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Primary Care of Ada, LLC

NPI 1851744312ActiveOrganization· Internal Medicine· Ada, OK

Internal Medicine in Ada, Oklahoma, registered in NPPES in July 2016. The authorized official on file is Randi Ivy, Credentialing Specialist.

Overview

NPI1851744312
StatusActive
Entity typeOrganization
NPI issuedJul 20, 2016
Last updated in NPPESDec 23, 2021
Certified by providerDec 23, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine Primary207R00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Internal Medicine providers in Ada

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