MAGNUM HEALTH CARE, INC. (NPI# 1114257508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114257508 |
| Entity Type | Organization |
| Organization Name | MAGNUM HEALTH CARE, INC. |
| Practice Address |
12451 E 100th St N Owasso OK 74055-4600 |
| Mailing Address |
1923 S Utica Ave Davis Tower, 14th Floor Tulsa OK 74104-6520 |
| Practice Telephone | 9182745000 |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |
| Authorized Official Name | MR. RANDY HAMIL (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Telephone | 9187442949 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
12451 E 100TH ST N |
| City | OWASSO |
| State | OK |
| Zip Code | 74055-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538196399 | Frank A Desandre Jr. | Anesthesiology | 12451 E 100th St N, Owasso, OK 74055-4600 | 2006-06-27 |
| 1609342468 | Amanda Louise Whorton | Nurse Practitioner | 12451 E 100th St N, Owasso, OK 74055-4600 | 2018-10-19 |
| 1104324615 | Elizabeth Flores | Nurse Practitioner | 12451 E 100th St N, Owasso, OK 74055 | 2018-01-30 |
| 1861699738 | Audrey Melissa Stanton | Emergency Medicine | 12451 E 100th St N, Emergency Dept, Owasso, OK 74055-4600 | 2007-07-02 |
| 1447454541 | Asif Sarfraz | Emergency Medicine | 12451 E 100th St N, St John Owasso Emergency Dept, Owasso, OK 74055-4600 | 2007-06-13 |
| 1497960009 | Owasso Medical Facility LLC | Clinic/Center | 12451 E 100th St N, Owasso, OK 74055-4600 | 2007-05-14 |
| 1437226917 | Owasso Medical Facility LLC | Pharmacy | 12451 E 100th St N, Owasso, OK 74055-4600 | 2006-11-29 |
| 1932219839 | Bryan P. Shelton | Anesthesiology | 12451 E 100th St N, Owasso, OK 74055-4600 | 2006-08-30 |
| 1144231432 | Owasso Medical Facility, Inc | General Acute Care Hospital | 12451 E 100th St N, Owasso, OK 74055-4600 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151587 | Lakecrest Dental-owasso 96th | Dentist | 9551 N. Owasso Expressway, Suite #100, Owasso, OK 74055 | 2019-08-27 |
| 1205328697 | Eddie Duane Gaut | Case Manager/Care Coordinator | 110 W 3rd St., Apt 11, Owasso, OK 74055 | 2018-06-01 |
| 1821586694 | Kaitlyn Konarik | Speech-Language Pathologist | 12899 E 76th St N, Ste. 109, Owasso, OH 74055 | 2018-04-27 |
| 1043733769 | Kelsey Renae Nicklas | Case Manager/Care Coordinator | 9310 N 163rd East Ave, Owasso, OK 74055 | 2017-07-25 |
| 1700259256 | Genscripts Owasso, LLC | Pharmacy | 9538 N Garnett Rd, Suite 102, Owasso, OK 74055 | 2015-11-05 |
| 1770968810 | Premier Anesthesia Management Inc | Clinic/Center | 19236 E Twin Creeks Dr, Owasso, OK 74055 | 2015-07-29 |
| 1598152407 | Justin Lum | Physical Therapist | 12326 E 86th St N, Owasso, OK 74055 | 2015-04-17 |
| 1033507660 | Kimberly Louise Howard | Physical Therapy Assistant | 12899 East 76th St North, Owasso, OK 74055 | 2015-01-06 |
| 1780920629 | Timothy Ryan Thornton | Behavioral Analyst | 11330 N 94 E Ave, Owasso, OK 74055 | 2012-12-21 |
| 1679842785 | Kelli Marie Ellis | Counselor | 19760 E Fox Run Cir, Owasso, OK 74055 | 2011-12-19 |
| Find all providers in zip 74055 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255719472 | Medexpress Urgent Care, PC - Oklahoma | Emergency Medicine | 11760 E 86th St N, Owasso, OK 74055-2533 | 2015-05-07 |
| 1437357175 | Gavin Vanwey Gardner | Emergency Medicine | 9303 N 101st East Ave, Owasso, OK 74055-6841 | 2007-07-04 |
| 1265448591 | Harold Stopp | Emergency Medicine | 9201 N 133rd East Ave, Owasso, OK 74055-4736 | 2006-07-31 |
| 1811352776 | Bird Creek Emergency Physicians LLC | Emergency Medicine | 10502 N 110th East Ave, Owasso, OK 74055-6655 | 2015-12-20 |
| 1861699738 | Audrey Melissa Stanton | Emergency Medicine | 12451 E 100th St N, Emergency Dept, Owasso, OK 74055-4600 | 2007-07-02 |
| 1447454541 | Asif Sarfraz | Emergency Medicine | 12451 E 100th St N, St John Owasso Emergency Dept, Owasso, OK 74055-4600 | 2007-06-13 |
| 1720165830 | Green Country Emergency Physicians Group of Owasso Pllc | Emergency Medicine | 10502 N 110th East Ave, Owasso, OK 74055-6655 | 2006-11-01 |
| 1659453645 | Stephen Kovacs | Emergency Medicine | 13616 E 103rd St N, Ste A, Owasso, OK 74055-4586 | 2006-10-19 |
| 1427091388 | Steven P Treat | Emergency Medicine | 13616 E 103rd St N, Ste A, Owasso, OK 74055-4586 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323891 | Derek C Hill | Emergency Medicine | 901 N Porter Avenue, Norman, OK 73071-6404 | 2020-07-17 |
| 1295359248 | Optimum Complete Care, Pllc | Emergency Medicine | 5200 E. Interstate 240 Service Rd., Oklahoma City, OK 73135 | 2020-06-05 |
| 1427693399 | Johnnie Lee Gilpen Jr. | Emergency Medicine | 7997 Alfadale St, Union City, OK 73090-6615 | 2019-11-14 |
| 1164920252 | True North Health Navigation LLC | Emergency Medicine | 2525 Nw Expressway St Ste 102, Oklahoma City, OK 73112-7200 | 2018-01-24 |
| 1376052381 | Catherine Loeffler | Emergency Medicine | 1609 Breckenridge Dr, Edmond, OK 73013-7667 | 2017-09-21 |
| 1295256162 | Andrew Phillips | Emergency Medicine | 901 N Porter Ave Ofc, Norman, OK 73071-6404 | 2017-06-30 |
| 1801329958 | Alicia Claire Hubbell | Emergency Medicine | Integris Canadian Valley Hospital, 1201 Health Center Parkway, Yukon, OK 73099-6381 | 2017-04-06 |
| 1477002277 | Marianne Bacharach, Md, Pllc | Emergency Medicine | 1905 Nw 56th Ter, Oklahoma City, OK 73118-1409 | 2016-09-22 |
| 1457715799 | John Carl Sacra | Emergency Medicine | 7911 S. Hudson Pl, Tulsa, OK 74136 | 2016-04-13 |
| 1811359607 | Healthcare Stat of Anadarko Inc | Emergency Medicine | 1503 S Mission St, Suite A, Anadarko, OK 73005-5815 | 2016-03-22 |
| 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.