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EVERSIDE HEALTH CENTER-MICHELIN ARDMORE
NPI 1669149324
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Ardmore, OK

Active since August 30, 2021
1105 MICHELIN RD, ARDMORE, OK 73401(580) 224-8750 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Everside Health Center-michelin Ardmore NPPES

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

EVERSIDE HEALTH CENTER-MICHELIN ARDMORE (NPI 1669149324) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Ardmore, Oklahoma and active in the NPI registry since August 2021. The organization lists Jill Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1669149324
Entity TypeOrganization
Primary Taxonomy2083P0500X
Legal Business NameEVERSIDE HEALTH CENTER-MICHELIN ARDMORE
Location Address1105 MICHELIN RDArdmore, OK 73401-1085
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916 · (704) 936-5546
Phone(580) 224-8750
Organization SubpartNo
Authorized OfficialJill PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateAugust 30, 2021
Last NPPES UpdateDecember 1, 2021
NPPES CertifiedDecember 1, 2021
✔ NPI 1669149324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
Definition

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

1105 MICHELIN RD, Ardmore, OK 73401
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2240291

Everside Health Center-Michelin-Ardmore · Ardmore, OK
Expired · Oct 18, 2025
CLIA Number37D2240291
Laboratory TypeChronic Disease Mgt
Certificate Effective DateOctober 19, 2023
Certificate Expiration DateOctober 18, 2025
Laboratory DirectorLori Hoben
Laboratory Phone(704) 936-5546
Laboratory LocationEverside Health Center-Michelin-Ardmore1105 Michelin Road, Ardmore, OK 73401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

IMC OF OKLAHOMA, LLC
Physical Therapist
1105 MICHELIN RD
ARDMORE, OK 73401
Carter County (580) 224-4446
PHILLIP ALTON NOKES DO
Family Medicine (Sports Medicine)
1105 MICHELIN RD, MICHELIN FAMILY HEALTH CENTER
ARDMORE, OK 73401
Carter County (580) 224-8750
LAURA J. LAMB ATCHLEY MS, LPC, LADC
Counselor (Professional)
1105 MICHELIN RD
ARDMORE, OK 73401
Carter County (580) 224-8750
LORI HOBEN REGISTERED NURSE
Registered Nurse
1105 MICHELIN RD
ARDMORE, OK 73401
Carter County (580) 224-8750
PREMISE HEALTH OF OKLAHOMA MEDICAL, P.C
Clinic/Center
1105 MICHELIN RD
ARDMORE, OK 73401
Carter County (580) 224-8750
DEANA CHRISTINE MCGEHEE RN
Registered Nurse
1105 MICHELIN RD
ARDMORE, OK 73401
Carter County (580) 224-8750
MEDEXPRESS PRIMARY CARE OKLAHOMA, P.C.
General Practice
1105 MICHELIN RD
ARDMORE, OK 73401
Carter County (580) 224-8750
DEREK SMITH APRN-CNP
Nurse Practitioner (Family)
1105 MICHELIN RD
ARDMORE, OK 73401
Carter County (580) 224-8750

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 Everside Health Center-Michelin Ardmore's NPI number?

The NPI number for Everside Health Center-Michelin Ardmore is 1669149324. It was assigned to this organization in the NPPES registry on August 30, 2021.

Where is Everside Health Center-Michelin Ardmore located?

Everside Health Center-Michelin Ardmore is located at 1105 Michelin Rd, Ardmore, OK 73401. The listed phone number is (580) 224-8750.

What is Everside Health Center-Michelin Ardmore's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

When was this NPI record last updated?

The NPPES record for Everside Health Center-Michelin Ardmore was last updated on December 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.