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PREMIER PHYSICAL MEDICINE LLC
NPI 1710229836
Family Medicine in Ponca City, OK

Active since March 27, 2013
3011 N UNION ST, PONCA CITY, OK 74601(316) 683-9500(316) 683-9502 Get Directions Write a Review

NPPES record last updated: March 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Physical Medicine Llc NPPES

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

PREMIER PHYSICAL MEDICINE LLC (NPI 1710229836) is a healthcare organization registered as a family medicine in Ponca City, Oklahoma and active in the NPI registry since March 2013. The organization lists Tanner P Hancock, Owner, as its authorized official.

NPPES Registry Identity

NPI1710229836
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePREMIER PHYSICAL MEDICINE LLC
Location Address3011 N UNION STPonca City, OK 74601-7400
Mailing Address6224 Shadybrook StWichita, KS 67208-1844 · (316) 683-9500 · Fax (316) 683-9502
Phone(316) 683-9500
Fax(316) 683-9502
Organization SubpartNo
Authorized OfficialTanner P HancockOwner · (316) 683-9500
Enumeration DateMarch 27, 2013
✔ NPI 1710229836 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.
3011 N UNION ST, Ponca City, OK 74601
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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

Other Providers at the Same Location NPPES

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

JOANNA TRIPP WARE CNS, ARNP
Clinical Nurse Specialist (Gerontology)
3011 N UNION ST
PONCA CITY, OK 74601
Kay County (580) 304-7067

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 Premier Physical Medicine LLC's NPI number?

The NPI number for Premier Physical Medicine LLC is 1710229836. It was assigned to this organization in the NPPES registry on March 27, 2013.

Where is Premier Physical Medicine LLC located?

Premier Physical Medicine LLC is located at 3011 N Union St, Ponca City, OK 74601. The listed phone number is (316) 683-9500.

What is Premier Physical Medicine LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Premier Physical Medicine LLC was last updated on March 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.