Healthcare Provider Details

I. General information

NPI: 1023970712
Provider Name (Legal Business Name): CORE PRIMARY CARE PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 NE 85TH ST
OKLAHOMA CITY OK
73114-3916
US

IV. Provider business mailing address

1175 S ASPEN AVE STE K
BROKEN ARROW OK
74012-4800
US

V. Phone/Fax

Practice location:
  • Phone: 405-205-7186
  • Fax:
Mailing address:
  • Phone: 833-524-2400
  • Fax: 918-290-4943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHEN PHILIP ZRENDA
Title or Position: PHYSICIAN/SOLE MEMBER
Credential: DO
Phone: 405-205-7186