MEDICARE: DR. ELIZABETH ROMANIK KINZIE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	25482	OK
2	207R00000X	Internal Medicine Physician	25482	OK

General Provider Information

NPI Number	:	1760450472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH ROMANIK KINZIE MD

Provider Business Mailing Address
First Line	:	3001 QUAIL SPRINGS PKWY
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73134-2640
Country	:	US
Telephone Number	:	405-945-4587
Fax Number	:	405-713-2735

Provider Business Practice Location Address
First Line	:	1084 NICKERSON ST
Second Line	:
City	:	WAYNOKA
State	:	OK
Zip	:	73860
Country	:	US
Telephone Number	:	580-824-2291
Fax Number	:	580-824-0429

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	06/27/2025

Similar Medicare Providers

1043213002 — CITY OF WAYNOKA
Practice Location Address:

201 E CECIL ST
WAYNOKA, OK
73860-1233

Practice Phone: 580-824-2261
Practice Fax: 580-824-3000

1588669428 — CHARLENE ELAINE REUST PA
Practice Location Address:

1084 NICKERSON ST
WAYNOKA, OK
73860

Practice Phone: 580-824-2291
Practice Fax: 580-824-0429

1427059179 — JEFFERY S SCHWERDTFEGER PA-C
Practice Location Address:

1084 NICKERSON ST
WAYNOKA, OK
73860-1245

Practice Phone: 580-824-2291
Practice Fax: 580-824-0429

1124029293 — INTEGRIS BASS BAPTIST HEALTH CENTER
Practice Location Address:

1084 NICKERSON ST
WAYNOKA, OK
73860-1245

Practice Phone: 580-824-2281
Practice Fax:

1316059645 — WAYNOKA NURSING CENTER AUTHORITY
Practice Location Address:

2601 BROADWAY ST
WAYNOKA, OK
73860-6812

Practice Phone: 580-824-5661
Practice Fax: 580-824-5662

1639262074 — JERRYS PHARMACY
Practice Location Address:

1549 MAIN ST
WAYNOKA, OK
73860-2008

Practice Phone: 580-824-1741
Practice Fax: 580-824-2172

Directions to “ DR. ELIZABETH ROMANIK KINZIE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.