Provider Demographics
NPI:1225006299
Name:BISHOP, NANCY M (MD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:M
Last Name:BISHOP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:GIGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3716 DONINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-1056
Mailing Address - Country:US
Mailing Address - Phone:405-640-1941
Mailing Address - Fax:
Practice Address - Street 1:11200 N PORTLAND AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-5045
Practice Address - Country:US
Practice Address - Phone:405-936-1170
Practice Address - Fax:866-947-3172
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK18721207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK7288318OtherAETNA
OK100137800AMedicaid
OK100137800AMedicaid
OK7288318OtherAETNA