Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ardmore OBGYN, PLLC

Organization Obstetrics & Gynecology Physician · NPI 1700897501

Ardmore OBGYN, PLLC is an Obstetrics & Gynecology Physician in Ardmore, Oklahoma. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1045 15th Ave NW
Ardmore, OK 73401-1810
Phone: (580) 223-6134
Fax: (580) 223-5962
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1700897501
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Becker — Manager · (580) 223-6134
NPI enumeratedAugust 10, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1045 15th Ave Nw, Ardmore, OK 73401-1810

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