Provider Demographics
NPI:1720550601
Name:A-PLUS FAMILY MEDICINE, LLC
Entity Type:Organization
Organization Name:A-PLUS FAMILY MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:S
Authorized Official - Last Name:CUMPSTON
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:580-297-6697
Mailing Address - Street 1:3201 N VAN BUREN ST STE 400
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-1800
Mailing Address - Country:US
Mailing Address - Phone:580-297-6697
Mailing Address - Fax:580-603-8948
Practice Address - Street 1:3201 N VAN BUREN ST STE 400
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-1800
Practice Address - Country:US
Practice Address - Phone:580-237-1877
Practice Address - Fax:580-237-2872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-17
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty