Provider Demographics
NPI:1275813974
Name:AUDRA SCEARCE DO PLLC
Entity Type:Organization
Organization Name:AUDRA SCEARCE DO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AUDRA
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCEARCE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:405-366-6050
Mailing Address - Street 1:3548 WELLSITE DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-8221
Mailing Address - Country:US
Mailing Address - Phone:405-366-6050
Mailing Address - Fax:405-366-3110
Practice Address - Street 1:3548 WELLSITE DR
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-8221
Practice Address - Country:US
Practice Address - Phone:406-366-6050
Practice Address - Fax:405-366-3110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-25
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK36962084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100102030AMedicaid
OK100102030AMedicaid