F.G.M.A. ,Llc. is a Family in Oklahoma City, Oklahoma. F.G.M.A. ,Llc. practices all healthcare services and medical treatments related to Family. The NPI Number for F.G.M.A. ,Llc. is 1922136480. The last update date is 2015-06-04.
F.G.M.A. ,Llc.'s current location address is 5622 N Portland Ave, Oklahoma City, Oklahoma. You can contact this provider via phone number 4059177590 and fax number 4059177595. The mailing address for F.G.M.A. ,Llc. is 5622 N Portland Ave, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | F.G.M.A. ,Llc. |
|---|---|
| Address | 5622 N Portland Ave, Oklahoma City, Oklahoma |
| Phone Number | 4059177590 |
| Fax Number | 4059177595 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | NURSE PRAC |
|---|---|
| Authorized Official Name | Grandle B Susan |
| Credentials | APRN |
| Telephone Number | 4059177590 |
NPI Number Detail
| NPI Number | 1922136480 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2015-06-04 |
Provider Mailing Address Detail
| Address | 5622 N Portland Ave |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731122096 |
| Phone Number | 4059177590 |
| Fax Number | 4059177595 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R0028064 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100216830D | OK | -- | |
| R0028064 | OK | SUSAN GRANDLE LIC # |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to F.G.M.A. ,Llc. by the Centers for Medicare & Medicaid Services?
The F.G.M.A. ,Llc. has been assigned the NPI (National Provider Identifier) 1922136480 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of F.G.M.A. ,Llc.?
The F.G.M.A. ,Llc. is physically situated at 5622 N Portland Ave, in the city of Oklahoma City, state of OK, with the postal code 731122096.
What is F.G.M.A. ,Llc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for F.G.M.A. ,Llc. is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1922136480 to F.G.M.A. ,Llc.?
The Centers for Medicare & Medicaid Services assigned the 1922136480 to F.G.M.A. ,Llc. on 2007-02-28.
As of what date were the F.G.M.A. ,Llc.'s details last updated?
The information pertaining to the F.G.M.A. ,Llc., including its address, specialty, and other details, was most recently updated on 2015-06-04.
NPI Number: 1962461913
Address: 205 E Palmer Rd, Bellefontaine, OH
NPI Number: 1841244902
Address: 2510 Airpark Dr, Redding, CA
NPI Number: 1508971847
Address: 250 N Shadeland Ave, Indianapolis, IN