Provider Demographics
NPI:1669626263
Name:ARTHRITIS CARE CENTER OKLAHOMA PLLC
Entity Type:Organization
Organization Name:ARTHRITIS CARE CENTER OKLAHOMA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:BARTON
Authorized Official - Last Name:LEAHEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:580-226-2202
Mailing Address - Street 1:PO BOX 6036
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73403-1036
Mailing Address - Country:US
Mailing Address - Phone:580-226-2202
Mailing Address - Fax:580-226-3354
Practice Address - Street 1:2401 N COMMERCE ST
Practice Address - Street 2:C
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-1311
Practice Address - Country:US
Practice Address - Phone:580-226-2202
Practice Address - Fax:580-226-3354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-10
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2708261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK228721798PMedicare PIN