MARANDA LEE EATON (NPI# 1053840850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053840850 |
Entity Type | Individual |
Full Name | MARANDA LEE EATON |
Credential | CFM |
Practice Address |
1904 Se Washington Blvd Bartlesville OK 74006 |
Mailing Address |
1904 Se Washington Blvd Bartlesville OK 74006-6736 |
Practice Telephone | (918) 333-6900 |
Practice Fax Number | 9183356687 |
Mailing Telephone | 9183336900 |
Mailing Fax Number | 9183356687 |
Enumeration Date | 2017-06-06 |
Last Update Date | 2017-06-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224900000X | Mastectomy Fitter | CFM02743 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1904 SE WASHINGTON BLVD |
City | BARTLESVILLE |
State | OK |
Zip Code | 74006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043384902 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1904 Se Washington Blvd, Bartlesville, OK 74006-6736 | 2006-11-20 |
1578700217 | John R Wilson | Orthotist | 1904 Se Washington Blvd, Bartlesville, OK 74006-6736 | 2009-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124646252 | Ntcob LLC | Family Medicine | 234 Se De Bell Ave, Bartlesville, OK 74006 | 2020-07-06 |
1053936815 | Priscella Ann Caron | Nurse Practitioner | 226 Se De Bell Ave Building B, Bartlesville, OK 74006 | 2020-06-08 |
1508390840 | Megan Christopher | Student in an Organized Health Care Education/Training Program | 3400 Se Frank Phillips Blvd, Suite 502, Bartlesville, OK 74006 | 2017-04-13 |
1518339811 | Dori Raycob | Registered Nurse | 3400 Se Frank Phillips Blvd Suite 300, Bartlesville, OK 74006 | 2015-10-26 |
1023487436 | Katherine Marie Anderson | Nurse Practitioner | 3500 Sw Frank Phillips, Bartlesville, OK 74006 | 2015-09-16 |
1033593207 | Quanisha Roberson | Clinical Nurse Specialist | 226 Se De Bell Avenue, Building A, Suite 101, Bartlesville, OK 74006 | 2015-07-16 |
1588064604 | Vance Wayne Blackwell Jr. | Counselor | 2200 Se Washinton Blvd., Bartlesville, OK 74006 | 2014-08-26 |
1619314937 | Scott Ethan Sonico | Dentist | 1224 Se Washington Blvd, Bartlesville, OK 74006 | 2013-05-28 |
1417229485 | Vernon Lee Newby | Veterinarian | 817 Madison Blvd., Bartlesville, OK 74006 | 2012-02-06 |
1306083720 | Sherry M Wilson | Counselor | 3925-g Frank Phillips Blvd., Bartlesville, OK 74006 | 2009-01-08 |
Find all providers in zip 74006 |
Taxonomy Code | 224900000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Mastectomy Fitter |
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. |
Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083197206 | Sandra Denise Winn | Mastectomy Fitter | 64594 N 2514 Road, Canton, OK 73724 | 2018-09-13 |
1194098715 | Martha L Cunningham | Mastectomy Fitter | 7924 Chouteau Spgs Cir Rd, Lexington, OK 73051-4800 | 2012-02-13 |
1174050439 | Julia Patricia Murphy I | Mastectomy Fitter | 2116 E 15th St, Tulsa, OK 74104-4614 | 2017-05-17 |
City | BARTLESVILLE |
Zip Code | 74006 |
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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.