ELLISWORTH HARDIMAN (NPI# 1134351844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134351844 |
| Entity Type | Individual |
| Full Name | ELLISWORTH HARDIMAN |
| Practice Address |
1411 Steele Ave Chandler OK 74834-4219 |
| Practice Telephone | 4052589193 |
| Mailing Telephone | 4052589193 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2009-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 081015740 | 05 |
| Street Address |
1411 STEELE AVE |
| City | CHANDLER |
| State | OK |
| Zip Code | 74834-4219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285866996 | David Burgess | Counselor | 1411 Steele Ave, Chandler, OK 74834-4219 | 2009-08-13 |
| 1831423946 | Carolyn Marsh | Counselor | 1411 Steele Ave, Chandler, OK 74834-4219 | 2009-09-22 |
| 1114159472 | Darlene Harbert | Counselor | 1411 Steele Ave, Chandler, OK 74834-4219 | 2009-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831757954 | Icare Center Chandler LLC | Family Medicine | 200 Praire Lane, Chandler, OK 74834 | 2019-06-04 |
| 1699283143 | Bristow Endeavor Healthcare, LLC | Internal Medicine | 1116 Monvel Ave., Chandler, OK 74834 | 2018-01-18 |
| 1174995336 | Family Medicine & Urgent Care of Chandler, LLC | Nurse Practitioner | 405 N. Industrial Rd., Chandler, OK 74834 | 2015-10-28 |
| 1437481181 | Laurena Kleckner | Counselor | 112 North Kckinley Avenue, Chandler, OK 74834 | 2010-02-05 |
| 1578750196 | Kaw PC | Dentist | 1516 S Iowa, Chandler, OK 74834 | 2007-09-27 |
| 1457568719 | Oklahoma Mental Health Council | Community/Behavioral Health | 1605 E 1st St., Chandler, OK 74834 | 2007-05-17 |
| 1003038183 | Holly Melissa Shelton | Counselor | 112 N Mckinley, Chandler, OK 74834 | 2007-05-02 |
| 1235359548 | Oklahoma Mental Health Council | Community/Behavioral Health | 112 Mickley N, Chandler, OK 74834 | 2007-04-27 |
| 1215010913 | Daniel Joseph Wilguess | Dentist | 1516 South Iowa, Chandler, OK 74834 | 2006-10-24 |
| 1740394253 | Ashley Farmer | Counselor | 112 N. Mckinley, Chandler, OK 74834 | 2006-08-19 |
| Find all providers in zip 74834 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285866996 | David Burgess | Counselor | 1411 Steele Ave, Chandler, OK 74834-4219 | 2009-08-13 |
| 1831423946 | Carolyn Marsh | Counselor | 1411 Steele Ave, Chandler, OK 74834-4219 | 2009-09-22 |
| 1114159472 | Darlene Harbert | Counselor | 1411 Steele Ave, Chandler, OK 74834-4219 | 2009-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961169 | Michael Donald Scott | Counselor | 204 N Shannon Way, Mustang, OK 73064-2350 | 2020-11-01 |
| 1053918235 | Carolyn Ann Johnson | Counselor | 15362 E 12th St, Tulsa, OK 74108-4710 | 2020-10-01 |
| 1972139830 | Vanessa M Jones | Counselor | 5511 Meadowlake Dr, Guthrie, OK 73044-6656 | 2020-03-22 |
| 1689221129 | Dean Ashley Thomas Jr. | Counselor | 3427 N Birmingham Ave, Tulsa, OK 74110-1512 | 2019-08-20 |
| 1518529627 | Jane Alene Bevan | Counselor | 2801 Nw 44th St, Oklahoma City, OK 73112-3745 | 2019-06-28 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| 1881051662 | Lashawn Denise March | Counselor | 1515 W 1st St, Tulsa, OK 74127-8506 | 2016-01-25 |
| 1962882514 | Landerous George Meredith | Counselor | 8032 S Wheeling Ave Apt E, Tulsa, OK 74136-5244 | 2015-06-08 |
| 1356734610 | A New Sistahood Association | Counselor | 1333 Campbell Rd, Oklahoma City, OK 73111-5137 | 2015-03-11 |
| 1457749103 | Helena Romanow | Counselor | 3133 Somerset Pl, Oklahoma City, OK 73116-3011 | 2015-01-05 |
| 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.