OrganizationActive
Ico Primary Care, LLC
NPI 1811709363 · Primary Care Clinic/Center · Edmond, OK
Ico Primary Care, LLC is a Primary Care Clinic/Center organization in Edmond, OK (NPI 1811709363).
Provider details
- NPI number
- 1811709363
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Penwell, President(405) 600-6869
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
805 W Covell Rd Ste 200
Edmond, OK 73003-2177
Phone: (405) 216-5373
Street-level locationGet directions
Mailing address
5701 Se 74th St Ste E
Oklahoma City, OK 73135-1110
Registry dates
- Enumerated
- 2025-01-22
- Last updated
- 2025-01-22
- Certified
- 2025-01-22
Frequently asked questions
- What is Ico Primary Care, LLC's NPI number?
- Ico Primary Care, LLC's National Provider Identifier (NPI) is 1811709363, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ico Primary Care, LLC?
- Ico Primary Care, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ico Primary Care, LLC located?
- Ico Primary Care, LLC's practice location on file with NPPES is 805 W Covell Rd Ste 200, Edmond, OK 73003-2177.
- What is Ico Primary Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ico Primary Care, LLC is (405) 216-5373.
- Who is the authorized official for Ico Primary Care, LLC?
- The authorized official listed on Ico Primary Care, LLC's NPPES record is Kevin Penwell, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ico Primary Care, LLC's NPI active?
- Yes — Ico Primary Care, LLC's NPI (1811709363) is active in the NPPES registry as of the last update on 2025-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.