DR. LETICEA MARIE NEWTON (NPI# 1265422281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265422281 |
| Entity Type | Individual |
| Full Name | DR. LETICEA MARIE NEWTON |
| Other Name | DR. LETICEA MARIE STEVENSON PABLO |
| Credential | MD |
| Practice Address |
1328 S York St Muskogee OK 74403-7650 |
| Mailing Address |
Po Box 751 Hulbert OK 74441-0751 |
| Practice Telephone | 9186830470 |
| Practice Fax Number | 9186830475 |
| Mailing Telephone | 9187723390 |
| Mailing Fax Number | 9186830475 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2019-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 21371 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | STATE LICENSE NUMBER | 21371 | 01 |
| OK | 1121371 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 E. Downing- Tahlequah Extended Care, Northeastern Ok Community Health Centers, Inc., Tahlequah, OK 74464 | 9184560011 | 9182070919 |
| Street Address |
1328 S YORK ST |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74403-7650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083169403 | Shelly Schoonover | Nurse Practitioner | 1328 S York St, Muskogee, OK 74403-7650 | 2016-08-16 |
| 1730544305 | Myra A Young | Nurse Practitioner | 1328 S York St, Muskogee, OK 74403-7650 | 2015-12-23 |
| 1063848653 | Leslie Ann Eddleman | Internal Medicine | 1328 S York St, Muskogee, OK 74403-7650 | 2013-09-16 |
| 1396713764 | Paul Wayne Hobbs | Internal Medicine | 1328 S York St, Muskogee, OK 74403-7650 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861945602 | Mccall Dental Studio | Dentist | 2214 Chandler Rd, Muskogee, OK 74403 | 2016-07-28 |
| 1386047256 | Dr. Penny B. Smythe, Inc., PC | Optometrist | 1157 N. York St., Muskogee, OK 74403 | 2014-10-06 |
| 1841563210 | Peggy Hanson | Social Worker | 503 E. Cincinnati Avenue, Muskogee, OK 74403 | 2012-02-16 |
| 1467736736 | Crystal S Richardson | Behavioral Analyst | 502 E Cincinnati Ave., Muskogee, OK 74403 | 2011-10-05 |
| 1114109816 | Jennifer Irene Newton | Dietitian, Registered | 1001 S. 41st Street East, Muskogee, OK 74403 | 2007-12-04 |
| 1922290899 | Casey Farmer | Counselor | 501 Fredonia, Muskogee, OK 74403 | 2007-08-15 |
| 1609068501 | Brenda Lawson | Counselor | 501 Fredonia St, Muskogee, OK 74403 | 2007-08-14 |
| 1689888661 | Christy Janet Coggins | Physical Therapy Assistant | 3310 Chandler Road, Muskogee, OK 74403 | 2007-05-09 |
| 1376765412 | Magnolia Gardens | Assisted Living Facility | 3211 Chandler Road, Muskogee, OK 74403 | 2007-05-02 |
| 1841411972 | Country Gardens Assisted Living, LLC | Assisted Living Facility | 611 S. Country Club Road, Muskogee, OK 74403 | 2007-05-02 |
| Find all providers in zip 74403 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205474996 | University Heights Medical Clinic | Family Medicine | 2901 Azalea Park Dr, Muskogee, OK 74401-2283 | 2019-12-13 |
| 1730651597 | Mednow Primary Care Center LLC | Family Medicine | 550 S Shawnee St, Muskogee, OK 74401-4144 | 2018-12-18 |
| 1740678622 | Urgent Care of Muskogee Pllc | Family Medicine | 384 S 33rd St Ste D, Muskogee, OK 74401-5065 | 2014-12-31 |
| 1255699435 | Peter Fast | Family Medicine | 2900 N Main St Ste 101, Muskogee, OK 74401-4078 | 2012-04-25 |
| 1528396546 | Jimmie Sue Hill | Family Medicine | 2001 E 58th St N, Muskogee, OK 74403-4503 | 2009-12-02 |
| 1770602526 | Gary W Lambert, D. O. | Family Medicine | 620 East Okmulgee, Muskogee, OK 74403 | 2007-03-29 |
| 1013031632 | Michael W Hammond, M.d. | Family Medicine | 3501 W Broadway St, Muskogee, OK 74401-2138 | 2007-03-19 |
| 1164561270 | Patrice Diane Pace | Family Medicine | 3300 Chandler Rd Ste 107, Muskogee, OK 74403-4909 | 2007-02-05 |
| 1104996834 | B Frank Shaw | Family Medicine | 2901 Azalea Park Drive, Muskogee, OK 74401 | 2006-11-09 |
| 1861597197 | Diane D. Johnston | Family Medicine | 2822 Irving St, Muskogee, OK 74403-3933 | 2006-09-13 |
| Find all providers in MUSKOGEE | ||||
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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.