TRICITIES MEDICAL & SURGICAL (NPI# 1245353713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245353713 |
| Entity Type | Organization |
| Organization Name | TRICITIES MEDICAL & SURGICAL |
| Practice Address |
1509 S Indian Rd Wewoka OK 74884-9781 |
| Mailing Address |
Po Box 1221 Wewoka OK 74884-1221 |
| Practice Telephone | 4052576272 |
| Practice Fax Number | 4052576273 |
| Mailing Telephone | 4052576272 |
| Mailing Fax Number | 4052576273 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2008-11-04 |
| Authorized Official Name | MS. LINDA SUE MADRON (CLINIC MANAGER) |
| Authorized Official Telephone | 4052576272 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200037050A | 05 | |
| OK | 100737390A | 05 | |
| OK | NPI FOR TRUDI FREELAND | 1902885817 | 01 |
| OK | 200007490A | 05 |
| Street Address |
1509 S INDIAN RD |
| City | WEWOKA |
| State | OK |
| Zip Code | 74884-9781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972591980 | Robert A Wieck | Family Medicine | 1509 S Indian Rd, Wewoka, OK 74884-9781 | 2005-10-12 |
| 1356676050 | Saints Medical Group, LLC | Family Medicine | 1509 S Indian Rd, Wewoka, OK 74884-9781 | 2009-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841798626 | Luvey Deatherage | Physician Assistant | 36640 Old Hwy 270, Wewoka, OK 74884 | 2018-01-26 |
| 1730604422 | Robert Adarme Montanez | Pharmacist | 36640 Hwy 270 Barking Water Rd, Wewoka, OK 74884 | 2017-08-03 |
| 1447788484 | Domika Kinman | Dental Hygienist | 36640 Highway 270, Wewoka, OK 74884 | 2017-06-02 |
| 1942737101 | Aaron Jahmal Johnson | Pharmacist | 36640 Hwy 270 and Barking Water Road, Wewoka, OK 74884 | 2017-05-18 |
| 1912434689 | Shannon Lowe | Pharmacist | 36640 Hwy 270 & Barkingwater Rd, Wewoka, OK 74884 | 2017-05-12 |
| 1225483522 | Indian Health Service-wewoka | Clinic/Center | Jct Hwys 56 & 270, Wewoka, OK 74884 | 2016-04-25 |
| 1093184145 | East Central Oklahoma Family Health Center, Inc. | Clinic/Center | 121 N. Mekusukey Avenue, Wewoka, OK 74884 | 2015-09-18 |
| 1841667441 | Chandler Hall | Dentist | Hwy 56 and 270 Jct, Wewoka, OK 74884 | 2015-08-31 |
| 1285989459 | Sherry Goines Loving | Counselor | 221 N. Wewoka Ave, Wewoka, OK 74884 | 2012-07-13 |
| 1053681346 | Misty Smith | Dental Hygienist | Hwy 270 & 56 Jct, Wewoka, OK 74884 | 2012-01-04 |
| Find all providers in zip 74884 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609339753 | Jeremiah Mathew Cozby I | Legal Medicine | 27440 Potts Mtn Rd, Heavener, OK 74937-3698 | 2019-04-07 |
| 1508128216 | James Stephen Beck | Legal Medicine | 1639 Pine Dr, Grove, OK 74344-5503 | 2012-06-10 |
| 1386812345 | Spectra Family Medical Clinic LLC | Legal Medicine | 6520 E Reno, Suite A, Midwest City, OK 73110-2109 | 2008-02-13 |
| 1689875213 | Microvas Treatment Centers of America | Legal Medicine | 6130 S Memorial Dr, Tulsa, OK 74133-1933 | 2007-05-30 |
| 1528001344 | David A Porter | Legal Medicine | 1407 N Porter Ave, Norman, OK 73071-6606 | 2006-06-13 |
| 1003858416 | Hefner West Medical Clinic, P.C. | Legal Medicine | 4400 Nw 63rd St, Oklahoma City, OK 73116-1545 | 2006-06-11 |
| 1417955063 | Clinton Bradshaw Webster | Legal Medicine | 3705 Nw 63rd St, Suite 204, Oklahoma City, OK 73116-1935 | 2005-07-08 |
| 1831332956 | Vivian Viera, Md, Plc | Legal Medicine | 900 N Porter Ave, Suite 105, Norman, OK 73071-6425 | 2009-04-20 |
| 1881756740 | Medical Associates of Cushing, P.C. | Legal Medicine | 1030 E Cherry St, Cushing, OK 74023-4102 | 2006-12-15 |
| 1184739765 | John D Sutton | Legal Medicine | 1818 Kansas Ave, Woodward, OK 73801-2912 | 2006-08-21 |
| 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.