MAYBELLE S WHU (NPI# 1114959905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114959905 |
| Entity Type | Individual |
| Full Name | MAYBELLE S WHU |
| Credential | MD |
| Practice Address |
1705 W 2nd St Elk City OK 73644-4455 |
| Mailing Address |
Po Box 2467 Elk City OK 73648-2467 |
| Practice Telephone | 5802252511 |
| Practice Fax Number | 5808215524 |
| Mailing Telephone | 5803034664 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2014-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | P1837 | TX | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 25964 | OK | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | P1837 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD055963L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK | 903395 | 01 |
| TX | RAILROAD MEDICARE | P01311906 | 01 |
| Street Address |
1705 W 2ND ST |
| City | ELK CITY |
| State | OK |
| Zip Code | 73644-4455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437129475 | Henderson Anesthesia PC | Anesthesiology | 1705 W 2nd St, Elk City, OK 73644-4455 | 2006-01-24 |
| 1932319779 | Marsha Jo Ballew | Pharmacist | 1705 W 2nd St, Elk City, OK 73644-4455 | 2007-05-23 |
| 1831271634 | Teton Anesthesia Ltd | Nurse Anesthetist, Certified Registered | 1705 W 2nd St, Elk City, OK 73644-4455 | 2006-10-20 |
| 1790755254 | James Johnson | Nurse Anesthetist, Certified Registered | 1705 W 2nd St, Elk City, OK 73644-4455 | 2006-01-25 |
| 1417927468 | Robert Henderson | Anesthesiology | 1705 W 2nd St, Elk City, OK 73644-4455 | 2006-01-24 |
| 1811967862 | Michael Haecherl | Nurse Anesthetist, Certified Registered | 1705 W 2nd St, Elk City, OK 73644-4455 | 2006-01-24 |
| 1396715348 | Dakota Anesthesia Inc | Nurse Anesthetist, Certified Registered | 1705 W 2nd St, Elk City, OK 73644-4455 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700259918 | Marco Chavez | Peer Specialist | 2032 W. 7th Place, Elk City, OK 73644 | 2015-11-10 |
| 1932588811 | Erin Marie Sloan | Family Medicine | 1710 W 3rd St Ste 102, Elk City, OK 73644 | 2015-05-25 |
| 1649521568 | Michael Robinson Medical Clinic, LLC | Family Medicine | 1900 W. 2nd St, Suite A, Elk City, OK 73644 | 2012-10-02 |
| 1780913129 | Kathi Lee Henderson | Clinical Nurse Specialist | 1513 N Randall Ave, Elk City, OK 73644 | 2009-12-14 |
| 1700018330 | Tiffany Dawn Dupree | Obstetrics & Gynecology | 1800 West 1st, Suite 101, Elk City, OK 73644 | 2009-08-16 |
| 1538331483 | Farrina Steel | Community Health Worker | 3080 W. 3rd Street, Elk City, OK 73644 | 2008-04-01 |
| 1851586622 | Billy Charles Spurlock | Chiropractor | 1521 W 3rd St, Elk City, OK 73644 | 2007-09-13 |
| 1073736096 | Bruce Daniel Storm Jr. | Dentist | 300 N Garrett, Elk City, OK 73644 | 2007-04-10 |
| 1578681698 | Tiffany Shook | Case Manager/Care Coordinator | 306 Maverick Lane, Elk City, OK 73644 | 2007-03-27 |
| 1720152614 | Diversified Family Services Inc | Community/Behavioral Health | 1021 E Hwy 66, Elk City, OK 73644 | 2006-11-20 |
| Find all providers in zip 73644 | ||||
| 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 |
|---|---|---|---|---|
| 1508998899 | Bruce Wayne Staeheli | Emergency Medicine | 119 Clubhouse Pl, Elk City, OK 73644-7301 | 2007-03-12 |
| 1760495477 | Robert Wayne King | Emergency Medicine | 1705 W 2nd, Elk City, OK 73644-4455 | 2006-08-14 |
| 1477566180 | James Lyndon Johnson | Emergency Medicine | 1705 W 2nd, Elk City, OK 73644-4455 | 2006-08-14 |
| 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.