Organization · NPI-2

1st Choice Medical LLC

General Practice · Shawnee, OK

NPI number1487505038

StatusActive

Last updated in NPPESJun 22, 2026

Details

NPI: 1487505038
Entity type: Organization (NPI-2)
Legal business name: 1st Choice Medical LLC
Organization subpart: No
Enumeration date: Feb 9, 2026
Certification date: Jun 22, 2026
Last updated: Jun 22, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208D00000X	General Practice	–	–	Yes
363LF0000X	Nurse Practitioner, Family	–	–
207Q00000X	Family Medicine	–	–
261QU0200X	Clinic/Center, Urgent Care	–	–

Practice location

120 N Bell Ave
Shawnee, OK 74801-6902

Phone 405-296-8538 · Fax 405-296-8539

Mailing address

120 N Bell Ave
Shawnee, OK 74801-6902

Phone 405-296-8538 · Fax 405-296-8539

Authorized official

Ashley Janway
Ceo
4052968538

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