MR. ELDON EUGENE HAGGARD (NPI# 1013014125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013014125 |
| Entity Type | Individual |
| Full Name | MR. ELDON EUGENE HAGGARD |
| Credential | PA |
| Practice Address |
9322 E 41st St Tulsa OK 74145-3721 |
| Practice Telephone | 9187647234 |
| Mailing Telephone | 9187647234 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9322 E 41ST ST |
| City | TULSA |
| State | OK |
| Zip Code | 74145-3721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619953411 | Geneva Joan Kilgore | Nurse Practitioner | 9322 E 41st St, Ernest Childers Va Out Patient Clinic, Tulsa, OK 74145-3721 | 2005-12-22 |
| 1497227110 | Wesley Luther Johnston | Registered Nurse | 9322 E 41st St, Tulsa, OK 74145-3721 | 2018-12-19 |
| 1548784184 | Andrea Nichole Briggs | Optometrist | 9322 E 41st St, Tulsa, OK 74145-3721 | 2017-07-26 |
| 1104163278 | Stuart Snyder | Pharmacist | 9322 E 41st St, Tulsa, OK 74145-3721 | 2013-01-10 |
| 1073803532 | Pearl Jewell Freese | Social Worker | 9322 E 41st St, Tulsa, OK 74145-3721 | 2011-04-18 |
| 1720216500 | Korey Legnon | Pharmacist | 9322 E 41st St, Tulsa, OK 74145-3721 | 2009-06-30 |
| 1326201138 | Muskogee Vamc | Department of Veterans Affairs (VA) Pharmacy | 9322 E 41st St, Tulsa, OK 74145-3721 | 2008-07-02 |
| 1568646768 | Mary Kay Carter | Physical Therapist | 9322 E 41st St, Tulsa, OK 74145-3721 | 2007-12-24 |
| 1609059385 | Deborah S Richardson | Nurse Practitioner | 9322 E 41st St, Tulsa, OK 74145-3721 | 2007-12-17 |
| 1134216609 | Lisa Marie Kedzuf-mcginnis | Optometrist | 9322 E 41st St, Tulsa, OK 74145-3721 | 2006-10-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015606 | Grayson Elaine Kirk | Social Worker | 7028 E 32nd St, Tulsa, OK 74145 | 2018-05-31 |
| 1407378060 | Matthew Ryan Lazar | Case Manager/Care Coordinator | 3405 S 95th East Ave, Tulsa, OK 74145 | 2017-07-14 |
| 1770014243 | Sarah Truman | Counselor | 5332 S. Memorial Dr., Tulsa, OK 74145 | 2017-03-25 |
| 1265977615 | Tsaw LLC | Chiropractor | 6949-51 E. 71st St., Tulsa, OK 74145 | 2016-12-21 |
| 1740722115 | Green Country Pain Management | Internal Medicine | 6048-a S Sheridan Rd, Tulsa, OK 74145 | 2016-11-16 |
| 1790234003 | Joy Home Care Services LLC | In Home Supportive Care | 9434 E 51st Street, Tulsa, OK 74145 | 2016-09-27 |
| 1407302821 | Tammera Mcclenton | Counselor | 7225 E 58th St., Tulsa, OK 74145 | 2016-08-26 |
| 1366839482 | Tesia D. Wells | Marriage & Family Therapist | 7226 E 41st St, Tulsa, OK 74145 | 2015-04-16 |
| 1942613427 | Kevin Bonifield | Counselor | 5327 S Sheridan Rd, Tulsa, OK 74145 | 2014-06-03 |
| 1518208040 | Kelsee Lane Mccutchen | Counselor | 7477 E. 46th Place, Tulsa, OK 74145 | 2013-03-07 |
| Find all providers in zip 74145 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620487 | Taehee Strauss | Physician Assistant | 5229 S Harvard Ave Apt H, Tulsa, OK 74135-3551 | 2019-10-15 |
| 1871134163 | Claire Anne Kifer | Physician Assistant | 155 E 29th Pl, Tulsa, OK 74114-5201 | 2019-10-08 |
| 1033750328 | Jazmine Denise Nicole Manns | Physician Assistant | 9132 E 37th Ct, Tulsa, OK 74145-3415 | 2019-10-08 |
| 1295376523 | Emily Montana Bergeron | Physician Assistant | 1417 W 78th St Apt 1213, Tulsa, OK 74132-4633 | 2019-10-08 |
| 1295376325 | Reagan Hahn | Physician Assistant | 7746 Riverside Pkwy Apt 203, Tulsa, OK 74136-7677 | 2019-09-30 |
| 1881245082 | Miranda Hamilton | Physician Assistant | 3726 E 43rd St, Tulsa, OK 74135-2743 | 2019-09-27 |
| 1205487493 | Christopher Thibeault | Physician Assistant | 10326 S Oswego Ave, Tulsa, OK 74137 | 2019-09-27 |
| 1831740018 | Savannah Payne | Physician Assistant | 7734 Riverside Pkwy Apt 207f, Tulsa, OK 74136-7371 | 2019-09-27 |
| 1366093759 | Garrett Blubaugh | Physician Assistant | 8307 E 60th St Apt 2127, Tulsa, OK 74145-5014 | 2019-09-26 |
| 1649821547 | Madison Snow | Physician Assistant | 7734 Riverside Pkwy # 207, Tulsa, OK 74136-7670 | 2019-09-23 |
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| 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.