MUSKOGEE VAMC (NPI# 1184116857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184116857 |
| Entity Type | Organization |
| Organization Name | MUSKOGEE VAMC |
| Other Organization Name | TULSA 1 VA CLINIC |
| Practice Address |
5110 S Yale Ave Ste 200 Tulsa OK 74135-7475 |
| Mailing Address |
Po Box 94517 Cleveland OH 44101-4517 |
| Practice Telephone | 6153553451 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-05-30 |
| Authorized Official Name | ERIN DENISE POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| TULSA 1 VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851815294 | Muskogee Vamc | Clinic/Center | 901 Se Washington St, Idabel, OK 74745-3333 | 2017-07-27 |
| 1326436676 | Muskogee Vamc | Clinic/Center | 2414 E Shawnee Rd, Muskogee, OK 74403-1530 | 2015-01-08 |
| 1740517275 | Muskogee Vamc | Clinic/Center | 269 S 7th St, Vinita, OK 74301-3737 | 2009-11-04 |
| 1316335664 | Muskogee Vamc | Clinic/Center | 10159 E 11th St, Tulsa, OK 74128-3058 | 2015-01-08 |
| 1326201138 | Muskogee Vamc | Department of Veterans Affairs (VA) Pharmacy | 9322 E 41st St, Tulsa, OK 74145-3721 | 2008-07-02 |
| 1750320776 | Muskogee Vamc | Clinic/Center | 9322 E 41st St, Tulsa, OK 74145-3721 | 2006-06-05 |
| 1316999410 | Muskogee Vamc | Clinic/Center | 2 E Clark Bass Blvd, Mcalester, OK 74501-4282 | 2006-05-17 |
| 1598714925 | Muskogee Vamc | General Acute Care Hospital | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2006-05-10 |
| 1770541377 | Muskogee Vamc | Department of Veterans Affairs (VA) Pharmacy | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2006-05-03 |
| Street Address |
5110 S YALE AVE STE 200 |
| City | TULSA |
| State | OK |
| Zip Code | 74135-7475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316335664 | Muskogee Vamc | Clinic/Center | 10159 E 11th St, Tulsa, OK 74128-3058 | 2015-01-08 |
| 1750320776 | Muskogee Vamc | Clinic/Center | 9322 E 41st St, Tulsa, OK 74145-3721 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157065 | Oklahoma City Vamc | Clinic/Center | 1808 Commons Cir Ste B, Yukon, OK 73099-9518 | 2020-09-01 |
| 1598391716 | Oklahoma City Vamc | Clinic/Center | 7050 Air Depot Blvd Ste 1094, Tinker Afb, OK 73145-8716 | 2020-03-19 |
| 1215572656 | Oklahoma City Vamc | Clinic/Center | 315 W Gary Blvd, Clinton, OK 73601-2835 | 2019-11-08 |
| 1851815294 | Muskogee Vamc | Clinic/Center | 901 Se Washington St, Idabel, OK 74745-3333 | 2017-07-27 |
| 1326436676 | Muskogee Vamc | Clinic/Center | 2414 E Shawnee Rd, Muskogee, OK 74403-1530 | 2015-01-08 |
| 1740517275 | Muskogee Vamc | Clinic/Center | 269 S 7th St, Vinita, OK 74301-3737 | 2009-11-04 |
| 1982738852 | Oklahoma City Vamc | Clinic/Center | 717 Better Now Plz, Ada, OK 74820-2279 | 2007-03-15 |
| 1578506382 | Oklahoma City Vamc | Clinic/Center | 4303 Pitman and Thomas Road, Building 4303, Fort Sill, OK 73503-4473 | 2006-06-13 |
| 1780635128 | Oklahoma City Vamc | Clinic/Center | 1235 12th Ave Nw, Ardmore, OK 73401-1578 | 2006-05-12 |
| 1568076313 | Oklahoma City Vamc | Clinic/Center | 1020 24th Ave Nw, Norman, OK 73069-6341 | 2020-08-31 |
| 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.