NPI
Internal Medicine Clinic PLLC
Phone (580) 338-5500 · Fax (580) 468-4942 · NPI 1164541900
Read from the NPPES registry on October 26, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2007-03-29
- Last updated
- 2025-12-04
Run it in Rivvi
Check your whole roster against NPI.
Deactivated, mismatched or missing NPIs across every provider, each with the fix. The kind that get claims denied.
Check the rosterFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Is this you? Set up your practice's workspace from this NPI.
Specialties
Licenses
- License OK
- 18750
Location
- Practice location
- 410 NE 12th Street
- City
- Guymon OK
- Postal code
- 73942
- Phone
- (580) 338-5500
- Fax
- (580) 468-4942
Organization contact
- Name
- Jeffrey Lim
- Title
- Member
- Phone
- (580) 338-5500
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Internal Medicine Doctors in Guymon, OK. 6 with this primary taxonomy in the public file.
Other NPIs in Guymon, OK. 205 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
Request removal of this page
This removes the page from rivvi.ai. It does not change the record in NPPES.