DAN F CRISWELL (NPI# 1043250103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043250103 |
| Entity Type | Individual |
| Full Name | DAN F CRISWELL |
| Credential | MD |
| Practice Address |
2601 W Elk Ave Duncan OK 73533-1572 |
| Mailing Address |
2210 Duncan Regional Loop Duncan OK 73533-1564 |
| Practice Telephone | 5802516644 |
| Practice Fax Number | 5802516645 |
| Mailing Telephone | 5802518212 |
| Mailing Fax Number | 5802518842 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2019-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 12155 | OK | Allopathic & Osteopathic Physicians |
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
12155 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100088900E | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2515 W Elk Ave, Duncan, OK 735331571 | 5802526080 |
| Street Address |
2601 W ELK AVE |
| City | DUNCAN |
| State | OK |
| Zip Code | 73533-1572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235124017 | Kim Raye Holland | Nurse Practitioner | 2601 W Elk Ave, Duncan, OK 73533-1572 | 2005-09-16 |
| 1841755337 | Jennifer Hiebler | Nurse Practitioner | 2601 W Elk Ave, Duncan, OK 73533-1572 | 2019-02-08 |
| 1255414454 | David W. Buntley, M. D., Inc | Urology | 2601 W Elk Ave, Duncan, OK 73533-1572 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730723362 | Stefanie Alexis Dubicki | Physician Assistant | 1120 Us-81 N, Duncan, OK 73533 | 2019-11-06 |
| 1568935898 | Grace Elizabeth Peters | Physician Assistant | 1120 Us 81, Duncan, OK 73533 | 2019-01-09 |
| 1427406487 | Joseph Suarez | Behavioral Analyst | 23 N 8th, Duncan, OK 73533 | 2016-06-01 |
| 1386086148 | Andrea R Daughtrey | Behavioral Analyst | 209 S 21 St, Duncan, OK 73533 | 2013-07-22 |
| 1578830873 | Carlton D. Mitchell II | Social Worker | 1919 Elk, Duncan, OK 73533 | 2011-11-30 |
| 1336460468 | Dawn Price | Counselor | 7 1/2 N. 8th St, Duncan, OK 73533 | 2010-06-11 |
| 1740416395 | Sanford Clinic | Pediatrics | 2502 W. Elk Ave., Duncan, OK 73533 | 2009-06-09 |
| 1972788222 | Thelma Joann Dillard | Dentist | 1415 W Main Street, Duncan, OK 73533 | 2008-01-07 |
| 1659560548 | Julia Gayle Case | Nurse Practitioner | 2004 North Hwy 81, Duncan, OK 73533 | 2007-10-17 |
| 1407060395 | Cynthia Annette Browning | Speech-Language Pathologist | 1400 Whisenant, Duncan, OK 73533 | 2007-05-09 |
| Find all providers in zip 73533 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053641803 | Miraworx of Okc 1 LLC | Family Medicine | 10400 Vineyard Blvd Apt A, Oklahoma City, OK 73120-3830 | 2009-12-29 |
| 1467495226 | Kelly Medical, PC | Family Medicine | 13921 N Meridian Ave Ste 100, Oklahoma City, OK 73134-1106 | 2006-06-13 |
| 1962031369 | Prompt Care Clinic LLC | Family Medicine | 4008 Nw Cache Rd, Lawton, OK 73505-3634 | 2020-04-07 |
| 1184269706 | Consulting Medical, Pllc | Family Medicine | 13654 S Western Ave, Oklahoma City, OK 73170-7004 | 2019-11-07 |
| 1982141362 | Allison Eldridge | Family Medicine | 7477 E 46th Pl, Tulsa, OK 74145-6305 | 2017-01-24 |
| 1649715608 | Vizown, LLC | Family Medicine | 24962 Okay Rd, Tecumseh, OK 74873-6504 | 2016-12-30 |
| 1972851467 | Ingram Co | Family Medicine | 6525 N Meridian Ave, Oklahoma City, OK 73116-1420 | 2012-08-15 |
| 1801032297 | Lynn Dean Baggett | Family Medicine | 3033 N Walnut Ave, Oklahoma City, OK 73105-2832 | 2009-01-06 |
| 1497971733 | Paul Davis Johnson | Family Medicine | 7100 S I 35 Service Rd, Suite # 7, Oklahoma City, OK 73149-2740 | 2007-04-17 |
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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.