FIRST MED CLNIC N KELLY LLC
NPI 1588003164
Family Medicine in Edmond, OK

NPI Status: Active since June 18, 2013

Contact Information

1221 N KELLY AVE
EDMOND, OK
ZIP 73003
Phone: (405) 471-6400

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  • Organization
  • Family Medicine
  • CLIA Number: 37D2183008
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-27-2026

About FIRST MED CLNIC N KELLY LLC

This page provides the complete NPI Profile along with additional information for First Med Clnic N Kelly Llc, a primary care provider established in Edmond, Oklahoma operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1588003164 assigned on June 2013. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Todd Lechtenberger (Ceo)

NPI
1588003164
Provider Name
FIRST MED CLNIC N KELLY LLC
Entity Type
Organization
Location Address
1221 N KELLY AVE EDMOND, OK 73003
Location Phone
(405) 471-6400
Mailing Address
1221 N KELLY AVE EDMOND, OK 73003
Mailing Phone
(405) 471-6400
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-18-2013
Last Update Date
06-18-2013
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A primary care provider (PCP) like First Med Clnic N Kelly Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TODD LECHTENBERGER

Authorized Official Title
CEO
Authorized Official Phone
(405) 471-6400

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D2183008
Facility Type
Physician Office
Certificate Effective Date
April 28, 2024
Certificate Expiration Date
April 27, 2026
Laboratory Director
CHESCA CRAIG-GOODELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to First Med Clnic N Kelly Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for FIRST MED CLNIC N KELLY LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588003164
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25168006112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 0 + 0 + 6 + 1 + 1 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1588003164 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235550658 LAVETRICE STEELE PA
Individual
Physician Assistant1221 N KELLY AVE
EDMOND, OK 73003
(918) 839-2803
1851741052 MELINDA NATASHA KRUGER KRUGER NP-C
Individual
Nurse Practitioner (Family)1221 N KELLY AVE
EDMOND, OK 73003
(405) 844-1663
1447143227 DEVIN COUCH APRN
Individual
Nurse Practitioner (Pediatrics)1221 N KELLY AVE
EDMOND, OK 73003
(405) 876-7876

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588003164, enumerated in the NPI registry as an "organization" on June 18, 2013

The provider is located at 1221 N Kelly Ave Edmond, Ok 73003 and the phone number is (405) 471-6400

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 37D2183008 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 18, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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