OrganizationActive
North Central Palliative Care, LLC
NPI 1821505900 · Hospice and Palliative Medicine (Internal Medicine) Physician · Ponca City, OK
Provider details
- NPI number
- 1821505900
- Entity type
- Organization
- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rachel Jordan, Attorney(405) 234-3220
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 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
445 Fairview Ave
Ponca City, OK 74601-1931
Phone: (580) 762-9102
Fax: (580) 762-1911
Street-level locationGet directions
Mailing address
445 Fairview Ave
Ponca City, OK 74601-1931
Registry dates
- Enumerated
- 2018-01-10
- Last updated
- 2018-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.