MITCHELL STECKBECK (NPI# 1083171367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083171367 |
| Entity Type | Individual |
| Full Name | MITCHELL STECKBECK |
| Credential | DO |
| Practice Address |
1 E Clark Bass Blvd Mcalester OK 74501-4209 |
| Practice Telephone | 9184261800 |
| Mailing Telephone | 9184261800 |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1 E CLARK BASS BLVD |
| City | MCALESTER |
| State | OK |
| Zip Code | 74501-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940034 | Mcalester Regional Health Center Authority | General Acute Care Hospital | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2005-05-27 |
| 1710598107 | Jon-andrew Martin | Physical Therapist | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2020-08-11 |
| 1255958286 | Jennifer Leigh Hastings | Nurse Practitioner | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2020-06-25 |
| 1356985287 | Sericca Lynn Walters | Dietitian, Registered | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2019-11-04 |
| 1841842184 | Brooks Smallwood | Student in an Organized Health Care Education/Training Program | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2019-07-16 |
| 1326509407 | Premier Physician Staffing 2 Pllc | Emergency Medicine | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2019-03-29 |
| 1093279630 | Emily Elizabeth Ogden | Registered Nurse | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2019-01-28 |
| 1427523109 | Prime Physician Staffing 2 Pllc | Hospitalist | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2018-10-09 |
| 1033632708 | Kaitlin Vaughn | Nurse Practitioner | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2017-07-24 |
| 1558898866 | Kelsey Marie Flynn | Family Medicine | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2017-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1912425018 | Jennifer Bird | Case Manager/Care Coordinator | 34 Harpoon Dr, Mcalester, OK 74501 | 2017-09-08 |
| 1073033502 | Natalie Aline Kitchell | Case Manager/Care Coordinator | 1303 Hickory Bend, Mcalester, OK 74501 | 2017-06-26 |
| 1265964308 | Phoenix Counseling and Assessment Center, Inc. | Community/Behavioral Health | 32 E Cherokee, Suite 104, Mcalester, OK 74501 | 2017-03-29 |
| 1215302799 | Christine Herron | Physical Therapy Assistant | 1029 E. Washington Ave, Mcalester, OK 74501 | 2015-12-09 |
| 1437538212 | Lauren White | Speech-Language Pathologist | 205 South 2nd, Mcalester, OK 74501 | 2015-05-26 |
| 1316344096 | Ashley Brooke Monks | Speech-Language Pathologist | 557 Broken Feather Lane, Mcalester, OK 74501 | 2014-11-25 |
| 1821407644 | William Joseph Kinderknecht | Family Medicine | 4 E. Clark Bass Blvd., Suite 301a, Mcalester, OK 74501 | 2014-08-06 |
| 1467795153 | Kensey Mckay Holman | Occupational Therapist | 903 E Monroe Ave Ste 200, Mcalester, OK 74501 | 2013-04-01 |
| 1821334418 | Delors J Simmons | Counselor | 600 North D St, Mcalester, OK 74501 | 2012-12-31 |
| Find all providers in zip 74501 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225656184 | Kyle Michael Mccauley | Student in an Organized Health Care Education/Training Program | 1003 Berry Patch, Mcalester, OK 74501-7170 | 2020-07-08 |
| 1124640768 | Stephanie Elyse Abrams | Student in an Organized Health Care Education/Training Program | 4 E Clark Bass Blvd Ste 301, Mcalester, OK 74501-4269 | 2020-05-16 |
| 1841819794 | Jacob Samuel Forbes | Student in an Organized Health Care Education/Training Program | 4 E Clark Bass Blvd Ste 301, Mcalester, OK 74501-4269 | 2020-04-10 |
| 1881223329 | Connor James Gill | Student in an Organized Health Care Education/Training Program | 4 E Clark Bass Blvd Ste 301, Mcalester, OK 74501-4269 | 2020-04-06 |
| 1720628324 | Peyton Leigh Alexander | Student in an Organized Health Care Education/Training Program | 1400 E College Ave, Mcalester, OK 74501-4288 | 2020-01-10 |
| 1841842184 | Brooks Smallwood | Student in an Organized Health Care Education/Training Program | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 | 2019-07-16 |
| 1962968503 | Mai Thuy Murphy | Student in an Organized Health Care Education/Training Program | 4 E Clark Bass Blvd, Mcalester, OK 74501-4269 | 2019-02-19 |
| 1033601810 | Derek James Pourtorkan | Student in an Organized Health Care Education/Training Program | 4 E Clark Bass Blvd Ste 301, Mcalester, OK 74501-4269 | 2018-06-06 |
| 1386133759 | Devak Patel | Student in an Organized Health Care Education/Training Program | 4 E Clark Bass Blvd Ste 301, Mcalester, OK 74501-4269 | 2018-05-01 |
| 1396249082 | Daniel Aaron Stegman | Student in an Organized Health Care Education/Training Program | 4 E Clark Bass Blvd Ste 301, Mcalester, OK 74501-4269 | 2018-03-19 |
| Find all providers in MCALESTER | ||||
Please comment or provide details below to improve the information on MITCHELL STECKBECK.
| 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.