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

Integris Health Ponca City Hospital Inc

Organization Family Medicine Physician · NPI 1528830163

Integris Health Ponca City Hospital Inc is a Family Medicine Physician in Ponca City, Oklahoma. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1908 N 14th St Ste 202 203 & 207
Ponca City, OK 74601-2039
Phone: (580) 718-4501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X
Gynecology Physician Taxonomy 207VG0400X
Obstetrics Physician Taxonomy 207VX0000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1528830163
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIntegris Health Ponca City Hospital Inc
Authorized official Donna Wallace — Assistant Treasurer · (636) 359-4890
Other names Integris Health Medical Group
NPI enumeratedOctober 26, 2023
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024
Mailing address3001 Quail Springs Pkwy Fl 3, Oklahoma City, OK 73134-2640

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