SOONER ROAD FAMILY MEDICINE
NPI 1790030419
Family Medicine in Oklahoma City, OK

Active since July 18, 2012CLIA 37D1102568 · Microscopy
5104 S SOONER RD, OKLAHOMA CITY, OK 73135(405) 736-0149(405) 737-1346 Get Directions Write a Review

NPPES record last updated: November 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sooner Road Family Medicine NPPES

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

SOONER ROAD FAMILY MEDICINE (NPI 1790030419) is a healthcare organization registered as a family medicine in Oklahoma City, Oklahoma and active in the NPI registry since July 2012. The organization holds a CLIA Microscopy certificate valid through September 3, 2027 and lists Michael L Gingras, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1790030419
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMIDWEST CITY HMA PHYSICIAN MANAGEMENT, LLC
Location Address5104 S SOONER RDOklahoma City, OK 73135-5440
Mailing Address5811 Pelican Bay Blvd, Suite 500Naples, FL 34108-2733 · (239) 598-3131 · Fax (239) 592-0438
Fax(405) 737-1346
Organization SubpartYesParent: Health Management Associates, Inc.
Authorized OfficialMichael L GingrasCredentialing Manager · (239) 598-3131
Enumeration DateJuly 18, 2012
Last NPPES UpdateNovember 27, 2012
NPI 1790030419 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.
5104 S SOONER RD, Oklahoma City, OK 73135

Other Names 1

Doing Business AsSooner Road Family Medicine

Other Identifiers 1

Medicare PIN600522383OK

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 for Provider-Performed Microscopy Procedures (PPMP) 37D1102568

Sooner Road Family Medicine · Oklahoma City, OK
Active · expires Sep 3, 2027
CLIA Number37D1102568
Laboratory TypePhysician Office
Certificate Effective DateSeptember 4, 2025
Certificate Expiration DateSeptember 3, 2027
Laboratory DirectorDaniel H. Pham, MD
Laboratory Phone(405) 605-0077
Laboratory LocationSooner Road Family Medicine6001-A S Sooner Rd, Oklahoma City, OK 73135
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
5104 S SOONER RD
OKLAHOMA CITY, OK 73135

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 Midwest City Hma Physician Management, LLC's NPI number?

The NPI number for Midwest City Hma Physician Management, LLC is 1790030419. It was assigned to this organization in the NPPES registry on July 18, 2012. The provider is doing business as Sooner Road Family Medicine.

Where is Midwest City Hma Physician Management, LLC located?

Midwest City Hma Physician Management, LLC is located at 5104 S Sooner Rd, Oklahoma City, OK 73135. The listed phone number is (405) 736-0149.

What is Midwest City Hma Physician Management, LLC's specialty?

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

Does Midwest City Hma Physician Management, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 37D1102568) is associated with this NPI, valid through September 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Midwest City Hma Physician Management, LLC was last updated on November 27, 2012. 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.