WYANDOTTE NATION (NPI# 1124185517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124185517 |
| Entity Type | Organization |
| Organization Name | WYANDOTTE NATION |
| Other Organization Name | BEARSKIN HEALTH CLINIC |
| Practice Address |
1 Turtle Drive Wyandotte OK 74370 |
| Practice Telephone | 9186782282 |
| Practice Fax Number | 9186782759 |
| Mailing Telephone | 9186782282 |
| Mailing Fax Number | 9186782759 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CARLA STOGSDILL (HEALTH DIRECTOR) |
| Authorized Official Telephone | 9186782282 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bearskin Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033462593 | Wyandotte Nation | Pharmacy | 1 Turtle Dr, Wyandotte, OK 74370-2114 | 2012-10-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WYANDOTTE NATION | 64700 E Hwy 60, Wyandotte, OK 74370-2098 |
| Street Address |
1 TURTLE DRIVE |
| City | WYANDOTTE |
| State | OK |
| Zip Code | 74370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265083380 | Modoc Tribe of Oklahoma | Clinic/Center | 10025 South 705 Road, Wyandotte, OK 74370 | 2019-09-20 |
| 1295778447 | Wyandotte School | Speech-Language Pathologist | First & School St, Wyandotte, OK 74370-0360 | 2006-06-14 |
| 1033462593 | Wyandotte Nation | Pharmacy | 1 Turtle Dr, Wyandotte, OK 74370-2114 | 2012-10-22 |
| 1326476938 | Deana Gayle Sweatt | Pharmacist | 1 Turtle Dr, Bearskin Health Clinic Pharmacy, Wyandotte, OK 74370-2114 | 2013-10-16 |
| 1114122041 | Jill Roberts | Counselor | 69999 E 152 Rd, Wyandotte, OK 74370-2224 | 2007-06-20 |
| 1013567940 | Community Health Center of Southeast Kansas, Inc. | Clinic/Center | 7 S 1st St, Wyandotte, OK 74370-2268 | 2019-09-12 |
| 1750580577 | Turkey Ford School | Local Education Agency (LEA) | 23900 S 670 Rd, Wyandotte, OK 74370-3013 | 2007-07-12 |
| 1295186203 | Deborah K Capshaw | Nurse Practitioner | 11151 S 689 Rd, Wyandotte, OK 74370-9504 | 2016-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161600 | Tiffini Ann Jones | Registered Nurse | 3624 8th St, Wyandotte, MI 48192-6509 | 2020-10-12 |
| 1831706746 | Micka Sestito | Massage Therapist | 3323 Biddle Ave, Wyandotte, MI 48192-6201 | 2020-09-24 |
| 1801405345 | Jason J Hanna | Counselor | 3301 Biddle Ave Apt P3, Wyandotte, MI 48192-6281 | 2020-07-30 |
| 1487271649 | Ashley Meade-caplinger | Technician | 2328 7th St, Wyandotte, MI 48192-4316 | 2020-07-02 |
| 1487279964 | Lindsay Mieden | Counselor | 2218 Biddle Ave, Wyandotte, MI 48192-4649 | 2020-06-10 |
| 1427696012 | Pharmacy Services Downriver LLC | Pharmacy | 2329 Eureka Rd, Wyandotte, MI 48192-6020 | 2019-12-15 |
| 1912541673 | Wayne Pharma | Pharmacy | 974 Ford Ave, Wyandotte, MI 48192 | 2019-11-05 |
| 1437716958 | Apollo Pharmacy of Wyandotte, Inc | Pharmacy | 2000 Eureka Rd, Wyandotte, MI 48192-6004 | 2019-05-20 |
| 1942763164 | Karie Lynn Llewellyn | Registered Nurse | 2836 20th St, Wyandotte, MI 48192-4809 | 2019-04-14 |
| 1992268015 | Tresa Lynn Little-loeckner | Licensed Practical Nurse | 1066 16th St, Wyandotte, MI 48192-3117 | 2019-04-08 |
| Find all providers in WYANDOTTE | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700817558 | Billy Ralph Nordyke Jr. | Family Medicine | 2201 Ford Ave, Wyandotte, MI 48192-2314 | 2006-07-06 |
| 1003874082 | Sami M Baraka | Family Medicine | 1622 Eureka Rd, Wyandotte, MI 48192-6104 | 2006-05-01 |
| 1740259191 | Parmod Jindal | Family Medicine | 2114 Eureka Rd, Wyandotte, MI 48192 | 2006-03-17 |
| 1285614776 | Sita Medical Clinic | Family Medicine | 995 Ford Ave, Wyandotte, MI 48192-3861 | 2006-01-19 |
| 1861490799 | Dennis R Lemanski | Family Medicine | 2070 Biddle Ave Ste 2, Wyandotte, MI 48192-4080 | 2005-07-13 |
| 1235619065 | Billy R Nordyke Jr Do PC | Family Medicine | 2201 Ford Ave, Wyandotte, MI 48192-2314 | 2018-08-21 |
| 1619408051 | Danielle Hunt Ortega | Family Medicine | 2333 Biddle Avenue, Henry Ford Wyandotte Hospital, Wyandotte, MI 48192 | 2017-03-27 |
| 1154701357 | Charles Xin | Family Medicine | 1700 Biddle Ave, Wyandotte, MI 48192-7205 | 2015-06-02 |
| 1265846042 | Michael David Collins | Family Medicine | 1700 Biddle Ave, Wyandotte, MI 48192-7205 | 2014-06-19 |
| 1255677266 | Ganka Spassova Md Pllc | Family Medicine | 1307 Ford Ave, Wyandotte, MI 48192-3823 | 2012-12-19 |
| Find all providers in WYANDOTTE | ||||
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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.