ENID LUNG & KIDNEY CLINIC PLLC (NPI# 1225279987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225279987 |
| Entity Type | Organization |
| Organization Name | ENID LUNG & KIDNEY CLINIC PLLC |
| Practice Address |
330 S 5th St Suite 401 Enid OK 73701-5825 |
| Mailing Address |
Po Box 3885 Enid OK 73702-3885 |
| Practice Telephone | 5802330595 |
| Practice Fax Number | 5802341968 |
| Mailing Telephone | 5802330595 |
| Mailing Fax Number | 5802341968 |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2009-04-08 |
| Authorized Official Name | DR. PRABHU D VIJAYVARGIYA (OWNER) |
| Authorized Official Telephone | 5802330595 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
330 S 5TH ST SUITE 401 |
| City | ENID |
| State | OK |
| Zip Code | 73701-5825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972590776 | Charles Robert Shields | Specialist | 330 S 5th St, Suite 305, Enid, OK 73701-5825 | 2005-10-05 |
| 1346799673 | H Thomas Snyder Md | Family Medicine | 330 S 5th St, Ste 202, Enid, OK 73701-5825 | 2016-09-28 |
| 1003107897 | Saints Neurology of Enid | Neurological Surgery | 330 S 5th St, Suite 400, Enid, OK 73701-5825 | 2011-04-27 |
| 1093013948 | Saints Medical Group | Dermatology | 330 S 5th St, Suite 400, Enid, OK 73701-5825 | 2011-03-02 |
| 1003089574 | Nw Oklahoma Pathologists-clinic | Clinical Medical Laboratory | 330 S 5th St, Enid, OK 73701-5825 | 2008-04-07 |
| 1275704082 | Holli Denise Schultz | Community Health Worker | 330 S 5th St, Ste 501, Enid, OK 73701-5825 | 2008-03-19 |
| 1306047899 | Mobile Imaging Solutions Inc | Clinic/Center | 330 S 5th St, Suite 404, Enid, OK 73701-5825 | 2007-05-30 |
| 1144431859 | Kenneth L Watts Md PC | Surgery | 330 S 5th St, Suite 401, Enid, OK 73701-5825 | 2007-05-24 |
| 1215058029 | Enid Heart Center Inc | Internal Medicine | 330 S 5th St, Suite 400, Enid, OK 73701-5825 | 2007-04-02 |
| 1285751651 | Scheffe Rx | Pharmacy | 330 S 5th St, Enid, OK 73701-5825 | 2007-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407318595 | Sheila Watkins | Speech-Language Pathologist | 401 S. 3rd St, Physical Therapy, Enid, OK 73701 | 2019-04-05 |
| 1225548993 | Mirannda Lea Shourek | Case Manager/Care Coordinator | 3225 E Randolph, Apt 5a, Enid, OK 73701 | 2017-10-06 |
| 1962942045 | Nicole Elisibeth Hood | Social Worker | 605 W. Oxford St, Enid, OK 73701 | 2017-03-08 |
| 1689027237 | Amanda Partridge | Physician Assistant | 231 S. 30th St., Enid, OK 73701 | 2016-07-19 |
| 1134576952 | Keli Lanee Caffey | Counselor | 317 W. Cherokee Suite B, Enid, OK 73701 | 2016-05-22 |
| 1447670559 | Tamica Webster | Counselor | 1137 Hillside Dr, Enid, OK 73701 | 2014-04-16 |
| 1881024024 | Misty Ward | Registered Nurse | 600 S. Monroe, Enid, OK 73701 | 2013-11-26 |
| 1164856944 | Pharmcareok of Enid, Inc. | Pharmacy | 1119a E Owen Garriott Rd, Enid, OK 73701 | 2013-08-28 |
| 1922383421 | Bobby Doyle Taylor | Pharmacist | 902 West Garriott, Enid, OK 73701 | 2011-10-15 |
| 1194009324 | Stacia Paul | Counselor | 121 W. Maple, Enid, OK 73701 | 2011-10-06 |
| Find all providers in zip 73701 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477721975 | Pulmonology Associates of Enid | Internal Medicine | 401 E Oklahoma Ave, Suite A, Enid, OK 73701-5800 | 2008-02-19 |
| 1487705265 | Prabhu D Vijayvargiya | Internal Medicine | 312 E Garriott Rd, Enid, OK 73701-5712 | 2007-01-16 |
| 1174548127 | Northwest Pulmonary Physicians PC | Internal Medicine | 3201 N Van Buren St, Suite 400, Enid, OK 73703-1800 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598149 | Pulmonary Care Innovations Pllc | Internal Medicine | 2832 E 101st St, Tulsa, OK 74137-5601 | 2018-12-03 |
| 1184145393 | A&r Management Services, Inc. | Internal Medicine | 2621 E 38th St, Tulsa, OK 74105-8206 | 2017-06-28 |
| 1417319096 | Abed Madanieh | Internal Medicine | 800 Stanton L Young Blvd # 8400, Oklahoma City, OK 73104-5018 | 2016-03-23 |
| 1689966103 | Anthony Xavier Troitino | Internal Medicine | 3366 Nw Expressway Ste 650, Oklahoma City, OK 73112-4490 | 2011-05-03 |
| 1164654117 | Viral K Doshi | Internal Medicine | 13313 N Meridian Ave Ste D, Oklahoma City, OK 73120-8316 | 2009-08-10 |
| 1538393384 | Richard Waldo Nicholson | Internal Medicine | Rr 1 Box 1799, Checotah, OK 74426-9794 | 2009-05-07 |
| 1164688255 | Sleep Practice Management LLC | Internal Medicine | 305 N Bryant Ave, Edmond, OK 73034-6276 | 2008-07-29 |
| 1821219098 | Robert Keith Wilson | Internal Medicine | 2753 S. Utica Ave, Tulsa, OK 74114 | 2007-05-02 |
| 1023239431 | Wachita Kidney and Hypertension Specialists Pllc | Internal Medicine | 4417 W Gore Blvd Ste 3, Lawton, OK 73505-5978 | 2007-05-01 |
| 1518007632 | Saif Ullah Farooq | Internal Medicine | 4221 S Western Ave Ste 4005, Oklahoma City, OK 73109-3436 | 2007-02-07 |
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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.