Healthcare Provider Details
I. General information
NPI: 1891962460
Provider Name (Legal Business Name): HEALTHFIRST PHYSICIANS MANAGEMENT SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/13/2008
Last Update Date: 07/01/2024
Certification Date: 07/01/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1110 N CLASSEN BLVD SUITE 100
OKLAHOMA CITY OK
73106-6843
US
IV. Provider business mailing address
PO BOX 268922
OKLAHOMA CITY OK
73126-8922
US
V. Phone/Fax
- Phone: 405-272-7452
- Fax: 405-272-7455
- Phone: 405-231-3857
- Fax: 405-272-7977
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KERSEY
L
WINFREE
Title or Position: VP OF MEDICAL AFFAIRS
Credential:
Phone: 405-272-8476