ICO PRIMARY CARE LLC
NPI 1417754334
Clinic/Center - Primary Care in Norman, OK

Active since February 27, 2025
800 24TH AVE NW, NORMAN, OK 73069(405) 321-7100 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ico Primary Care Llc NPPES

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

ICO PRIMARY CARE LLC (NPI 1417754334) is a healthcare organization registered as a primary care in Norman, Oklahoma and active in the NPI registry since February 2025. The organization lists Kevin M Penwell, President, Cmo, as its authorized official.

NPPES Registry Identity

NPI1417754334
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameICO PRIMARY CARE LLC
Location Address800 24TH AVE NWNorman, OK 73069-6314
Mailing Address5701 Se 74th St Ste EOklahoma City, OK 73135-1110 · (405) 600-6869
Organization SubpartNo
Authorized OfficialKevin M PenwellPresident, Cmo · (405) 600-6869
Enumeration DateFebruary 27, 2025
NPPES CertifiedFebruary 27, 2025
NPI 1417754334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
800 24TH AVE NW, Norman, OK 73069

Other Identifiers 1

Medicaid201240380OK

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.

Nurse Practitioner (Family)
800 24TH AVE NW
NORMAN, OK 73069
Clinic/Center (Urgent Care)
800 24TH AVE NW
NORMAN, OK 73069
Family Medicine
800 24TH AVE NW
NORMAN, OK 73069

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 Ico Primary Care LLC's NPI number?

The NPI number for Ico Primary Care LLC is 1417754334. It was assigned to this organization in the NPPES registry on February 27, 2025.

Where is Ico Primary Care LLC located?

Ico Primary Care LLC is located at 800 24th Ave NW, Norman, OK 73069. The listed phone number is (405) 321-7100.

What is Ico Primary Care 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 Ico Primary Care LLC was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.