Prairie Gardens Medical LLC
NPI 1689280067ActiveOrganization· General Practice· Oklahoma City, OK
General Practice in Oklahoma City, Oklahoma, registered in NPPES in September 2020. The authorized official on file is Dianne Genene Tupper, RN/OPAC, Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1689280067 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 21, 2020 |
| Last updated in NPPES | Sep 29, 2020 |
| Certified by provider | Sep 29, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|
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