SOUTHERN PLAINS MEDICAL CTR PC (NPI# 1235209453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235209453 |
| Entity Type | Organization |
| Organization Name | SOUTHERN PLAINS MEDICAL CTR PC |
| Other Organization Name | FAMILY MEDICAL CLINIC |
| Practice Address |
1104 E Central Blvd Anadarko OK 73005-4406 |
| Practice Telephone | 4052476685 |
| Mailing Telephone | 4052476685 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-03-06 |
| Authorized Official Name | GARY GASPARD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4052248111 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | OK | Laboratories |
| Other Name | Type Code |
|---|---|
| Family Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326118548 | Southern Plains Medical Ctr PC | Clinical Medical Laboratory | 2222 W Iowa Ave, Chickasha, OK 73018-2738 | 2006-11-08 |
| 1255357745 | Southern Plains Medical Ctr PC | Clinic/Center | 1104 E Central Blvd, Anadarko, OK 73005-4406 | 2006-07-15 |
| Street Address |
1104 E CENTRAL BLVD |
| City | ANADARKO |
| State | OK |
| Zip Code | 73005-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215918792 | Jay C Belt | Family Medicine | 1104 E Central Blvd, Anadarko, OK 73005-4400 | 2005-11-10 |
| 1437698784 | Grady Memorial Hospital | Surgery | 1104 E Central Blvd, Anadarko, OK 73005-4406 | 2017-02-20 |
| 1972939122 | Jennifer Renhae Dorsey | Nurse Practitioner | 1104 E Central Blvd, Anadarko, OK 73005-4406 | 2013-09-19 |
| 1134554033 | Beverly Anne Winn | Nurse Practitioner | 1104 E Central Blvd, Anadarko, OK 73005-4406 | 2013-09-10 |
| 1427141860 | Phillip W & Phyllis J Melton | Pharmacy | 1104 E Central Blvd, Suite 1, Anadarko, OK 73005-4406 | 2006-09-30 |
| 1255357745 | Southern Plains Medical Ctr PC | Clinic/Center | 1104 E Central Blvd, Anadarko, OK 73005-4406 | 2006-07-15 |
| 1306828694 | George A Cheek | Family Medicine | 1104 E Central Blvd, Anadarko, OK 73005-4400 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548810534 | Wichita and Affiliated Tribes | In Home Supportive Care | 1 1/4 Mi. N Hwy 281, Anadarko, OK 73005 | 2019-09-12 |
| 1750891149 | Anadarko Nursing & Rehabilitation LLC | Nursing Facility/Intermediate Care Facility | 300 West Washington, Anadarko, OK 73005 | 2017-10-11 |
| 1457725582 | Phuong Vu | Pharmacist | 201 East Parker Mckenzie Drive, Anadarko, OK 73005 | 2015-12-01 |
| 1659745412 | Joel Wolfe | Licensed Practical Nurse | 201 East Parker Mckenzine Drive, Anadarko, OK 73005 | 2015-11-17 |
| 1891940045 | Gordon Ray Whitewolf | Counselor | 101 Riverside Drive, Riverside Indian School, Anadarko, OK 73005 | 2008-12-01 |
| 1255362646 | Gregory Dale Clift | Optometrist | 115 N. E. Oldtown Dr, Anadarko, OK 73005 | 2006-07-05 |
| 1538190921 | Marc Anthony Clanton | Psychologist | N.e. 115 Old Town Road, Anadarko, OK 73005 | 2006-07-05 |
| 1083071575 | Mildred Gomez | Registered Nurse | 201 East Parker Mckenzine Drive, Anadarko, OK 73005 | 2016-01-28 |
| 1124484324 | Rose H. Autaubo | Licensed Practical Nurse | 201 East Parker Mckenzie Drive, Anadarko, OK 73005 | 2016-01-05 |
| 1558726190 | Juliana Lonewolf | Registered Nurse | 201 East Parker Mckenzie Drive, Anadarko, OK 73005 | 2015-12-28 |
| Find all providers in zip 73005 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1790307395 | Arc Diagnostics, LLC | Clinical Medical Laboratory | 8551 N 125th East Ave Ste 150, Owasso, OK 74055-2110 | 2020-05-18 |
| 1487275699 | Stateline Medical Lab LLC | Clinical Medical Laboratory | 105 N Pocola Blvd Ste 2, Pocola, OK 74902-3101 | 2020-04-28 |
| 1417583162 | Imaginus Diagnostic Laboratory LLC | Clinical Medical Laboratory | 17673 Us Highway 271, Spiro, OK 74959-5300 | 2020-03-13 |
| 1366089633 | Wellness Labs, LLC | Clinical Medical Laboratory | 5272 S Lewis Ave Ste 120, Tulsa, OK 74105-6563 | 2019-12-05 |
| 1669021622 | National Laboratory Corporation | Clinical Medical Laboratory | 5805 E 15th St Ste 104, Tulsa, OK 74112-6401 | 2019-09-11 |
| 1720636806 | Axiom Biogenomics, LLC | Clinical Medical Laboratory | 7335 S Lewis Ave Ste 120, Tulsa, OK 74136-6830 | 2019-08-31 |
| 1881178010 | Progentec Diagnostics Inc. | Clinical Medical Laboratory | 825 Ne 13th St Ste Mc302.4, Oklahoma City, OK 73104-5005 | 2018-09-24 |
| 1891280541 | Wellness Federal Labs, LLC | Clinical Medical Laboratory | 5272 S Lewis Ave Ste 121, Tulsa, OK 74105-6563 | 2018-06-26 |
| 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.