Family And Geriatric Medical Associates

LBN: F.G.M.A. ,Llc.
Family And Geriatric Medical Associates is an health care organization with primary practice located at 5622 N Portland Ave #102, Oklahoma City OK 73112-2096. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. F.G.M.A. ,Llc. can be contacted via phone (405) 917-7590, or through Grandle, Susan B via phone (405) 917-7590.

Contact Information

Primary practice address
5622 N Portland Ave #102 Oklahoma City OK 73112-2096
Fax: (405) 917-7595
Website:
Authorized official contact:
Name: Grandle, Susan B Advanced Practice Registered Nurse (APRN)

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R0028064 Oklahoma

Profile Details

NPI number 1922136480
LBN Legal business name F.G.M.A. ,Llc.
DBA Doing business as Family And Geriatric Medical Associates
Authorized official Grandle, Susan B Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Jun 4th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922136480 NPPES
Oklahoma MEDICAID 100216830D
Oklahoma Other R0028064

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