RAPHAEL BONELLE (NPI# 1184079014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184079014 |
| Entity Type | Organization |
| Organization Name | RAPHAEL BONELLE |
| Practice Address |
12201 Garden Ct Oklahoma City OK 73170-4006 |
| Practice Telephone | 4055104108 |
| Mailing Telephone | 4055104108 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |
| Authorized Official Name | RAPHAEL BONELLE (CASE MANAGER) |
| Authorized Official Telephone | 4055104108 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Street Address |
12201 GARDEN CT |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73170-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847542 | Premier Healthcare, Aprn-cnp | Nurse Practitioner | 12208 South Western Avenue, Suite B, Oklahoma City, OK 73170 | 2020-07-01 |
| 1982233565 | Bethany Ann Arthur | Student in an Organized Health Care Education/Training Program | 661 Waterview Rd, Okc, OK 73170 | 2020-04-06 |
| 1952868929 | Ariana N. Ree | Peer Specialist | 328 Sw 147th St, Oklahoma City, OK 73170 | 2019-02-26 |
| 1780151431 | Looking Up Counseling | Counselor | 709 Sw 119th Ste. B1, Okc, OK 73170 | 2018-10-31 |
| 1902385859 | Danell Marie Rahni | Psychologist | 17300 Serrano Dr, Oklahoma City, OK 73170 | 2018-08-11 |
| 1619468378 | Nhan Nguyen | Student in an Organized Health Care Education/Training Program | 10504 S Miller Ave, Oklahoma City, OK 73170 | 2018-05-29 |
| 1740709906 | Hall Podiatry LLC | Clinic/Center | 20 Sw 132nd Terrace, Moore, OK 73170 | 2017-09-19 |
| 1942727896 | Adelaide V South | Dietitian, Registered | 12216 S Land Ave, Oklahoma City, OH 73170 | 2017-08-22 |
| 1477073609 | Mary Ann Hayden | Nurse Practitioner | 3224 Sw 119th Street, Hennessee & Associates, Oklahoma City, OK 73170 | 2017-06-20 |
| 1245762293 | Michael David Detten | Physical Therapist | 10740 S May Ave Ste 111, Oklahoma City, OK 73170 | 2017-03-29 |
| Find all providers in zip 73170 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588984553 | Mental Health Recovery | Point of Service | 2201 Nw 122nd St Apt 513, Oklahoma City, OK 73120-8405 | 2010-06-01 |
| 1780858654 | J.michael Wyatt Inc.p.c. | Point of Service | 736 Nw 63rd St, Oklahoma City, OK 73116-7602 | 2008-04-22 |
| 1396940250 | Wilkinson Rambling Oaks Leaseco LLC | Point of Service | 12310 S Western Ave, Oklahoma City, OK 73170-5973 | 2007-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972988707 | Sandra Taylor | Point of Service | 906 W 9th Pl. South, Claremore, OK 74017-0000 | 2015-07-22 |
| 1639565153 | Ryian Reyes | Point of Service | 2101 N 14th, Suite 134, Ponca City, OK 74601 | 2015-04-10 |
| 1619374337 | His Arms Extended | Point of Service | 2358 County Road 1325, Blanchard, OK 73010-3522 | 2014-11-24 |
| 1114265576 | National Practitioners Services LLC | Point of Service | 5515 E 76th St, Tulsa, OK 74136-8429 | 2013-01-19 |
| 1962752659 | United Keetoowah Band Community Health Initiative, LLC | Point of Service | 2450 S Muskogee Ave, Tahlequah, OK 74464-5450 | 2012-09-11 |
| 1649547001 | Javersak Family Chiropractic | Point of Service | 1005 Shady Holw, 1005 Shady Hollow Ct, Mcalester, OK 74501-8342 | 2011-11-29 |
| 1144466962 | Lifeback Chiropractic Plc | Point of Service | 1101 N Harrison St Ste B, Shawnee, OK 74801-5205 | 2008-12-29 |
| 1710186994 | Lase Med, Inc. | Point of Service | 500 N Poplar Ave, Ste A, Broken Arrow, OK 74012-2337 | 2007-07-17 |
| 1306041272 | Countrywood Assisted Living & Memory Care, LLC | Point of Service | 1604 S 13th St, Kingfisher, OK 73750-4619 | 2007-06-19 |
| 1770788630 | Angelwood Assisted Living & Memory Care, LLC | Point of Service | 3200 Hayes Ave, Clinton, OK 73601-3514 | 2007-06-19 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73170 |
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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.