OrganizationActive
Team Clinics Ah LLC
NPI 1114559705 · Primary Care Clinic/Center · Broken Arrow, OK
Provider details
- NPI number
- 1114559705
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Trevor Nutt, Ceo(405) 546-4130
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1600 W Quincy St # 100a
Broken Arrow, OK 74012-5219
Phone: (405) 546-4130
Approximate (ZIP-level) locationGet directions
Mailing address
3112 Cooke Way
Oklahoma City, OK 73179-2401
Registry dates
- Enumerated
- 2020-02-11
- Last updated
- 2021-06-18
- Certified
- 2021-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.