ELY JAMES BURGESS


Address: 401 W. Main St., Barnsdall, OK 74002-6631
Phone: 9188473527

ELY JAMES BURGESS (NPI# 1003469297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003469297
Entity Type Individual
Full Name ELY JAMES BURGESS
Practice Address 401 W. Main St.
Barnsdall
OK 74002-6631
Practice Telephone 9188473527
Practice Fax Number 9187779018
Mailing Telephone 9188473527
Mailing Fax Number 9187779018
Enumeration Date 2019-07-17
Last Update Date 2019-08-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 401 W. MAIN ST.
City BARNSDALL
State OK
Zip Code 74002-6631

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659393015 Jill Suzanne Sago Counselor 401 W. Main St., Barnsdall, OK 74002 2006-07-24
1790335644 Hanna Grace Stroup Case Manager/Care Coordinator 401 W. Main St., Barnsdall, OK 74002 2019-09-12
1477112787 Thomas Carl Libby II Peer Specialist 401 W. Main St., Barnsdall, OK 74002-5233 2019-06-10
1568027951 Amber Quillin Case Manager/Care Coordinator 401 W. Main St., Barnsdall, OK 74002 2019-05-01
1215498456 Tanya G Williams Case Manager/Care Coordinator 401 W. Main St., Barnsdall, OK 74002-6631 2019-03-29
1275016792 Melissa Joann Bouchard Case Manager/Care Coordinator 401 W. Main St., Barnsdall, OK 74002-0000 2018-09-11
1841779444 Iva Collins Case Manager/Care Coordinator 401 W. Main St., Barnsdall, OK 74002-0000 2018-08-14
1437636073 Jessi Nichol Neal Social Worker 401 W. Main St., Barnsdall, OK 74002 2018-07-26
1144736166 Gina Leigh Stephens Case Manager/Care Coordinator 401 W. Main St., Barnsdall, OK 74002-5226 2017-12-28
1831602507 Michael Steven Backora Counselor 401 W. Main St., Barnsdall, OK 74002-6631 2017-11-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073165866 Chelsea Janice-marie Allen Case Manager/Care Coordinator 401 W. Main St., Barnsdall, OK 74002 2019-07-11
1841648953 Haley Perkins Case Manager/Care Coordinator 401 W, Main, Barnsdall, OK 74002 2016-05-31
1205218146 Megan Hudson Social Worker 401 W Main St., Barnsdall, OK 74002 2015-06-28
1801078621 Lura Lea Jaquess Social Worker 609 Cedar Ave., Barnsdall, OK 74002 2007-12-04
1881686186 Marcus D Sizemore Physician Assistant 112 N 5th, Barnsdall, OK 74002 2005-08-22
1740822493 Andrea Cousparis Social Worker 401 West Main Street, Barnsdall, OK 74002 2019-10-15
1831749787 Shalena Diane Pece Case Manager/Care Coordinator 401 W Main St, Barnsdall, OK 74002 2019-09-12
1386296176 Crala Marlin Case Manager/Care Coordinator 401 W Main St, Barnsdall, OK 74002 2019-07-11
1891352290 Mason Allan Moody Case Manager/Care Coordinator 401 W. Main St, Barnsdall, OK 74002 2019-05-22
1336702497 Lora Lavon Mcdermott Case Manager/Care Coordinator 401 W Main Street, Barnsdall, OK 74002 2019-04-15
Find all providers in zip 74002

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073165866 Chelsea Janice-marie Allen Case Manager/Care Coordinator 401 W. Main St., Barnsdall, OK 74002 2019-07-11
1184181265 Marla Dawn Parker Case Manager/Care Coordinator 401 West Main, Barnsdall, OK 74002-6631 2019-02-26
1457850620 Erin Nicole Robinson Case Manager/Care Coordinator 902 W Cedar Ave, Barnsdall, OK 74002-0671 2018-02-02
1679090948 Jasmine Danielle Ratzlaff Case Manager/Care Coordinator 401 W Main Street, Barnsdall, OK 74002-0000 2017-08-27
1841648953 Haley Perkins Case Manager/Care Coordinator 401 W, Main, Barnsdall, OK 74002 2016-05-31
1063047330 Gabriele Dawn Barrone Case Manager/Care Coordinator 401 W Main St, Barnsdall, OK 74002-6631 2020-03-07
1780235150 Linda Sue Thornton Case Manager/Care Coordinator 401 West Main, Barnsdall, OK 74002-6631 2019-09-26
1790335644 Hanna Grace Stroup Case Manager/Care Coordinator 401 W. Main St., Barnsdall, OK 74002 2019-09-12
1831749787 Shalena Diane Pece Case Manager/Care Coordinator 401 W Main St, Barnsdall, OK 74002 2019-09-12
1205480928 Mollie Lorane Barto Case Manager/Care Coordinator 401 W. Main St., Barnsdall, OK 74002-6631 2019-07-31
Find all providers in BARNSDALL

Competitor

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City BARNSDALL
Zip Code 74002

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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