Provider Demographics
NPI:1639108855
Name:THOMAS A PAPIN MD PC
Entity Type:Organization
Organization Name:THOMAS A PAPIN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:PAPIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:580-224-2700
Mailing Address - Street 1:731 12TH AVE NW STE 202
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-5764
Mailing Address - Country:US
Mailing Address - Phone:580-224-2700
Mailing Address - Fax:580-224-0181
Practice Address - Street 1:731 12TH AVE NW STE 202
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-5764
Practice Address - Country:US
Practice Address - Phone:580-224-2700
Practice Address - Fax:580-224-0181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK24388207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200084340AMedicaid
OKA16085Medicare UPIN
OK200084340AMedicaid