DR. STEPHANIE DETER PICKETT (NPI# 1255592952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255592952 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE DETER PICKETT |
| Credential | M.D. |
| Practice Address |
2017 W I 35 Frontage Rd Edmond OK 73013-8504 |
| Practice Telephone | 4052164004 |
| Practice Fax Number | 4052164008 |
| Mailing Telephone | 4052164004 |
| Mailing Fax Number | 4052164008 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2015-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
29015 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598740839 | Stephanie Pickett | Nurse Practitioner | 3333 Brookview Hills Blvd, Suite 107 Total Family Care of Winston Salem, Winston-salem, NC 27103-5661 | 2005-12-09 |
| Street Address |
2017 W I 35 FRONTAGE RD |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-8504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215917778 | William J. Hale II | Orthopaedic Surgery | 2017 W I 35 Frontage Rd, Sutie 250, Edmond, OK 73013-8504 | 2006-01-20 |
| 1669987079 | Justin Hixon | Physical Medicine & Rehabilitation | 2017 W I 35 Frontage Rd, Edmond, OK 73013-8550 | 2017-12-07 |
| 1013457985 | Rachel Britton | Audiologist | 2017 W I 35 Frontage Rd, Suite 140, Edmond, OK 73013-8550 | 2017-02-27 |
| 1477000578 | Jason Stephen Seay | Registered Nurse | 2017 W I 35 Frontage Rd, Edmond, OK 73013-8550 | 2016-09-06 |
| 1932565454 | Erin Elane Ashley | Physician Assistant | 2017 W I 35 Frontage Rd, Edmond, OK 73013-8504 | 2016-01-13 |
| 1639568942 | Liz Tomichen | Physician Assistant | 2017 W I 35 Frontage Rd, Suite 170, Edmond, OK 73013-8550 | 2015-01-10 |
| 1801293105 | Kelly Walker | Physician Assistant | 2017 W I 35 Frontage Rd, Suite 250, Edmond, OK 73013-8504 | 2014-12-02 |
| 1306265640 | Mercy Pharmacy Services, LLC | Pharmacy | 2017 W I 35 Frontage Rd, Edmond, OK 73013-8504 | 2014-04-15 |
| 1376967349 | Jillian Grace Marshall | Audiologist | 2017 W I 35 Frontage Rd, Suite 140, Edmond, OK 73013-8504 | 2014-02-12 |
| 1992131791 | Julie Marie Price | Nurse Practitioner | 2017 W I 35 Frontage Rd, Edmond, OK 73013-8504 | 2013-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457532046 | Dena Elaine O'leary | Obstetrics & Gynecology | 4833 Integris Pkwy, Suite 200, Edmond, OK 73034-8864 | 2007-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134331671 | Arielle Marie Allen | Obstetrics & Gynecology | 3366 Nw Expressway, Suite 250, Oklahoma City, OK 73112-4462 | 2007-05-04 |
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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.