BILLY GRANT SANDERS (NPI# 1164597860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164597860 |
| Entity Type | Individual |
| Full Name | BILLY GRANT SANDERS |
| Credential | PA-C |
| Practice Address |
15809 Ne 23rd St Choctaw OK 73020-8428 |
| Mailing Address |
Po Box 10 Choctaw OK 73020-0010 |
| Practice Telephone | 4053909600 |
| Practice Fax Number | 4053909400 |
| Mailing Telephone | 4053909600 |
| Mailing Fax Number | 4053909400 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2010-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1561 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200100040A | 05 | |
| MEDICARE GROUP PTAN - CARY CARPENTER MD PC DBA CHOCTAW FAMILY ME | 900522085 | 01 | |
| MEDICARE INDIVIDUAL PTAN | OK400905 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952359507 | Billy Don Sanders | Nurse Anesthetist, Certified Registered | 1601 Newcastle Road, Forrest City, AR 72335-2218 | 2006-05-05 |
| Street Address |
15809 NE 23RD ST |
| City | CHOCTAW |
| State | OK |
| Zip Code | 73020-8428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053311548 | Cary Lee Carpenter | Family Medicine | 15809 Ne 23rd St, Choctaw, OK 73020-8428 | 2005-07-26 |
| 1518323856 | Nhu Thuy Luong | Physician Assistant | 15809 Ne 23rd St, Choctaw, OK 73020-8428 | 2015-12-31 |
| 1124108378 | Cary Carpenter, M.d. P.C. | Family Medicine | 15809 Ne 23rd St, Choctaw, OK 73020-8428 | 2006-10-16 |
| 1639267362 | Bruce A. Stafford, Do, PC | Family Medicine | 15809 Ne 23rd St, Choctaw, OK 73020-8428 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033666151 | Healthcare Express, LLP | Clinic/Center | 14321 Ne 23rd Street, Choctaw, OK 73020 | 2016-09-07 |
| 1497123798 | Steven Kyle Toelle | Counselor | 14700 Ne 50th Street, Choctaw, United States, OK 73020 | 2015-09-03 |
| 1295126936 | Maria Caram | Behavioral Analyst | 8525 Bella Circle, Choctaw, OK 73020 | 2015-02-17 |
| 1881948859 | Michaelanne Kelly | Physical Therapy Assistant | 1880 N Triple X Rd, Choctaw, OK 73020 | 2012-10-30 |
| 1508189465 | Helen Marie Allred | Counselor | 14453 Se 29th Street, Ste D, Choctaw, OK 73020 | 2010-03-08 |
| 1497944524 | Jaimie Sue Wright | Counselor | 14455 Steele Dr, Choctaw, OK 73020 | 2007-10-15 |
| 1972794949 | Jill Mechelle Loveless | Pharmacist | 2350 N Harper St, Choctaw, OK 73020 | 2007-08-06 |
| 1972719615 | Mary Neely Clayton | Dentist | 2408 N Main, Choctaw, OK 73020 | 2007-05-16 |
| 1215061486 | Belaben B Patel | Counselor | 14625 Ne3rd, Choctaw, OK 73020 | 2007-03-16 |
| 1740314129 | Tracy Ann Gasbarra | Dentist | 2401 N Henney Rd, Choctaw, OK 73020 | 2007-03-15 |
| Find all providers in zip 73020 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598860520 | Kelly Dawn Moak | Physician Assistant | 14321 Ne 23rd St, Choctaw, OK 73020-8624 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790392868 | James Scott Turner | Physician Assistant | 924 Nw 14th St, Moore, OK 73160-1610 | 2020-09-23 |
| 1386283679 | Cody Rice Chambers | Physician Assistant | 2002 12th Ave Nw Ste B, Ardmore, OK 73401-1206 | 2020-01-03 |
| 1073154647 | Haley Nicole Beaird | Physician Assistant | 8907 E 93rd St, Tulsa, OK 74133-5634 | 2019-10-03 |
| 1568920924 | Direct2u Urgent Care Pllc | Physician Assistant | 2417 County Road 1263, Blanchard, OK 73010-3123 | 2019-03-05 |
| 1538625660 | Symachia LLC | Physician Assistant | 115 N. Main St., Cashion, OK 73106 | 2019-02-13 |
| 1982172029 | William Landon Ross | Physician Assistant | 3705 W Memorial Rd Ste 101, Oklahoma City, OK 73134-1508 | 2018-11-07 |
| 1639646656 | Jacob Allbritton | Physician Assistant | 10824 Admiral Dr, Oklahoma City, OK 73162-6843 | 2018-10-29 |
| 1316420086 | Lauren Anto | Physician Assistant | 2824 Classen Blvd Ste 100, Norman, OK 73071-4059 | 2018-09-10 |
| 1073004768 | Shelby Teel | Physician Assistant | 1200 Everett Dr # 8305, Oklahoma City, OK 73104-5047 | 2018-05-29 |
| 1093240749 | Green's Country Clinic, LLC | Physician Assistant | 223 E Blackwell Ave, Blackwell, OK 74631-2909 | 2017-05-01 |
| 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.