Cedar Ridge Clinic,p.c.
NPI 1366754202 · Family Medicine Physician · Tulsa, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cedar Ridge Clinic,p.c. is a Family Medicine Physician organization in Tulsa, OK (NPI 1366754202).
Provider details
- NPI number
- 1366754202
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Trung Pham, Physician(918) 459-0583
- License
- 3313 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Mailing address
Registry dates
- Enumerated
- 2010-07-08
- Last updated
- 2010-11-23
Frequently asked questions
- What is Cedar Ridge Clinic,p.c.'s NPI number?
- Cedar Ridge Clinic,p.c.'s National Provider Identifier (NPI) is 1366754202, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cedar Ridge Clinic,p.c.?
- Cedar Ridge Clinic,p.c. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Cedar Ridge Clinic,p.c. located?
- Cedar Ridge Clinic,p.c.'s practice location on file with NPPES is 10016 S Mingo Rd Ste a, Tulsa, OK 74133-5789.
- What is Cedar Ridge Clinic,p.c.'s phone number?
- The practice phone number listed in the NPPES registry for Cedar Ridge Clinic,p.c. is (918) 459-0583.
- Does Cedar Ridge Clinic,p.c. accept Medicare?
- Cedar Ridge Clinic,p.c. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Cedar Ridge Clinic,p.c.?
- The authorized official listed on Cedar Ridge Clinic,p.c.'s NPPES record is Trung Pham, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cedar Ridge Clinic,p.c.'s NPI active?
- Yes — Cedar Ridge Clinic,p.c.'s NPI (1366754202) is active in the NPPES registry as of the last update on 2010-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.