INTEGRIS BASS BAPTIST HEALTH CENTER (NPI# 1124029293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124029293 |
| Entity Type | Organization |
| Organization Name | INTEGRIS BASS BAPTIST HEALTH CENTER |
| Other Organization Name | WAYNOKA FAMILY CLINIC |
| Practice Address |
1084 Nickerson St Waynoka OK 73860-1245 |
| Mailing Address |
Po Box 5038 Enid OK 73702-5038 |
| Practice Telephone | 5808242291 |
| Practice Fax Number | 5808240429 |
| Mailing Telephone | 5805481367 |
| Mailing Fax Number | 5805481537 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2013-12-16 |
| Authorized Official Name | GREG A MEYERS (VP INTEGRIS REGIONAL PHYS PRACT MGM) |
| Authorized Official Telephone | 5809771831 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100755790C | 05 | |
| OK | 100699500K | 05 |
| Other Name | Type Code |
|---|---|
| Waynoka Family Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436938 | Integris Bass Baptist Health Center | Clinic/Center | 1805 W Owen K Garriott Rd, Enid, OK 73703-5526 | 2020-10-30 |
| 1134499338 | Integris Bass Baptist Health Center | Clinic/Center | 1414 E Willow Rd, Enid, OK 73701-8714 | 2012-01-04 |
| 1700807997 | Integris Bass Baptist Health Center | Home Health | 401 S. 3rd, Enid, OK 73701-5737 | 2006-07-22 |
| 1528060019 | Integris Bass Baptist Health Center | Family Medicine | 316 Main St, Po Bx 659, Garber, OK 73738-0659 | 2005-08-15 |
| 1730180894 | Integris Bass Baptist Health Center | Family Medicine | 158b E Sunset Dr, Medford, OK 73759-2401 | 2005-08-10 |
| 1629679089 | Integris Bass Baptist Health Center | Clinic/Center | 2821 N Van Buren St Ste B, Enid, OK 73703-1729 | 2020-11-03 |
| 1659971398 | Integris Bass Baptist Health Center | Clinic/Center | 300 N Cherokee St, Hennessey, OK 73742-1106 | 2020-10-30 |
| 1740880483 | Integris Bass Baptist Health Center | Clinic/Center | 620 S Madison St, Stes 107, 209 & 301, Enid, OK 73701-7273 | 2020-10-30 |
| 1699383463 | Integris Bass Baptist Health Center | Pediatrics | 600 S Monroe St, Enid, OK 73701-7211 | 2020-07-17 |
| 1396216677 | Integris Bass Baptist Health Center | Clinic/Center | 707 S Monroe St, Enid, OK 73701-7286 | 2018-12-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INTEGRIS BASS BAPTIST HEALTH CENTER | 600 S Monroe St, Enid, OK 73701-7211 |
| Street Address |
1084 NICKERSON ST |
| City | WAYNOKA |
| State | OK |
| Zip Code | 73860-1245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669428 | Charlene Elaine Reust | Physician Assistant | 1084 Nickerson St, Waynoka, OK 73860 | 2005-06-16 |
| 1760450472 | Elizabeth Romanik Kinzie | Internal Medicine | 1084 Nickerson St, Waynoka, OK 73860 | 2006-03-09 |
| 1427059179 | Jeffery S Schwerdtfeger | Physician Assistant | 1084 Nickerson St, Waynoka, OK 73860-1245 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538638648 | Milissa A Britt | Case Manager/Care Coordinator | 500 S Nickerson, Waynoka, OK 73860 | 2018-11-19 |
| 1619470507 | Shonda Russell | Case Management | 1095 S. Nickerson St., Waynoka, OK 73860 | 2018-03-16 |
| 1962660738 | Susan M Hull | Internal Medicine | 1630 Santa Fe, Waynoka, OK 73860 | 2008-05-29 |
| 1518421668 | Dian Linnea Frey | Case Manager/Care Coordinator | 500 S Nickerson, Waynoka, OK 73860 | 2019-01-23 |
| 1790028496 | The Medical Clinic, Inc | Clinic/Center | 1630 Santa Fe St., Waynoka, OK 73860-0000 | 2013-04-01 |
| 1043213002 | City of Waynoka | Ambulance | 201 E Cecil St, Waynoka, OK 73860-1233 | 2005-05-24 |
| 1780718478 | Lois Arleta Smith | Case Manager/Care Coordinator | 1095 Nickerson St, Waynoka, OK 73860-1252 | 2007-03-15 |
| 1063026433 | Kohannah Hess | Case Manager/Care Coordinator | 1095 Nickerson St, Waynoka, OK 73860-1252 | 2020-09-03 |
| 1134750698 | Mackenzie Rae Brune | Case Manager/Care Coordinator | 1095 Nickerson St, Waynoka, OK 73860-1252 | 2020-02-03 |
| 1649835869 | Jordan Cremers | Peer Specialist | 1095 Nickerson St, Waynoka, OK 73860-1252 | 2019-05-02 |
| Find all providers in zip 73860 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1548868573 | Kayla Lynn Birchfield | Family Medicine | 220 W Jackson St, Crescent, OK 73028-8908 | 2020-10-12 |
| 1164039632 | Axiom Medical Solutions, LLC | Family Medicine | 14132 Se 134th St, Oklahoma City, OK 73165-7669 | 2020-09-28 |
| 1174139554 | Crestcare Family Medicine,pllc | Family Medicine | 817 S Elm Pl Ste 104, Broken Arrow, OK 74012-5369 | 2020-09-21 |
| 1346855640 | Charger Health Group Pllc | Family Medicine | 511 N Aspen Ave, Broken Arrow, OK 74012-2220 | 2020-09-14 |
| 1952916645 | Brandi Suzanne Shell | Family Medicine | 26471 E 141st St S, Coweta, OK 74429-5517 | 2020-09-10 |
| 1730793696 | Osumc Professional Services LLC | Family Medicine | 112 W 5th Street, Okmulgee, OK 74447-0000 | 2020-09-08 |
| 1104437219 | L and M Investments LLC | Family Medicine | 6001 Nw 139th St, Oklahoma City, OK 73142-1919 | 2020-08-12 |
| 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.