BRISTOW ENDEAVOR HEALTHCARE, LLC (NPI# 1114435666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114435666 |
| Entity Type | Organization |
| Organization Name | BRISTOW ENDEAVOR HEALTHCARE, LLC |
| Other Organization Name | CENTER FOR ORTHOPAEDIC RECONSTRUCTION AND EXCELLENCE |
| Practice Address |
3029 W. Main Street Jenks OK 74037 |
| Mailing Address |
700 W. 7th Street Suite 6 Bristow OK 74010 |
| Practice Telephone | 9187012300 |
| Practice Fax Number | 9182967766 |
| Mailing Telephone | 9183672215 |
| Mailing Fax Number | 9183679190 |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-02-08 |
| Authorized Official Name | JAN E. WINTER (CEO) |
| Authorized Official Telephone | 9183672215 |
| Is Organization Subpart | Y |
| Parent Organization Name | BRISTOW ENDEAVOR HEALTHCARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Center for Orthopaedic Reconstruction and Excellence | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275093098 | Bristow Endeavor Healthcare, LLC | Family Medicine | 1005 Mitacek Ave, Prague, OK 74864 | 2019-03-20 |
| 1679045439 | Bristow Endeavor Healthcare, LLC | Family Medicine | 900 Ok-33 Truck, Drumright, OK 74030 | 2018-12-18 |
| 1942700919 | Bristow Endeavor Healthcare, LLC | Internal Medicine | 700 W 7th Ave Ste 5, Bristow, OK 74010-2302 | 2018-02-16 |
| 1649779216 | Bristow Endeavor Healthcare, LLC | Pain Medicine | 512 N. Franklin Street, 2nd Floor, Jenks, OK 74037 | 2018-02-08 |
| 1699283143 | Bristow Endeavor Healthcare, LLC | Internal Medicine | 1116 Monvel Ave., Chandler, OK 74834 | 2018-01-18 |
| 1942718499 | Bristow Endeavor Healthcare, LLC | Internal Medicine | 607 S. Broadway Street, Coweta, OK 74429 | 2018-01-18 |
| 1134780265 | Bristow Endeavor Healthcare, LLC | Special Hospital | 2340 E Main St, Cushing, OK 74023-2905 | 2019-06-28 |
| 1295243749 | Bristow Endeavor Healthcare, LLC | Internal Medicine | 2340 E. Main Street, Cushing, OK 74023 | 2018-01-18 |
| 1265863583 | Bristow Endeavor Healthcare, LLC | Medicare Defined Swing Bed Unit | 700 W 7th Ave, Suite 6, Bristow, OK 74010-2302 | 2013-12-12 |
| Street Address |
3029 W. MAIN STREET |
| City | JENKS, |
| State | OK |
| Zip Code | 74037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437795507 | Brittanee Perez | Nurse Practitioner | 12813 South Ash Street, Jenks, OK 74037 | 2019-11-22 |
| 1790340743 | Hoppek Dental Pllc | Dentist | 202 South 2nd Street, Jenks, OK 74037 | 2019-05-06 |
| 1013570357 | Select Physical Therapy Holdings Inc. | Clinic/Center | 3402 W 114th St, Suite 101, Jenks, OK 74037 | 2019-04-22 |
| 1881170520 | Beair Medical Group, Pllc | Counselor | 201 W. Main Street, Suite 101, Jenks, OK 74037 | 2018-07-16 |
| 1336646975 | Milagros Mirdo | Nurse Practitioner | 2897 W 112th Pl S, Jenks, OK 74037 | 2018-04-10 |
| 1649779216 | Bristow Endeavor Healthcare, LLC | Pain Medicine | 512 N. Franklin Street, 2nd Floor, Jenks, OK 74037 | 2018-02-08 |
| 1720590748 | Heath Bryan Coleman, Dds of Oklahoma II, Pllc | Dentist | 11476 S Union Ave, Suite 102, Jenks, OK 74037 | 2017-10-31 |
| 1245778877 | Marriage and Family Solutions, LLC | Marriage & Family Therapist | 418 East B Street, Suite A, Jenks, OK 74037 | 2017-02-02 |
| 1265975916 | Lauren Key | Case Manager/Care Coordinator | 208 Fox Run Circle, Jenks, OK 74037 | 2016-11-29 |
| 1346619665 | Jennifer Mayer | Speech-Language Pathologist | 205 East B Street, Jenks, OK 74037 | 2015-09-16 |
| Find all providers in zip 74037 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265847925 | Best Friends Veterinary Hospital | Special Hospital | 5417 S Mingo Rd, Tulsa, OK 74146-5738 | 2014-06-21 |
| 1679861389 | Amgad Mohammed Haleem Amin | Special Hospital | 825 Ne 10th St Ste 1c, Oklahoma City, OK 73104-5417 | 2011-07-14 |
| 1841442274 | Oklahoma Heart Hospital South LLC | Special Hospital | 5200 East I-240 Service Rd, Oklahoma City, OK 73135-2610 | 2008-10-16 |
| 1205051323 | Trc The Recovery Center | Special Hospital | 1215 Nw 25th St., Oklahoma City, OK 73106 | 2007-04-16 |
| 1326136722 | Quapaw Counseling Services | Special Hospital | 58150 66th Road East, Miami, OK 74355-0876 | 2006-10-11 |
| 1073500419 | Southwestern Regional Medical Center, Inc | Special Hospital | 10109 E 79th Street South, Tulsa, OK 74133 | 2005-09-30 |
| 1356340897 | Ihs Acquisition No 168 Inc | Special Hospital | 8210 National Ave, Midwest City, OK 73110-8518 | 2005-07-18 |
| 1083617005 | Oklahoma Heart Hospital, LLC | Special Hospital | 4050 W Memorial Rd, Oklahoma City, OK 73120-8382 | 2005-05-23 |
| 1134780265 | Bristow Endeavor Healthcare, LLC | Special Hospital | 2340 E Main St, Cushing, OK 74023-2905 | 2019-06-28 |
| 1407331895 | Allen Charles Jones Jr. | Special Hospital | 1215 Nw 25th St, Oklahoma City, OK 73106-5629 | 2018-10-01 |
| 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.