Triad Complete Healthcare A12 LLC
NPI 1891506960ActiveOrganization· Family Medicine· Ardmore, OK
Family Medicine in Ardmore, Oklahoma, registered in NPPES in January 2025. The authorized official on file is Matthew Bintz, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1891506960 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 16, 2025 |
| Last updated in NPPES | Jul 8, 2026 |
| Certified by provider | Jul 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner, Primary Care | 363LP2300X | — | — |
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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