MR. CLAYTON LUCAS (NPI# 1104485747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104485747 |
| Entity Type | Individual |
| Full Name | MR. CLAYTON LUCAS |
| Credential | MPA |
| Practice Address |
224 Springtree Dr Harrah OK 73045-4517 |
| Practice Telephone | 9183151001 |
| Mailing Telephone | 9183151001 |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
224 SPRINGTREE DR |
| City | HARRAH |
| State | OK |
| Zip Code | 73045-4517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669974085 | Hunter Denton | Chiropractor | 1069 N. Harrah Rd., Harrah, OK 73045 | 2018-03-01 |
| 1447643978 | Lakepointe Dental Clinic of Harrah, Inc. | Clinic/Center | 20926 Se 29th St., A, Harrah, OK 73045 | 2015-03-09 |
| 1295162550 | Harrah Eye Clinic Pllc | Optometrist | 1087 N Harrah Rd, Harrah, OK 73045 | 2013-10-02 |
| 1568650471 | Eric D Kyrk Dds PC | Clinic/Center | 2405 Cappella Blvd, Harrah, OK 73045 | 2007-10-05 |
| 1467583245 | Eric D. Kyrk | Dentist | 2405 Cappella Blvd., Harrah, OK 73045 | 2007-03-07 |
| 1124040290 | Regina Renee Jacobs | Specialist | 19629 Ne 23rd St, Harrah, OK 73045 | 2006-07-24 |
| 1942368667 | Harrah Pharmacy Inc. | Pharmacy | 2060 N Church, Harrah, OK 73045-0247 | 2006-12-05 |
| 1023042314 | Harrah Pharmacy Inc. | Pharmacist | 2060 N Church Ave, Harrah, OK 73045-0247 | 2006-07-10 |
| 1659485118 | Amos Malone | Pharmacist | 2060 N Church Ave, Harrah, OK 73045-0247 | 2006-08-19 |
| 1346470606 | Michael Steven Reed Jr. | Family Medicine | 2171 Community Pl, Harrah, OK 73045-1118 | 2009-07-21 |
| Find all providers in zip 73045 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051963 | Omnicare365, Inc. | Contractor | 3588 Tom Smith Rd, Durant, OK 74701-6025 | 2020-07-29 |
| 1639700214 | Tohnyonah Jackson | Contractor | 7500 Knight Lake Dr Apt 123, Oklahoma City, OK 73132-6019 | 2020-01-31 |
| 1427693019 | Embrace Life, LLC | Contractor | 8521 Arlington Dr, Oklahoma City, OK 73132-4752 | 2019-11-07 |
| 1013558725 | Antwone Robinson | Contractor | 4407 Sw Hickory Ln, Lawton, OK 73505-7506 | 2019-10-03 |
| 1487200549 | Jason Alexander Cortes | Contractor | 2717 Nw Denver Ave, Lawton, OK 73505-3942 | 2019-08-14 |
| 1861059388 | 15th Street Clinic | Contractor | 180 W 15th St Ste 100, Edmond, OK 73013-3601 | 2019-05-20 |
| 1336615046 | Jera D Burtin | Contractor | 220 N Moreland Ave, Watonga, OK 73772-4038 | 2018-10-19 |
| 1346734282 | Sherry Deanne Ramsey | Contractor | 714 S Mcdonald St, Stillwater, OK 74074-4213 | 2018-06-14 |
| 1851897474 | Jami Michelle Reed | Contractor | 2256 Nw 164th, Edmond, OK 73013-1227 | 2018-04-03 |
| 1972022119 | Stephanie Lauryn Morcom | Contractor | 4525 W Beech Ave, Duncan, OK 73533-2295 | 2017-09-19 |
| Find all providers with the same taxonomy | ||||
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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.