Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Gwen Fuentes MD Pediatric Clinic

Medical Specialty Clinic/Center in Ardmore, OK · enumerated 2007 · authorized official Gwen Fuentes, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083830608

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Registry record

Entity type Organization (Type 2)

Legal business name Gwen Fuentes MD Pediatric Clinic

Practice address 919 15th Ave Nw, Ardmore, OK, 73401

Phone (580) 223-5693

Fax (580) 223-8909

Enumeration date Apr 18, 2007

Last updated in NPPES Jan 30, 2011

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 13171 (OK) Secondary

261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities · License 13171 (OK) Primary

Authorized official

Name Gwen Fuentes

Title Owner

Phone (580) 223-5693

Other identifiers

Identifier	Type	State	Issuer
100209330A	Medicaid	OK	-
100209330C	Medicaid	OK	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Gwen Fuentes MD Pediatric Clinic located?

The practice location on file with NPPES is in Ardmore, OK.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-01-30. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Gwen Fuentes Pediatrics Physician · Ardmore, OK NPI 1013914324

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-01-30.