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

Premise Health of Oklahoma Medical, PC

Organization Primary Care Clinic/Center · NPI 1861972291

Premise Health of Oklahoma Medical, PC is a Primary Care Clinic/Center in Broken Arrow, Oklahoma. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1104 E Kenosha St
Broken Arrow, OK 74012-2067
Phone: (918) 994-6866
Fax: (918) 994-6897
Show map & directions

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

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1861972291
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Leizman — President · (216) 479-9063
Other names Premise Health - Broken Arrow
NPI enumeratedAugust 15, 2018
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022
Mailing address5500 Maryland Way Ste 400, Brentwood, TN 37027-7048

Other providers in Broken Arrow