ECLIPSE THERAPY SOLUTION (NPI# 1093008385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093008385 |
| Entity Type | Organization |
| Organization Name | ECLIPSE THERAPY SOLUTION |
| Other Organization Name | NONE |
| Practice Address |
3112 Cooke Way Oklahoma City OK 73179-2401 |
| Mailing Address |
Po Box 268946 Oklahoma City OK 73126-8946 |
| Practice Telephone | 4056016767 |
| Practice Fax Number | 4056016761 |
| Mailing Telephone | 4056016767 |
| Mailing Fax Number | 4056016761 |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2012-05-18 |
| Authorized Official Name | MR. TREVOR NUTT (PRINCIPAL) |
| Authorized Official Telephone | 4056016767 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | BCBS OF OKLAHOMA | 1093008385 | 01 |
| OK | OHCA OKLAHOMA MEDICAID | 200402780A | 01 |
| Other Name | Type Code |
|---|---|
| None | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | ECLIPSE THERAPY SOLUTION, LLC | 3112 Cooke Way, Oklahoma City, OK 73179 |
| Street Address |
3112 COOKE WAY |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73179-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477684587 | Kinex Medical Company, LLC | Durable Medical Equipment & Medical Supplies | 3112 Cooke Way, Suite 105, Oklahoma City, OK 73179-2401 | 2007-03-08 |
| 1629631189 | Team Clinic Management Partners | Clinic/Center | 3112 Cooke Way, Oklahoma City, OK 73179-2401 | 2019-04-19 |
| 1821506528 | Team Clinic Management Partners LLC | Clinic/Center | 3112 Cooke Way, Oklahoma City, OK 73179-2401 | 2018-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679063929 | Jamie Guthrie | Nurse Practitioner | 4104 Windgate West, Okc, OK 73179 | 2018-05-12 |
| 1063486280 | Tanya M Keck-smith | Physician Assistant | 5031 Sw 29th Street, Access Medical Center, Oklahoma City, OK 73179 | 2006-02-14 |
| 1902285075 | Julie Bynum | Registered Nurse | 3212 Wexford Ave, Oklahoma City, OK 73179-1202 | 2015-05-22 |
| 1801145388 | Cheryl Lynn Dixon | Counselor | 3221 Wexford Ave, Oklahoma City, OK 73179-1203 | 2012-08-30 |
| 1528539541 | Sheena Margariet Musgrove | Nurse Practitioner | 3101 Hampshire Ln, Oklahoma City, OK 73179-1206 | 2018-12-17 |
| 1588828826 | Kelly S. Beals, Inc. | Dietitian, Registered | 3220 Rockhampton Ave, Oklahoma City, OK 73179-1223 | 2008-07-16 |
| 1104396548 | Adalis Alyse Parker | Student in an Organized Health Care Education/Training Program | 9512 Sw 31st St, Oklahoma City, OK 73179-1232 | 2018-11-28 |
| 1477967966 | Eloisa Perez | Counselor | 3216 Westbury Glen Blvd, Oklahoma City, OK 73179-1246 | 2014-06-12 |
| 1366799371 | Kasandra Deann Redwine | Behavioral Analyst | 3200 Westbury Glen Blvd, Oklahoma City, OK 73179-1246 | 2012-08-08 |
| 1063873966 | Lacey Elizabeth Krivanek | Speech-Language Pathologist | 3209 Westbury Glen Blvd, Oklahoma City, OK 73179-1247 | 2016-03-19 |
| Find all providers in zip 73179 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870700 | Madison Medical, LLC | Durable Medical Equipment & Medical Supplies | 701 Cedar Lake Blvd Ste 151, Oklahoma City, OK 73114-7818 | 2020-10-28 |
| 1033755426 | Saint Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 1110 N Lee Ave Ste 200, Oklahoma City, OK 73103-2612 | 2019-11-21 |
| 1235775628 | Saint Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 13500 S Tulsa Dr Ste 301, Oklahoma City, OK 73170-9721 | 2019-11-21 |
| 1225674617 | Saint Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 3400 S Douglas Blvd Ste 302, Oklahoma City, OK 73150-1018 | 2019-11-21 |
| 1871140822 | Rs Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 8126 W Britton Rd Apt 1, Oklahoma City, OK 73132-1364 | 2019-08-23 |
| 1568015659 | Epic Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2249 Nw 39th St, Oklahoma City, OK 73112-8831 | 2019-07-18 |
| 1033761366 | Dmeworx LLC | Durable Medical Equipment & Medical Supplies | 3114 Nw 42nd St, Oklahoma City, OK 73112-6224 | 2019-07-16 |
| 1144795634 | Rto Distributors, LLC | Durable Medical Equipment & Medical Supplies | 7725 W Reno Ave Ste 399, Oklahoma City, OK 73127-9712 | 2018-10-10 |
| 1801374822 | Ventilateok LLC | Durable Medical Equipment & Medical Supplies | 4401 Nw 4th St Ste 133, Oklahoma City, OK 73107-6540 | 2018-08-01 |
| 1841785888 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5324 W Reno Ave Ste A, Oklahoma City, OK 73127-6359 | 2018-06-22 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73179 |
Please comment or provide details below to improve the information on ECLIPSE THERAPY SOLUTION.
| 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.