SOUTHERN PLAINS MEDICAL CTR PC (NPI# 1255357745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255357745 |
| 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 |
| Mailing Address |
Po Box 1069 Chickasha OK 73023-1069 |
| Practice Telephone | 4052476685 |
| Mailing Telephone | 4052476685 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2008-04-29 |
| Authorized Official Name | KAREN MALUF (PRESIDENT) |
| Authorized Official Telephone | 4052248111 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100707760B | 05 |
| 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 |
| 1235209453 | Southern Plains Medical Ctr PC | Clinical Medical Laboratory | 1104 E Central Blvd, Anadarko, OK 73005-4406 | 2006-11-08 |
| 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 |
| 1235209453 | Southern Plains Medical Ctr PC | Clinical Medical Laboratory | 1104 E Central Blvd, Anadarko, OK 73005-4406 | 2006-11-08 |
| 1427141860 | Phillip W & Phyllis J Melton | Pharmacy | 1104 E Central Blvd, Suite 1, Anadarko, OK 73005-4406 | 2006-09-30 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841646114 | One Cura Family Clinic-anadarko, Inc. | Clinic/Center | 412 Southeast 11th Street, Anadarko, OK 73005-4405 | 2016-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275471 | Osu Center for Health Sciences | Clinic/Center | 1 E Clark Bass Blvd Ste 201, Mcalester, OK 74501-4209 | 2020-11-06 |
| 1427662170 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave Ste 410, Tulsa, OK 74127-9059 | 2020-09-01 |
| 1154949642 | Osu Center for Health Sciences | Clinic/Center | 140 W 151st St S, Glenpool, OK 74033-4523 | 2020-07-10 |
| 1235757071 | Equality Health Group LLC | Clinic/Center | 4301 Nw 63rd St Ste 109, Oklahoma City, OK 73116-1548 | 2020-07-08 |
| 1538785985 | Stars and Stripes Therapy Inc. | Clinic/Center | 713 Sw C Ave Ste A, Lawton, OK 73501-4311 | 2020-06-22 |
| 1265058101 | Taylor Medical Group, LLP | Clinic/Center | 735 W Locust St, Stilwell, OK 74960-3403 | 2020-06-16 |
| 1891317731 | Sparks Medical Consulting LLC | Clinic/Center | 1604 Sw 38th St, Moore, OK 73160-2953 | 2020-05-14 |
| 1093341844 | Osu Center for Health Sciences | Clinic/Center | 3201 W Gore Blvd Ste G2, Lawton, OK 73505-6323 | 2020-03-12 |
| 1255964128 | Osu Center for Health Sciences | Clinic/Center | 110 Nw 31st St Fl 3, Lawton, OK 73505-6100 | 2020-02-19 |
| 1104458231 | Osu Center for Health Sciences | Clinic/Center | 6501 S Western Ave Ste 101, Oklahoma City, OK 73139-1709 | 2020-02-06 |
| 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.