Organization · Type 2 NPI

Midwest City Hma Physician Management, LLC

Cardiovascular Disease Physician · Shawnee, OK

NPI number 1023364718 Active

Practice location

3700 N Kickapoo Ave, Suite 104
Shawnee, OK 74804-1707

Call (405) 273-6383 Map

Fax (405) 214-1070

Mailing address

5811 Pelican Bay Blvd, Suite 500
Naples, FL 34108-2733

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed
Orthopaedic Surgery Physician	207X00000X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

12 other providers at this address

NPI record

NPI: 1023364718
Entity type: Organization (Type 2)
Issued: Jul 31, 2012
Last updated: Nov 27, 2012
Status: Active
Subpart: Yes of Health Management Associates, Inc.

Other names

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Midwest Physician's Group - Specialty Clinic · doing business as

Authorized official

Mr. Michael L Gingras
Vice President
(239) 598-3131

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023364718

Midwest City Hma Physician Management, LLC's National Provider Identifier is 1023364718, issued on Jul 31, 2012. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Shawnee, OK. The record was last updated on Nov 27, 2012.