Active NPI 1700809720 Individual Practitioner Female Practitioner

Dr. Sylvia Tan , MD

Internal Medicine • Guymon, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sylvia Tan, MD is a certified Internal Medicine practicing in Guymon, OK. With approximately 37 years of clinical experience since completing medical education in 1989, Dr. Tan delivers high-quality medical care to the local community at 350 NE 12TH ST.

Dr. Tan is affiliated with Specialty Clinics Of St Anne Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

350 Ne 12th St

Guymon, OK 739423624

Telephone 5803388700

Fax 5803388600

Associated Practice Facility / Clinic

🏢 Specialty Clinics Of St Anne Pllc Facility NPI 1356360473

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Guymon, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs Matches City Avg

City Avg: 37.0 Yrs

State Avg: 26.0 Yrs

Regional Practice Density

3 Specialists

Practicing in Guymon, OK (1179 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

38.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tan (37 Years) 37 Yrs

Guymon Specialty Average (37.0 Years) 37.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,132	124	$2.00	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,105	315	$150.00	$118.10
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	311	130	$42.00	$13.11
80053 Blood test, comprehensive group of blood chemicals	295	203	$65.00	$10.31
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	291	202	$24.00	$7.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	203	203	$150.00	$119.81
80061 Blood test, lipids (cholesterol and triglycerides)	194	176	$52.00	$12.92
83036 Hemoglobin A1C level	129	97	$50.00	$9.52
84443 Blood test, thyroid stimulating hormone (TSH)	129	122	$60.00	$16.46
81003 Automated urinalysis test	77	58	$10.00	$2.20
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	66	55	$90.00	$50.28
36415 Insertion of needle into vein for collection of blood sample	61	56	$10.00	$8.65
71046 X-ray of chest, 2 views	57	39	$85.00	$30.16
G0442 Annual alcohol misuse screening, 5 to 15 minutes	57	57	$20.00	$17.18
G0444 Annual depression screening, 5 to 15 minutes	55	55	$20.00	$17.18
99213 Established patient office or other outpatient visit, typically 15 minutes	51	44	$100.00	$82.52
93000 Routine ekg using at least 12 leads including interpretation and report	29	26	$59.00	$13.08
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	23	12	$93.00	$91.51
G0008 Administration of influenza virus vaccine	21	19	$40.00	$30.07
90658 Influenza vaccine, trivalent, 0.5 ml dosage	20	19	$26.00	$21.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	13	$70.00	$51.80
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$200.00	$153.23
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	11	$50.00	$20.92
80048 Blood test, basic group of blood chemicals (calcium, total)	13	12	$52.00	$8.29
87502 Detection test by nucleic acid for multiple types influenza virus	13	12	$90.00	$88.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,300	118	$2.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,060	287	$150.00	$118.30
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	351	130	$42.00	$12.95
80053 Blood test, comprehensive group of blood chemicals	297	199	$65.00	$10.32
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	278	194	$24.00	$7.58
84443 Blood test, thyroid stimulating hormone (TSH)	206	171	$60.00	$16.46
80061 Blood test, lipids (cholesterol and triglycerides)	201	169	$52.00	$13.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	169	169	$150.00	$119.19
83036 Hemoglobin A1C level	124	89	$50.00	$9.52
81003 Automated urinalysis test	70	51	$10.00	$2.20
G0442 Annual alcohol misuse screening, 5 to 15 minutes	67	67	$20.00	$16.84
99213 Established patient office or other outpatient visit, typically 15 minutes	62	40	$100.00	$83.95
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	54	43	$90.00	$50.28
85610 Blood test, clotting time	51	12	$19.00	$4.20
J1885 Injection, ketorolac tromethamine, per 15 mg	50	11	$7.50	$0.55
93000 Routine ekg using at least 12 leads including interpretation and report	32	23	$59.00	$12.46
71046 X-ray of chest, 2 views	28	25	$85.00	$30.68
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	19	11	$50.00	$37.93
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	16	$50.00	$48.25
36415 Insertion of needle into vein for collection of blood sample	18	18	$10.00	$8.40
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	16	$50.00	$21.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	2,008	140	$2.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,222	292	$150.00	$120.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	552	147	$42.00	$13.25
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	287	199	$24.00	$7.67
80053 Blood test, comprehensive group of blood chemicals	233	174	$65.00	$10.42
84443 Blood test, thyroid stimulating hormone (TSH)	187	154	$60.00	$16.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	180	180	$150.00	$122.66
80061 Blood test, lipids (cholesterol and triglycerides)	155	140	$52.00	$13.16
83036 Hemoglobin A1C level	116	87	$50.00	$9.59
J1885 Injection, ketorolac tromethamine, per 15 mg	102	18	$7.50	$0.58
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	100	71	$90.00	$49.77
81003 Automated urinalysis test	91	62	$10.00	$2.22
99213 Established patient office or other outpatient visit, typically 15 minutes	80	50	$100.00	$85.06
G0442 Annual alcohol misuse screening, 5 to 15 minutes	65	65	$20.00	$17.30
71046 X-ray of chest, 2 views	62	47	$85.00	$31.05
36415 Insertion of needle into vein for collection of blood sample	32	30	$10.00	$2.97
G0444 Annual depression screening, 5 to 15 minutes	29	29	$20.00	$16.98
93000 Routine ekg using at least 12 leads including interpretation and report	28	28	$59.00	$13.31
87502 Detection test by nucleic acid for multiple types influenza virus	27	24	$89.44	$87.98
90756 Vaccine for influenza for injection into muscle	17	17	$26.00	$25.48
G0008 Administration of influenza virus vaccine	16	16	$40.00	$27.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$70.00	$52.74
82948 Blood glucose (sugar) measurement using reagent strip	15	14	$20.00	$4.97
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$200.00	$157.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$185.00	$158.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,444	141	$2.01	$0.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,203	332	$150.00	$123.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	381	147	$42.00	$13.30
80053 Blood test, comprehensive group of blood chemicals	312	213	$65.00	$10.56
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	311	209	$24.00	$7.77
84443 Blood test, thyroid stimulating hormone (TSH)	251	187	$60.00	$16.80
80061 Blood test, lipids (cholesterol and triglycerides)	239	185	$52.00	$13.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	202	202	$150.00	$127.21
99213 Established patient office or other outpatient visit, typically 15 minutes	145	68	$100.00	$87.52
83036 Hemoglobin A1C level	125	84	$50.00	$9.71
81003 Automated urinalysis test	90	58	$10.00	$2.25
71046 X-ray of chest, 2 views	51	43	$85.00	$30.86
36415 Insertion of needle into vein for collection of blood sample	44	40	$10.00	$3.00
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	44	42	$90.00	$47.81
85610 Blood test, clotting time	36	12	$19.00	$4.29
93000 Routine ekg using at least 12 leads including interpretation and report	34	31	$59.00	$14.02
90756 Vaccine for influenza for injection into muscle	28	28	$25.96	$25.96
G0008 Administration of influenza virus vaccine	27	27	$40.00	$15.73
0013A Adm sarscov2 100mcg/0.5ml3rd	24	24	$40.00	$36.94
G0444 Annual depression screening, 5 to 15 minutes	18	18	$20.00	$17.58
82948 Blood glucose (sugar) measurement using reagent strip	18	17	$20.00	$5.04
84550 Uric acid level, blood	18	16	$25.00	$4.52
G0442 Annual alcohol misuse screening, 5 to 15 minutes	18	18	$20.00	$17.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$185.00	$161.21
G0103 Prostate cancer screening; prostate specific antigen test (psa)	16	16	$61.00	$19.31
0011A Adm sarscov2 100mcg/0.5ml1st	15	15	$40.00	$36.94
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$200.00	$161.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,075	121	$7.46	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,030	325	$150.00	$104.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	321	134	$42.00	$13.54
80053 Blood test, comprehensive group of blood chemicals	319	206	$65.00	$10.50
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	314	208	$24.00	$7.72
84443 Blood test, thyroid stimulating hormone (TSH)	246	187	$60.00	$16.70
80061 Blood test, lipids (cholesterol and triglycerides)	215	177	$52.00	$13.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	163	163	$150.00	$111.14
36415 Insertion of needle into vein for collection of blood sample	158	120	$10.00	$2.98
83036 Hemoglobin A1C level	130	95	$50.00	$9.50
J1885 Injection, ketorolac tromethamine, per 15 mg	86	15	$13.66	$0.55
81003 Automated urinalysis test	75	53	$10.00	$2.24
99213 Established patient office or other outpatient visit, typically 15 minutes	70	53	$100.00	$71.69
71046 X-ray of chest, 2 views	62	54	$85.00	$30.01
G0008 Administration of influenza virus vaccine	41	41	$40.00	$15.77
90756 Vaccine for influenza for injection into muscle	41	41	$29.32	$27.40
85610 Blood test, clotting time	24	11	$19.00	$4.24
87502 Detection test by nucleic acid for multiple types influenza virus	22	21	$175.00	$94.84
G0444 Annual depression screening, 5 to 15 minutes	21	21	$20.00	$17.15
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$200.00	$165.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$200.00	$141.75
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$59.00	$16.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,350	132	$10.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,223	330	$150.00	$102.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	436	147	$42.00	$15.43
80053 Blood test, comprehensive group of blood chemicals	388	245	$64.91	$11.42
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	358	238	$23.97	$8.46
36415 Insertion of needle into vein for collection of blood sample	284	194	$10.00	$2.94
84443 Blood test, thyroid stimulating hormone (TSH)	272	212	$59.89	$18.23
80061 Blood test, lipids (cholesterol and triglycerides)	255	205	$52.00	$14.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	203	203	$150.00	$110.62
83036 Hemoglobin A1C level	140	97	$50.00	$10.34
J1885 Injection, ketorolac tromethamine, per 15 mg	108	23	$13.33	$0.56
81003 Automated urinalysis test	81	65	$10.00	$2.44
85610 Blood test, clotting time	78	21	$19.00	$4.28
71046 X-ray of chest, 2 views	75	63	$85.00	$28.55
99213 Established patient office or other outpatient visit, typically 15 minutes	74	58	$100.00	$70.70
90756 Vaccine for influenza for injection into muscle	64	64	$26.00	$25.03
G0008 Administration of influenza virus vaccine	62	62	$40.00	$15.46
93000 Routine ekg using at least 12 leads including interpretation and report	40	35	$59.00	$16.05
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	26	26	$200.00	$164.11
87502 Detection test by nucleic acid for multiple types influenza virus	25	23	$175.00	$90.12
84550 Uric acid level, blood	15	15	$25.00	$4.92
82948 Blood glucose (sugar) measurement using reagent strip	15	12	$20.00	$4.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$185.00	$158.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,341	138	$10.00	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,188	297	$150.00	$100.55
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	423	149	$42.00	$18.73
36415 Insertion of needle into vein for collection of blood sample	340	192	$10.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	319	199	$64.98	$12.70
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	302	198	$24.00	$9.40
84443 Blood test, thyroid stimulating hormone (TSH)	231	175	$59.98	$20.33
80061 Blood test, lipids (cholesterol and triglycerides)	226	174	$52.00	$15.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	179	179	$150.17	$110.03
83036 Hemoglobin A1C level	124	79	$50.00	$11.47
99213 Established patient office or other outpatient visit, typically 15 minutes	105	66	$100.00	$69.03
85610 Blood test, clotting time	80	14	$19.00	$4.75
J1885 Injection, ketorolac tromethamine, per 15 mg	80	16	$15.00	$0.54
71046 X-ray of chest, 2 views	77	58	$85.00	$28.07
81003 Automated urinalysis test	66	45	$10.00	$2.71
G0444 Annual depression screening, 5 to 15 minutes	58	58	$20.00	$16.75
90756 Vaccine for influenza for injection into muscle	52	51	$26.00	$22.33
G0008 Administration of influenza virus vaccine	52	51	$40.00	$18.90
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	36	36	$200.00	$162.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$185.00	$157.17
87502 Detection test by nucleic acid for multiple types influenza virus	24	24	$175.00	$102.96
93000 Routine ekg using at least 12 leads including interpretation and report	21	20	$59.00	$15.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,111	278	$150.00	$96.86
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,055	124	$10.00	$0.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	400	138	$42.00	$22.26
36415 Insertion of needle into vein for collection of blood sample	266	175	$10.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	236	173	$65.00	$13.98
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	236	167	$24.00	$10.45
80061 Blood test, lipids (cholesterol and triglycerides)	184	149	$52.00	$11.44
84443 Blood test, thyroid stimulating hormone (TSH)	170	148	$60.00	$22.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	138	138	$150.00	$103.76
83036 Hemoglobin A1C level	109	75	$50.00	$11.50
G0442 Annual alcohol misuse screening, 5 to 15 minutes	109	109	$20.00	$15.92
J1885 Injection, ketorolac tromethamine, per 15 mg	98	18	$15.00	$0.62
99213 Established patient office or other outpatient visit, typically 15 minutes	94	58	$100.00	$65.63
85610 Blood test, clotting time	76	14	$19.00	$5.21
81003 Automated urinalysis test	68	45	$10.00	$3.02
71020 X-ray of chest, 2 views, front and side	67	56	$85.00	$24.68
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	47	47	$200.00	$153.97
G0008 Administration of influenza virus vaccine	44	42	$40.00	$23.05
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	43	41	$26.00	$17.28
87804 Detection test by immunoassay with direct visual observation for influenza virus	40	19	$36.00	$15.30
G0444 Annual depression screening, 5 to 15 minutes	36	36	$20.00	$15.92
93000 Routine ekg using at least 12 leads including interpretation and report	25	16	$59.00	$15.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$70.00	$39.17
82948 Blood glucose (sugar) measurement using reagent strip	13	11	$20.00	$4.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$225.00	$181.30
G0009 Administration of pneumococcal vaccine	11	11	$40.00	$23.05

Medical Specialties & State Licenses

CMS Verified: 2024-08-20

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OK 19772

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100009120B (OK)

Hospital & Practice Group Affiliations

Specialty Clinics Of St Anne Pllc

350 Ne 12th St, Guymon, OK 739423624

Phone: 5803388700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Steen Andersen , MD

Family Medicine

NPI 1114950219

Doctor of Medicine (M.D.)

Dr. Martin Bautista , MD

Internal Medicine

NPI 1144249327

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active February 15, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 15, 2017

Registered at 350 NE 12TH ST, GUYMON, OK 739423624 (Tel: 5803388700)

📍

Updated Business Mailing Address February 15, 2017

Registered at 350 NE 12TH ST, GUYMON, OK 739423624 (Tel: 5803388700)

👤

Provider Name / Credentials Updated February 15, 2017

Recorded as SYLVIA TAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2017

Internal Medicine (License #19772 in OK)

✅

NPI Profile Active June 13, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 13, 2012

Registered at 350 NE 12TH ST, GUYMON, OK 739423624 (Tel: 5803388700)

📍

Updated Business Mailing Address June 13, 2012

Registered at 350 NE 12TH ST, GUYMON, OK 739423624 (Tel: 5803388700)

👤

Provider Name / Credentials Updated June 13, 2012

Recorded as SYLVIA TAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2012

Internal Medicine (License #19772 in OK)

🟢

Initial NPI Registration & Enumeration July 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700809720

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 25, 2006

Last Update: August 20, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

350 Ne 12th St

Guymon, OK 739423624

Phone: 5803388700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.