Provider Demographics
NPI:1407590250
Name:MARGARET A POREMBSKI MD PLLC
Entity Type:Organization
Organization Name:MARGARET A POREMBSKI MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-796-8367
Mailing Address - Street 1:3366 NW EXPRESSWAY STE 700
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4439
Mailing Address - Country:US
Mailing Address - Phone:405-945-4888
Mailing Address - Fax:405-945-4889
Practice Address - Street 1:3366 NW EXPRESSWAY STE 700
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4439
Practice Address - Country:US
Practice Address - Phone:405-945-4888
Practice Address - Fax:405-945-4889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKOKAAA3496Medicaid