MS. MAROLYN JEAN PEARSON (NPI# 1184745697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184745697 |
| Entity Type | Individual |
| Full Name | MS. MAROLYN JEAN PEARSON |
| Other Name | MAROLYN JEAN BOWMAN |
| Credential | PA-C |
| Practice Address |
4411 W Gore Blvd Suite A2 Lawton OK 73505 |
| Mailing Address |
Po Box 785 Lawton OK 73502-0785 |
| Practice Telephone | 5803550575 |
| Practice Fax Number | 5802481725 |
| Mailing Telephone | 5803579984 |
| Mailing Fax Number | 5803573277 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2011-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1936 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
1045922 | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4411 W GORE BLVD SUITE A2 |
| City | LAWTON |
| State | OK |
| Zip Code | 73505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295729929 | Ivanka A Vassileva | Family Medicine | 4411 W Gore Blvd, Ste B10, Lawton, OK 73505-5977 | 2005-09-08 |
| 1891195590 | Comanche County Healthcare Corporation | Nurse Practitioner | 4411 W Gore Blvd, Suite A2, Lawton, OK 73505-6016 | 2014-08-29 |
| 1003151739 | Niina Irene Tucker | Behavioral Analyst | 4411 W Gore Blvd, Lawton, OK 73505-5977 | 2012-12-06 |
| 1659624427 | Sammie Lea Forrester | Counselor | 4411 W Gore Blvd, Lawton, OK 73505-5977 | 2012-10-18 |
| 1801151097 | Maurice Demarco Horton | Counselor | 4411 W Gore Blvd, Ste B8, Lawton, OK 73505-5977 | 2012-07-12 |
| 1699037820 | Oak Tree Counseling Services | Behavioral Analyst | 4411 W Gore Blvd, Lawton, OK 73505-5977 | 2012-06-13 |
| 1225398332 | Bernice Jaria | Counselor | 4411 W Gore Blvd, Suite B8, Lawton, OK 73505-5977 | 2012-05-22 |
| 1922365725 | Verneka Eaoshea Bullard | Social Worker | 4411 W Gore Blvd, Suite B8, Lawton, OK 73505-5977 | 2012-04-18 |
| 1346545944 | Francois J Du Toit, Md, LLC | Family Medicine | 4411 W Gore Blvd, B6, Lawton, OK 73505-5977 | 2011-01-13 |
| 1902058050 | Amber Leigh Morrow | Nurse Practitioner | 4411 W Gore Blvd, Suite A2, Lawton, OK 73505-6016 | 2008-10-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558382846 | Frank Williams | Physician Assistant | 642 Ne Valley View Rd, Lawton, OK 73507-8010 | 2006-07-21 |
| 1477060457 | Dustin Corey Brooks | Physician Assistant | 6744 Nw Cache Rd, Lawton, OK 73505-2702 | 2017-12-29 |
| 1699220368 | Sarah Viscarra | Physician Assistant | 110 Nw 31st St, 2nd Floor, Lawton, OK 73505 | 2016-08-23 |
| 1730554338 | Amy Hannington | Physician Assistant | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2015-12-08 |
| 1568629863 | Sandra Louise Johnson | Physician Assistant | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2008-05-22 |
| 1467642538 | Crystal Michelle Coe | Physician Assistant | 1301 Nw 40th St, Lawton, OK 73505-3656 | 2007-07-25 |
| 1518003656 | Lawton Emergency Group LLC | Physician Assistant | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 | 2007-01-29 |
| 1427154681 | David Allen Clem | Physician Assistant | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2006-09-15 |
| 1578551412 | Westley A Carter | Physician Assistant | 3201 W Gore Blvd, Suite 201, Lawton, OK 73505 | 2005-10-13 |
| 1942295779 | Doyle G Stark Jr. | Physician Assistant | 3401 W Gore Blvd, Lawton, OK 73505 | 2005-09-19 |
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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.