ARKANSAS VERDIGRIS VALLEY HEALTH CENTERS, INC. (NPI# 1083740047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083740047 |
| Entity Type | Organization |
| Organization Name | ARKANSAS VERDIGRIS VALLEY HEALTH CENTERS, INC. |
| Practice Address |
505 S Main Porter OK 74454 |
| Mailing Address |
Po Box 334 Porter OK 74454-0334 |
| Practice Telephone | 9184830111 |
| Practice Fax Number | 9184830112 |
| Mailing Telephone | 9184830213 |
| Mailing Fax Number | 9184834174 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2011-08-11 |
| Authorized Official Name | DR. JAMES ROBERT TURNER (CEO) |
| Authorized Official Telephone | 9189062871 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200109570A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346712072 | Arkansas Verdigris Valley Health Centers, Inc. | Clinic/Center | 607 S Broadway, Coweta, OK 74429-5000 | 2018-12-19 |
| Street Address |
505 S MAIN |
| City | PORTER |
| State | OK |
| Zip Code | 74454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801123633 | Richard M Jackson Jr. | Dentist | 505 S Main, Porter, OK 74454 | 2009-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609061423 | Porter Consolidated Schools | Local Education Agency (LEA) | Main St. Hwy 51-b, Porter, OK 74454-0120 | 2007-09-14 |
| 1548730559 | Jennifer Lyn Stickelmeyer | Nurse Practitioner | 505 S Main St, Porter, OK 74454-1015 | 2018-12-03 |
| 1821482811 | Stephanie Jane Garrett | Physician Assistant | 505 S Main St, Porter, OK 74454-1015 | 2015-03-27 |
| 1881086551 | Caitlin Ashley | Physician Assistant | 505 S Main St, Porter, OK 74454-1015 | 2015-03-04 |
| 1003850132 | Ashley Noel Aldrich | Family Medicine | 505 S Main St, Porter, OK 74454-1015 | 2006-06-16 |
| 1972067445 | Brandon Udell Bethel | Counselor | 222 N 6th St, Porter, OK 74454-1090 | 2019-01-29 |
| 1518247519 | Marjorie Williams Ray | Counselor | 604 W Finale, Porter, OK 74454-1142 | 2011-08-22 |
| 1003010869 | Julie R Mcintosh | Family Medicine | 9429 N 50th St W, Porter, OK 74454-2749 | 2007-06-13 |
| 1154657161 | Sadena Renee Chrisman | Speech-Language Pathologist | 40481 E 231st St S, Porter, OK 74454-3021 | 2009-10-26 |
| 1891781845 | Nathan T. Wood | Family Medicine | 6576 N 30th St W, Porter, OK 74454-3028 | 2005-09-26 |
| Find all providers in zip 74454 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003010869 | Julie R Mcintosh | Family Medicine | 9429 N 50th St W, Porter, OK 74454-2749 | 2007-06-13 |
| 1043292352 | Hyunmo Lee Koo | Family Medicine | 25553 Us Highway 59, Porter, TX 77365-5500 | 2005-11-14 |
| 1689665382 | Angelis Berios | Family Medicine | 24540 Fm 1314 Rd, Porter, TX 77365-4204 | 2005-11-02 |
| 1891781845 | Nathan T. Wood | Family Medicine | 6576 N 30th St W, Porter, OK 74454-3028 | 2005-09-26 |
| 1770184269 | Melissa Beauregard | Family Medicine | 70 Main St, Porter, ME 04068-3527 | 2020-11-03 |
| 1780038729 | Lakebra Glover | Family Medicine | 25553 Us Highway 59, Porter, TX 77365-5500 | 2016-04-15 |
| 1134546864 | Porter Medical Center Pllc | Family Medicine | 24540 Fm 1314 Rd, Porter, TX 77365-4204 | 2014-03-19 |
| 1346441185 | Hanna Maria Morkowski | Family Medicine | 24375 Fm 1314 Rd, Porter, TX 77365-4205 | 2007-05-30 |
| 1689757197 | Cory Khoiquoc Tuong Bui | Family Medicine | 25553 Us Highway 59, Porter, TX 77365-5500 | 2006-10-21 |
| 1477562684 | Jeffrey S Ray | Family Medicine | 70 Main St, Porter, ME 04068 | 2006-08-05 |
| Find all providers in PORTER | ||||
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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.