EDGAR GARCIA


Address: 2225 N Union St, Ponca City, OK 74601-1555
Phone: 5807495056

EDGAR GARCIA (NPI# 1114550779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114550779
Entity Type Individual
Full Name EDGAR GARCIA
Practice Address 2225 N Union St
Ponca City
OK 74601-1555
Mailing Address 1600 N 4th St
Ponca City
OK 74601-2741
Practice Telephone 5807495056
Mailing Telephone 5804913119
Enumeration Date 2020-02-21
Last Update Date 2020-03-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist V083370953 OK Other Service Providers

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1205832276 Edgar R Garcia Nurse Practitioner 1150 Nw 14th St, Ste 212, Miami, FL 33136-2113 2005-06-24
1922561299 Edgar Mauricio Garcia Behavior Technician 2928 Jefferson St Ste 100, Carlsbad, CA 92008-2374 2019-04-12
1922485010 Edgar E. Garcia Physician Assistant 1040 W Jefferson St, Brownsville, TX 78520-6338 2015-04-28
1649677139 Edgar Garcia Physician Assistant 5201 N 10th St, Mcallen, TX 78504-2708 2014-11-26

Office Location

Street Address 2225 N UNION ST
City PONCA CITY
State OK
Zip Code 74601-1555

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689799249 Opportunity Center, Incorporated Day Training/Habilitation Specialist 2225 N Union St, Ponca City, OK 74601-1555 2007-03-20
1255968145 John Hofferber Counselor 2225 N Union St, Ponca City, OK 74601-1555 2020-03-23
1558993519 Brandy Michelle Musgrove Peer Specialist 2225 N Union St, Ponca City, OK 74601-1536 2020-02-07
1689214165 Linda Yvonne Winter Peer Specialist 2225 N Union St, Ponca City, OK 74601-1555 2020-01-13
1821402421 April D Vaughn Counselor 2225 N Union St, Ponca City, OK 74601-1536 2014-06-12
1346589975 Julie Brown Counselor 2225 N Union St, Ponca City, OK 74601-1536 2013-02-01
1720282320 Greg D Ogden Counselor 2225 N Union St, Ponca City, OK 74601-1555 2007-06-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245867258 Triad Health Systems LLC Family Medicine 2703 N 14th St, Ponca City, OK 74601 2020-03-27
1679096952 Gabrielle Evangeline Barnes Case Manager/Care Coordinator 620 W. Grand, Ponca City, OK 74601 2017-07-19
1942722889 Kimbra Leigh Anderson Case Manager/Care Coordinator 1500 N. 6th, Ponca City, OK 74601 2017-07-12
1033631965 Kayla Patten Case Manager/Care Coordinator 620 W Grand, Ponca, OK 74601 2017-07-12
1639601859 Affordable Dental Dentist 1618 N 5th St Ste 4, Ponca City, OK 74601 2017-03-28
1447627237 Harold Jason Laughlin Jr. Chiropractor 222 E. Grand, Ste. 309, Ponca City, OK 74601 2015-08-27
1578947875 Jessica James Social Worker 1500 N 6th, Ponca City, OK 74601 2015-07-16
1639565153 Ryian Reyes Point of Service 2101 N 14th, Suite 134, Ponca City, OK 74601 2015-04-10
1003253006 Proving Faithful Investments Inc. Home Health 205 W. Hartford Avenue #112, Ponca City, OK 74601 2013-05-30
1427365899 Quint Allen Whitefield Dentist 1618 N. 5th Street, Suite #2, Ponca City, OK 74601 2010-09-08
Find all providers in zip 74601

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659972537 Tamra Lynn Cunningham Peer Specialist 764 Sherwin Ave, Ponca City, OK 74604-6112 2020-11-05
1376143883 Tina Marie Lopez Peer Specialist 933 N Oak St, Ponca City, OK 74601-3218 2020-10-26
1497393243 Amy Dawn Smith Peer Specialist 1713 Clarke St, Ponca City, OK 74601-2912 2019-12-11
1194362913 Stephanie Lynn Wright Peer Specialist 1512 Queens Ave, Ponca City, OK 74604-1321 2019-12-01
1114569738 Alan Keith Wilcoxson Peer Specialist 1801 Blackard Ln, Ponca City, OK 74604-3512 2019-10-15
1437691268 Kathy Mitchell Peer Specialist 332 S Osage St Apt 1, Ponca City, OK 74601-5143 2016-11-10
1558993519 Brandy Michelle Musgrove Peer Specialist 2225 N Union St, Ponca City, OK 74601-1536 2020-02-07
1689214165 Linda Yvonne Winter Peer Specialist 2225 N Union St, Ponca City, OK 74601-1555 2020-01-13
1134774052 Shaleen Fay Colton Peer Specialist 110 N 4th St, Ponca City, OK 74601-4527 2019-08-07
1417445511 Kristopher Lee Butler Peer Specialist 620 W Grand Ave, Ponca City, OK 74601-5123 2018-04-25
Find all providers in PONCA CITY

Competitor

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City PONCA CITY
Zip Code 74601

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Dataset Information

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.

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