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FIRST MED CLINIC S 104TH LLC
NPI 1942649520
Family Medicine in Oklahoma City, OK

Active since June 18, 2013
1140 SW 104TH ST, OKLAHOMA CITY, OK 73139(405) 691-3100(405) 691-3106 Get Directions Write a Review

NPPES record last updated: June 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About First Med Clinic S 104th Llc NPPES

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

FIRST MED CLINIC S 104TH LLC (NPI 1942649520) is a healthcare organization registered as a family medicine in Oklahoma City, Oklahoma and active in the NPI registry since June 2013. The organization lists Todd Lechtenberger, Ceo, as its authorized official.

NPPES Registry Identity

NPI1942649520
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFIRST MED CLINIC S 104TH LLC
Location Address1140 SW 104TH STOklahoma City, OK 73139-2992
Mailing Address1221 N Kelly AveEdmond, OK 73003-4865 · (405) 471-6400
Phone(405) 691-3100
Fax(405) 691-3106
Organization SubpartYesParent: Advance Physicians Group, Llc
Authorized OfficialTodd LechtenbergerCeo · (405) 471-6400
Enumeration DateJune 18, 2013
✔ NPI 1942649520 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.
1140 SW 104TH ST, Oklahoma City, OK 73139
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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.

FAMILY MEDICAL & URGENT CARE CENTER
Family Medicine
1140 SW 104TH ST
OKLAHOMA CITY, OK 73139
Cleveland County (405) 691-3100

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 First Med Clinic S 104th LLC's NPI number?

The NPI number for First Med Clinic S 104th LLC is 1942649520. It was assigned to this organization in the NPPES registry on June 18, 2013.

Where is First Med Clinic S 104th LLC located?

First Med Clinic S 104th LLC is located at 1140 SW 104th St, Oklahoma City, OK 73139. The listed phone number is (405) 691-3100.

What is First Med Clinic S 104th 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 First Med Clinic S 104th LLC was last updated on June 18, 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.