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TRITON HEALTH ELDER CARE LLC
NPI 1619710787
Family Medicine in Vian, OK

Active since June 17, 2024
305 N THORNTON ST, VIAN, OK 74962(918) 773-5228 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Triton Health Elder Care Llc NPPES

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

TRITON HEALTH ELDER CARE LLC (NPI 1619710787) is a healthcare organization registered as a family medicine in Vian, Oklahoma and active in the NPI registry since June 2024. The organization lists Cary Patrick Sullivan, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1619710787
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRITON HEALTH ELDER CARE LLC
Location Address305 N THORNTON STVian, OK 74962-5088
Mailing AddressPo Box 446Vian, OK 74962-0446
Phone(918) 773-5228
Organization SubpartNo
Authorized OfficialCary Patrick SullivanMd/owner · (918) 773-5228
Enumeration DateJune 17, 2024
NPPES CertifiedJune 17, 2024
✔ NPI 1619710787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
305 N THORNTON ST, Vian, OK 74962
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Triton Health Elder Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Triton Health Elder Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Wanda Choate, APRN, NP-CNP
Nurse Practitioner
NPI 1356896856
128 W MAIN
Vian, OK 74962
(918) 421-6960
✔ PECOS✔ Accepts Medicare0.4 mi
Cary Sullivan, D.O.
Family Practice
NPI 1497701130
128 W MAIN
Vian, OK 74962
(918) 773-5228
✔ PECOS✔ Accepts Medicare10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Triton Health Elder Care LLC's NPI number?

The NPI number for Triton Health Elder Care LLC is 1619710787. It was assigned to this organization in the NPPES registry on June 17, 2024.

Where is Triton Health Elder Care LLC located?

Triton Health Elder Care LLC is located at 305 N Thornton St, Vian, OK 74962. The listed phone number is (918) 773-5228.

What is Triton Health Elder Care LLC's specialty?

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

Is Triton Health Elder Care LLC enrolled in Medicare?

Yes. Triton Health Elder Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Triton Health Elder Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Triton Health Elder Care LLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Triton Health Elder Care LLC was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.