Premier Physical Medicine LLC
NPI 1710229836ActiveOrganization· Family Medicine· Ponca City, OK
Family Medicine in Ponca City, Oklahoma, registered in NPPES in March 2013. The authorized official on file is Tanner P. Hancock, Owner.
Overview
| NPI | 1710229836 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 27, 2013 |
| Last updated in NPPES | Mar 27, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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