MR. TYRON DORRELL COSBY SR. (NPI# 1073050167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073050167 |
| Entity Type | Individual |
| Full Name | MR. TYRON DORRELL COSBY SR. |
| Practice Address |
1416 Penn Ln. Moore OK 73160 |
| Practice Telephone | 4053433036 |
| Mailing Telephone | 4053433036 |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1416 PENN LN. |
| City | MOORE |
| State | OK |
| Zip Code | 73160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| 1962882373 | Brian Michael Wilson | Dentist | 2709 S. I-35 Frontage Road Suite B, Moore, OK 73160 | 2015-06-02 |
| Find all providers in zip 73160 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346866308 | Miata M Pride | Case Manager/Care Coordinator | 748 Sw 2nd St, Moore, OK 73160-2311 | 2020-06-24 |
| 1477109841 | Racquel Daine Fields | Case Manager/Care Coordinator | 804 Nw 18th St, Moore, OK 73160-1508 | 2019-08-12 |
| 1912566126 | James Lee Cutchall | Case Manager/Care Coordinator | 717 Oak Creek Dr, Moore, OK 73160-0909 | 2019-06-11 |
| 1700343258 | Rebecca Cortez Boston | Case Manager/Care Coordinator | 1213 S Patterson Dr, Moore, OK 73160-7246 | 2019-02-20 |
| 1750852000 | Ashley Jean Pena | Case Manager/Care Coordinator | 1020 Nw 14th Pl, Moore, OK 73160-1614 | 2018-12-16 |
| 1063997450 | Brandon Rochester | Case Manager/Care Coordinator | 834 Sw 19th St, Moore, OK 73160-2024 | 2018-10-01 |
| 1306335427 | Summer Sullins Loveless | Case Manager/Care Coordinator | 1016 Newport Ave, Moore, OK 73160-2411 | 2018-05-03 |
| 1639682180 | Wyleah Yvette Cubit | Case Manager/Care Coordinator | 933 Nw 12th St, Moore, OK 73160-1645 | 2017-11-07 |
| 1487030144 | Elizabeth Larios | Case Manager/Care Coordinator | 816 Nw 12th St Apt 3, Moore, OK 73160-1741 | 2015-08-05 |
| 1205250461 | Aleasha Wales | Case Manager/Care Coordinator | 9024 Buttonwood Ave, Moore, OK 73160-9111 | 2014-02-08 |
| Find all providers in MOORE | ||||
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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.