MR. KYLE N LIPKE (NPI# 1174719389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174719389 |
| Entity Type | Individual |
| Full Name | MR. KYLE N LIPKE |
| Credential | PA |
| Practice Address |
400 S Grand Crescent OK 73028-9118 |
| Practice Telephone | 4059692818 |
| Practice Fax Number | 4059692821 |
| Mailing Telephone | 4059692818 |
| Mailing Fax Number | 4056962821 |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2016-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1667 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 S GRAND |
| City | CRESCENT |
| State | OK |
| Zip Code | 73028-9118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427056662 | Stephen Ralph Travis | Internal Medicine | 400 S Grand, Crescent, OK 73028 | 2005-07-12 |
| 1659652071 | Mercy Hospital Logan County, Inc | Clinic/Center | 400 S Grand, Crescent, OK 73028-9118 | 2011-08-30 |
| 1497753487 | Logan Hospital and Medical Center Authority | Clinic/Center | 400 S Grand, Crescent, OK 73028 | 2005-07-13 |
| 1437157500 | Lee Curtis Rittenhouse | General Practice | 400 S Grand, Crescent, OK 73028 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578024774 | Crescent Dental Group Pllc | Dentist | 120 N Grand, Crescent, OK 73028 | 2019-03-29 |
| 1124197496 | Ambulance District of The Crescent School District | Ambulance | 120 W Monroe, Crescent, OK 73028 | 2006-11-08 |
| 1134135932 | Logsdon Lotz Drug Inc | Pharmacy | 101 N Grand, Crescent, OK 73028 | 2006-08-01 |
| 1851952683 | Next Plan, LLC | Pharmacy | 101 N Grand, Crescent, OK 73028 | 2019-06-24 |
| 1457633802 | Linda Carol Best | Nurse Practitioner | 613 W Van Buren, Crescent, OK 73028-0000 | 2011-09-12 |
| 1447459359 | Robert William Worden | Emergency Medicine | 315 South Grand, # 542, Crescent, OK 73028-0542 | 2007-07-12 |
| 1295178929 | Jocelyn Janea Humphrey | Speech-Language Pathologist | 11803 W Cooksey Rd, Crescent, OK 73028-8774 | 2013-04-11 |
| 1912447558 | Dana K Larue | Specialist | 14685 W Van Buren St, Crescent, OK 73028-8789 | 2017-03-01 |
| 1548868573 | Kayla Lynn Birchfield | Family Medicine | 220 W Jackson St, Crescent, OK 73028-8908 | 2020-10-12 |
| 1205824463 | Crescent Manor Inc. | Nursing Facility/Intermediate Care Facility | 208 E Sanderson St, Crescent, OK 73028-9027 | 2005-10-12 |
| Find all providers in zip 73028 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326496 | Courtland Henderson | Physician Assistant | 2614 Wagon Trl, Enid, OK 73703-1630 | 2020-11-03 |
| 1013517168 | Madeleine Hill | Physician Assistant | 5304 N Hudson Ave, Oklahoma City, OK 73118-6232 | 2020-10-28 |
| 1851990097 | Lauren Heim | Physician Assistant | 7324 Bucks Xing, Edmond, OK 73034-3520 | 2020-10-19 |
| 1003414673 | Stephanie Ann Stephens | Physician Assistant | 5021 Eric Dr, Oklahoma City, OK 73135-4129 | 2020-10-15 |
| 1508464355 | Lauren Danielle Ukleya | Physician Assistant | 1315 Chisholm Trail Pkwy Ste A, Duncan, OK 73533-1544 | 2020-10-14 |
| 1598362964 | Madison Kitchens | Physician Assistant | 471688 Ok-51, Stilwell, OK 74960 | 2020-10-07 |
| 1689271041 | Maissa Baker Mitwalli | Physician Assistant | 700 S Desert Palm Ave, Broken Arrow, OK 74012-8815 | 2020-10-07 |
| 1730705229 | Jenna Specht | Physician Assistant | 2501 N 14th St, Ponca City, OK 74601-1734 | 2020-06-19 |
| 1477176147 | April Dawn Sullivan | Physician Assistant | 1111 Walnut Dr, Ardmore, OK 73401-2354 | 2020-05-28 |
| 1497384754 | Leah Cannady Hester | Physician Assistant | 3145 Midland Valley St, Norman, OK 73069-6970 | 2020-04-07 |
| 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.