Healthcare Provider Details

I. General information

NPI: 1316580798
Provider Name (Legal Business Name): TAMELA HAMILTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2019
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 N COLTRANE RD
EDMOND OK
73034-6807
US

IV. Provider business mailing address

2701 W UNIVERSITY BLVD
DURANT OK
74701-2997
US

V. Phone/Fax

Practice location:
  • Phone: 405-204-0530
  • Fax:
Mailing address:
  • Phone: 580-740-4053
  • Fax: 877-725-8976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number10827
License Number StateOK
# 3
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number18027
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: