AUXARC IMC, INC (NPI# 1134654627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134654627 |
| Entity Type | Organization |
| Organization Name | AUXARC IMC, INC |
| Other Organization Name | LCA TULSA |
| Practice Address |
3421 E 21st St Tulsa OK 74114-1958 |
| Practice Telephone | 9189783329 |
| Mailing Telephone | 9189783329 |
| Enumeration Date | 2017-04-22 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | MR. WADE ANDREW HUNTSMAN (OWNER) |
| Authorized Official Telephone | 9189783329 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 247200000X | Technician, Other | 247200000X | Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| LCA Tulsa | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 207 E Monroe Ave Ste D, Lowell, AR 727459625 | 4795958223 | |
| 3421 E 21st St, Tulsa, OK 741141958 | 9189783329 | |
| 3000 S Jamaica Ct Ste 310, Aurora, CO 800144601 | 7204991579 | |
| 4001 N Classen Blvd Ste 116, Oklahoma City, OK 731182667 | 4054001642 | |
| 15816 N Pennsylvania Ave Ste 1, Edmond, OK 730137334 | 4054001642 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | AuxArc iMC, Inc. | 3421 E 21st Street, Tulsa, OK 74114 |
| Street Address |
3421 E 21ST ST |
| City | TULSA |
| State | OK |
| Zip Code | 74114-1958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356865307 | Helen Marie Collier | Registered Nurse | 2325 S. Harvard Avenue, Tulsa, OK 74114 | 2017-08-01 |
| 1730635640 | Portia Resnick | Specialist/Technologist | 5707 E 24th Pl, Tulsa, OK 74114 | 2016-08-31 |
| 1093177925 | Ana Achlosser | Counselor | 2120 S Jamestown Ave, Tulsa, OK 74114 | 2016-03-21 |
| 1437558277 | Nicole Holzkamper | Case Manager/Care Coordinator | 2525 S Harvard Ave, Tulsa, OK 74114 | 2014-08-18 |
| 1619216272 | Nicole Lisette Mancinelli | Physician Assistant | 2424 E. 21st Street, Suite 320, Tulsa, OK 74114 | 2013-02-01 |
| 1598001414 | Zachary Paschall | Counselor | 2325 S Havard Ave, Tulsa, OK 74114 | 2012-12-20 |
| 1346511334 | Chelsea Lee Joslin | Counselor | 2140 S Harvard Ave Ste 200, Tulsa, OK 74114 | 2012-01-23 |
| 1073893210 | Elizabeth C Canfield | Speech-Language Pathologist | 1929 South 74th East Avenue, Tulsa, OK 74114 | 2011-08-19 |
| 1508185430 | Karly Lynn Mason | Social Worker | 2140 S. Harvard, Tulsa, OK 74114 | 2010-05-17 |
| 1790922185 | State of Oklahoma | Community Based Residential Treatment Facility, Mental Illness | 2323 South Harvard, Tulsa, OK 74114 | 2009-01-07 |
| Find all providers in zip 74114 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932522448 | Bethany Lusk | Technician, Other | 5126 S Trenton Ave, Tulsa, OK 74105-5717 | 2014-02-04 |
| 1598233264 | Kimberly Densmore | Technician, Other | 7170 S Braden Ave Ste 195, Tulsa, OK 74136-6324 | 2018-11-10 |
| 1568847150 | Ivory V Payne | Technician, Other | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2015-07-23 |
| 1700292679 | Laura Peiffer | Technician, Other | 2323 S Harvard Ave, Tulsa, OK 74114-3301 | 2014-07-10 |
| 1093158131 | Angela Yvonne Davis | Technician, Other | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2013-04-08 |
| 1255673976 | Helen E Riggs | Technician, Other | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2013-03-20 |
| 1790033355 | Michael Kerstan Kurz | Technician, Other | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2012-08-29 |
| 1427321207 | Stacey Ann Ellsworth | Technician, Other | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2012-02-09 |
| 1598050650 | James Beeman | Technician, Other | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2011-06-16 |
| 1619962248 | Cliff Timmons | Technician, Other | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2005-09-20 |
| Find all providers in TULSA | ||||
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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.