KENNETH M EGAN (NPI# 1275698862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275698862 |
| Entity Type | Individual |
| Full Name | KENNETH M EGAN |
| Credential | M.D. |
| Practice Address |
Rr 1 Box 3060 Clinton OK 73601-9303 |
| Mailing Address |
215 S 28th St Apt # B-3 Clinton OK 73601-3609 |
| Practice Telephone | 5803232884 |
| Practice Fax Number | 5803232579 |
| Mailing Telephone | 5803232884 |
| Mailing Fax Number | 5803232579 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 35050525E | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 9135050 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518042092 | Kenneth J Egan | Dermatology | 107 Newtown Rd, Suite 2c, Danbury, CT 06810-4146 | 2006-10-25 |
| Street Address |
RR 1 BOX 3060 |
| City | CLINTON |
| State | OK |
| Zip Code | 73601-9303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276601 | Pedro Juan Lopez | Internal Medicine | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2005-06-23 |
| 1457605347 | Michelle Marie Beshaw | Physician Assistant | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2012-10-31 |
| 1669737276 | Barbara Benally | Licensed Practical Nurse | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2012-07-10 |
| 1891050498 | Wanda Lanell Green | Licensed Practical Nurse | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2012-07-10 |
| 1730448838 | Dennis Austin Ward | Registered Nurse | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2012-05-09 |
| 1619253655 | Tiereny Witt | Dental Hygienist | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2011-10-21 |
| 1164700290 | Lydia Garvey | Registered Nurse | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2011-07-22 |
| 1750680765 | Us Public Health Service Indian Health | Clinic/Center | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2011-03-17 |
| 1124322433 | Angela Carin Cloud | Licensed Practical Nurse | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2010-12-29 |
| 1538479373 | Charlene Amelia Wassana | Registered Nurse | Rr 1 Box 3060, Clinton, OK 73601-9303 | 2010-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225514458 | April Walker | Pharmacist | 100 N. 30th, Clinton, OK 73601 | 2018-07-11 |
| 1477045995 | Dynamic Psychological & Mediation Services | Counselor | 104 S 7th St, Clinton, OK 73601 | 2018-05-31 |
| 1619490851 | Kristyn Wagner | Social Worker | 90 N 31st Street, Clinton, OK 73601 | 2017-07-19 |
| 1124478193 | Lindsay Dlugonski | Nurse Practitioner | 545 S. 30th Street, Clinton, OK 73601 | 2016-06-20 |
| 1881059434 | Cathrine Mears | Counselor | 94 N 31st, Clinton, OK 73601 | 2015-12-28 |
| 1326464603 | Melissa Lucia Torres | Nurse Practitioner | 3140 W. Hayes, Clinton, OK 73601 | 2014-03-11 |
| 1356789341 | Clinton Hmpn, LLC | Family Medicine | 129 S. 9th Street, Clinton, OK 73601 | 2013-06-12 |
| 1881950970 | Namen Bouma | Counselor | 70-100 N. 31st Street, Clinton, OK 73601 | 2012-04-03 |
| 1366717928 | Sherri Lee Milliron | Counselor | 70-100 N 31st, Clinton, OK 73601 | 2012-03-15 |
| 1740597087 | Susan Kathleen Hodges | Counselor | 19 Sunset Place, Clinton, OK 73601 | 2010-09-08 |
| Find all providers in zip 73601 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811307010 | Nermeen Nadeem Baseer | Pediatrics | 1477 N 2000 W Ste C, Clinton, UT 84015-9099 | 2014-04-28 |
| 1881945475 | Lighthouse Pediatric & After Hours Clinic, Pa | Pediatrics | 501 Springridge Rd, Clinton, MS 39056-5633 | 2012-09-24 |
| 1700146909 | Jessica Hutchison Crowe | Pediatrics | 2130 N Charles Seivers Boulevard, Suite 4, Clinton, TN 37716-6705 | 2012-05-22 |
| 1932466257 | Ashley Jane Jenkins | Pediatrics | 500 Plaza Cir Ste J, Clinton, SC 29325-7559 | 2012-04-12 |
| 1154633535 | Ejeehi Umobuarie | Pediatrics | 341 S 28th St, Clinton, OK 73601-3701 | 2010-07-13 |
| 1811083785 | Louisa Emefa Lawson | Pediatrics | 210 Clinton Blvd, Clinton, MS 39056-5126 | 2006-10-05 |
| 1902917206 | Jennifer K. Myers | Pediatrics | 539c Highway 80 W, Clinton, MS 39056-4193 | 2006-08-31 |
| 1447262878 | Christina Kay Neeley | Pediatrics | 500 Plaza Cir, Suite J, Clinton, SC 29325-7559 | 2006-08-13 |
| 1235166489 | Krishna Patel | Pediatrics | 40 Pittstown Road, Hunterdon Developmental Center, Clinton, NJ 08809-4008 | 2006-06-26 |
| 1083652630 | Piedmont Pediatrics of Laurens | Pediatrics | 996 Medical Ridge Road, Clinton, SC 29325 | 2006-06-04 |
| Find all providers in CLINTON | ||||
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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.