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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TRIAD COMPLETE HEALTHCARE A12 LLC
NPI 1891506960
Family Medicine in Ardmore, OK

Active since January 16, 2025CLIA 37D2321572 · Waiver
908 N ROCKFORD RD STE A, ARDMORE, OK 73401(580) 251-7104 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2026, Mar 25, 2025 (2 updates tracked since 2025).

About Triad Complete Healthcare A12 Llc NPPES

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

TRIAD COMPLETE HEALTHCARE A12 LLC (NPI 1891506960) is a healthcare organization registered as a family medicine in Ardmore, Oklahoma and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through April 6, 2027 and lists Matthew Bintz, Ceo, as its authorized official.

NPPES Registry Identity

NPI1891506960
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTRIAD COMPLETE HEALTHCARE A12 LLC
Location Address908 N ROCKFORD RD STE AArdmore, OK 73401-2541
Mailing Address2703 N 14th StPonca City, OK 74601-1738 · (580) 749-7846
Phone(580) 251-7104
Organization SubpartNo
Authorized OfficialMatthew BintzCeo · (970) 270-7929
Enumeration DateJanuary 16, 2025
Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1891506960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
908 N ROCKFORD RD STE A, Ardmore, OK 73401
Open in Google Maps ↗

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

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 37D2321572

Triad Complete Healthcare A12 · Ardmore, OK
Active · expires Apr 6, 2027
CLIA Number37D2321572
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2025
Certificate Expiration DateApril 6, 2027
Laboratory DirectorJamin Graham
Laboratory Phone(580) 251-7104
Laboratory LocationTriad Complete Healthcare A122002 12th Ave NE, Ardmore, OK 73401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

CARRIE KAYE EVANS APRN-CNP
Nurse Practitioner (Family)
908 N ROCKFORD RD STE A
ARDMORE, OK 73401
Carter County (580) 223-0447
CHRISTOPHER DAVID SCOTT APRN, AGACNP-BC
Nurse Practitioner (Acute Care)
908 N ROCKFORD RD STE A
ARDMORE, OK 73401
Carter County (580) 223-0447
BAHA AL-DEEN ABU-ESHEH MD
Psychiatry & Neurology (Neurology)
908 N ROCKFORD RD STE A
ARDMORE, OK 73401
Carter County (580) 223-0447
TAMRA ANN MORROW PHYSICIAN ASSISTANT
Physician Assistant
908 N ROCKFORD RD STE A
ARDMORE, OK 73401
Carter County (580) 226-7771
MRS. APRIL D. CLAXTON APRN-CNP
Nurse Practitioner (Family)
908 N ROCKFORD RD STE A
ARDMORE, OK 73401
Carter County (580) 223-0447

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 Triad Complete Healthcare A12 LLC's NPI number?

The NPI number for Triad Complete Healthcare A12 LLC is 1891506960. It was assigned to this organization in the NPPES registry on January 16, 2025.

Where is Triad Complete Healthcare A12 LLC located?

Triad Complete Healthcare A12 LLC is located at 908 N Rockford Rd Ste A, Ardmore, OK 73401. The listed phone number is (580) 251-7104.

What is Triad Complete Healthcare A12 LLC's specialty?

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

Does Triad Complete Healthcare A12 LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2321572) is associated with this NPI, valid through April 6, 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 Triad Complete Healthcare A12 LLC was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.