STILLWATER WOMENS CLINIC INC (NPI# 1073643649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073643649 |
| Entity Type | Organization |
| Organization Name | STILLWATER WOMENS CLINIC INC |
| Practice Address |
1411 W 7th Ave Stillwater OK 74074-4300 |
| Practice Telephone | 4056248222 |
| Practice Fax Number | 4053723769 |
| Mailing Telephone | 4056248222 |
| Mailing Fax Number | 4053723769 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2010-07-13 |
| Authorized Official Name | MR. MARK EBERT (MANAGING PHYSICIAN) |
| Authorized Official Telephone | 4056248222 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | OK | Ambulatory Health Care Facilities |
| Street Address |
1411 W 7TH AVE |
| City | STILLWATER |
| State | OK |
| Zip Code | 74074-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770579963 | Thomas Alan Karns | Obstetrics & Gynecology | 1411 W 7th Ave, Suite 202, Stillwater, OK 74074-4300 | 2005-09-22 |
| 1346781226 | Osu Center for Health Sciences | Clinic/Center | 1411 W 7th Ave, Stillwater, OK 74074-4300 | 2017-03-13 |
| 1396132999 | Prasanna Dayan Fernando | Obstetrics & Gynecology | 1411 W 7th Ave, Stillwater, OK 74074-4300 | 2015-04-21 |
| 1033451687 | Larissa Cheryl Smith | Obstetrics & Gynecology | 1411 W 7th Ave, Stillwater, OK 74074-4300 | 2013-03-21 |
| 1750365292 | Steven W. Cummings | Internal Medicine | 1411 W 7th Ave, Stillwater, OK 74074-4300 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090680 | Jason K. White, Ph.d., LLC | Psychologist | 807 S. Pine St., Stillwater, OK 74074 | 2019-08-29 |
| 1366095861 | Kelsey Lyn Bigheart | Peer Specialist | 5421 S Deer Trail, Stillwater, OK 74074 | 2019-07-23 |
| 1881256691 | Shelly Lynn Green | Nurse Practitioner | 1321 W. 7th Street, Stillwater, OK 74074 | 2019-07-01 |
| 1811426273 | Judy Catlett | Case Manager/Care Coordinator | 800 E. 6th Str, Stillwater, OK 74074 | 2017-06-08 |
| 1518322296 | Abi Physical Therapy Services | Physical Therapist | 810 S. Walnut Street, Stillwater, OK 74074 | 2015-12-22 |
| 1366833451 | Connecting The Pieces | Case Management | 812 S Walnut, Stillwater, OK 74074 | 2015-02-10 |
| 1790122414 | Airie Flanagan | Doula | 2601 Gregory Ln, Stillwater, OK 74074 | 2013-06-04 |
| 1760720668 | Stillwater Histology LLC | Internal Medicine | 1301 W. 6th St, Suite 106, Stillwater, OK 74074 | 2013-01-28 |
| 1144570565 | Nikkie Jo Dunnigan | Counselor | 2322 W 7th, Stillwater, OK 74074 | 2012-09-13 |
| 1487889952 | Lynn B. Roberts | General Practice | 1321 W 7th St, Stillwater Community Health, Stillwater, OK 74074 | 2009-05-27 |
| Find all providers in zip 74074 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942852694 | Osu Center for Health Sciences | Clinic/Center | 1201 W 6th Ave, Stillwater, OK 74074-4307 | 2019-07-12 |
| 1801289640 | G P Boyum Md Pllc | Clinic/Center | 2275 Overlook Ct N, Stillwater, MN 55082-1566 | 2015-03-17 |
| 1871786277 | Penman Chiropractic | Clinic/Center | 5898 Omaha Ave N, Stillwater, MN 55082-4383 | 2007-08-20 |
| 1316043425 | Fong Medical Clinic, Pa | Clinic/Center | 105 New England Pl, Suite 220, Stillwater, MN 55082-5783 | 2006-09-15 |
| 1730610502 | Osu Center for Health Sciences | Clinic/Center | 610 S Walnut St, Stillwater, OK 74074-4222 | 2017-03-23 |
| 1023559994 | Osu Center for Health Sciences | Clinic/Center | 1201 S Adams St, Stillwater, OK 74074-5476 | 2017-03-13 |
| 1912448887 | Osu Center for Health Sciences | Clinic/Center | 511 Windsor Dr, Stillwater, OK 74074-6962 | 2017-03-13 |
| 1124569090 | Osu Center for Health Sciences | Clinic/Center | 511 Windsor Dr, Stillwater, OK 74074-6962 | 2017-03-13 |
| 1346781226 | Osu Center for Health Sciences | Clinic/Center | 1411 W 7th Ave, Stillwater, OK 74074-4300 | 2017-03-13 |
| 1134660210 | Osu Center for Health Sciences | Clinic/Center | 1323 W 6th Ave, Stillwater, OK 74074-4306 | 2017-03-09 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 74074 |
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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.