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EDMOND PHYSICIAN SERVICES LLC
NPI 1629018429
Internal Medicine in Edmond, OK

Active since June 08, 2006
105 S BRYANT AVE STE 105, EDMOND, OK 73034(405) 715-3102 Get Directions Write a Review

NPPES record last updated: March 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2019, Feb 15, 2019 (2 updates tracked since 2019).

About Edmond Physician Services Llc NPPES

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

EDMOND PHYSICIAN SERVICES LLC (NPI 1629018429) is a healthcare organization registered as an internal medicine in Edmond, Oklahoma and active in the NPI registry since June 2006. The organization lists Stephanie Jones, Director Of Patient Accounting, as its authorized official.

NPPES Registry Identity

NPI1629018429
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEDMOND PHYSICIAN SERVICES LLC
Location Address105 S BRYANT AVE STE 105Edmond, OK 73034-6330
Mailing AddressPo Box 744503Atlanta, GA 30374-4503 · (405) 271-8132 · Fax (405) 271-5006
Phone(405) 715-3102
Organization SubpartNo
Authorized OfficialStephanie JonesDirector Of Patient Accounting · (405) 271-8132
Enumeration DateJune 8, 2006
Last NPPES UpdateMarch 11, 20192 updates tracked since enumeration
✔ NPI 1629018429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
105 S BRYANT AVE STE 105, Edmond, OK 73034
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Other Identifiers 1

Medicaid200045590AOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Edmond Physician Services LLC's NPI number?

The NPI number for Edmond Physician Services LLC is 1629018429. It was assigned to this organization in the NPPES registry on June 8, 2006.

Where is Edmond Physician Services LLC located?

Edmond Physician Services LLC is located at 105 S Bryant Ave Ste 105, Edmond, OK 73034. The listed phone number is (405) 715-3102.

What is Edmond Physician Services LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Edmond Physician Services LLC was last updated on March 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.