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

Primary Care of Ada, LLC

Organization Internal Medicine Physician · NPI 1851744312

Primary Care of Ada, LLC is an Internal Medicine Physician in Ada, Oklahoma. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1705 Cradduck Rd
Ada, OK 74820-9491
Phone: (580) 279-6313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1851744312
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randi Ivy — Credentialing Specialist · (580) 272-0485
NPI enumeratedJuly 20, 2016
Last updated in NPPESDecember 23, 2021
Certification dateDecember 23, 2021
Mailing address1705 Cradduck Rd Ste B, Ada, OK 74820-9491

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