE NW, ER DEPT.
ARDMORE, OK 73401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346449766, enumerated as an "organization" on July 16, 2007.

The provider is located at 1011 14TH AVE NW ARDMORE, OK 73401 and the phone number is (580) 223-5400.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.