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Housecalls
NPI 1063905354 · Geriatric Medicine (Family Medicine) Physician · Oklahoma City, OK
Provider details
- NPI number
- 1063905354
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Van Ngo, Arnp(405) 601-9191
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4413 S Lee Ave
Oklahoma City, OK 73109
Phone: (405) 245-1416
Fax: (405) 265-5230
Street-level locationGet directions
Mailing address
4413 S Lee Ave
Oklahoma City, OK 73109-3527
Registry dates
- Enumerated
- 2018-06-11
- Last updated
- 2018-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.