VICKEY HODGE (NPI# 1285001347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285001347 |
| Entity Type | Individual |
| Full Name | VICKEY HODGE |
| Practice Address |
108089 S 4670 Rd Sallisaw OK 74955-8587 |
| Practice Telephone | 9187755525 |
| Practice Fax Number | 9187755349 |
| Mailing Telephone | 9187755525 |
| Mailing Fax Number | 9187755349 |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
108089 S 4670 RD |
| City | SALLISAW |
| State | OK |
| Zip Code | 74955-8587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740656115 | Susan Smith | Counselor | 108089 S 4670 Rd, Sallisaw, OK 74955-8587 | 2015-08-19 |
| 1790152874 | Cindy Eagle | Counselor | 108089 S 4670 Rd, Sallisaw, OK 74955-8587 | 2015-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057297 | Audrey A. Martin | Technician | 463508 East 1044 Road, Sallisaw, OK 74955 | 2019-11-12 |
| 1013472356 | Christopher Alan Bush | Registered Nurse | 301 Jt Stites, Sallisaw, OK 74955 | 2019-01-31 |
| 1174098941 | Sequoyah County Drug Company Pllc | Pharmacy | 1632 S Kerr Blvd, Sallisaw, OK 74955 | 2018-10-09 |
| 1720570609 | Stephanie Choate | Registered Nurse | 2703 E Phillips Ave, Sallisaw, OK 74955 | 2018-06-05 |
| 1972964666 | Sallisaw Family Medicine, L.L.C. | Family Medicine | 104 South Oak St, Sallisaw, OK 74955 | 2016-03-09 |
| 1407258544 | Mika Goff | Counselor | 301 So. Jt Stites, Sallisaw, OK 74955 | 2014-09-19 |
| 1013348200 | Alton Matlock | Counselor | 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 | 2013-12-12 |
| 1881931509 | Wildhorse Family Practice & Urgent Care | Clinic/Center | 1024 W Cherokee, Sallisaw, OK 74955 | 2013-01-15 |
| 1083966576 | Kayla Plank | Counselor | 204 E Choctaw, Sallisaw, OK 74955 | 2012-10-08 |
| 1427307503 | Brandi Jean Henry | Counselor | 205 S. J.t. Stites, Sallisaw, OK 74955 | 2012-09-05 |
| Find all providers in zip 74955 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057297 | Audrey A. Martin | Technician | 463508 East 1044 Road, Sallisaw, OK 74955 | 2019-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538772314 | Jean Pittman | Technician | 1711 Ridgemont Cir, Norman, OK 73071-7422 | 2020-08-31 |
| 1548873805 | Monna K Billings | Technician | 9116 Nw 91st Cir, Yukon, OK 73099-8694 | 2020-08-26 |
| 1801405618 | Karen Durham | Technician | 1812 E 71st Pl Apt 2121, Tulsa, OK 74136-3967 | 2020-07-28 |
| 1821612672 | Sandra Spiegel | Technician | 114 S 74th St W, Muskogee, OK 74401-8655 | 2020-06-07 |
| 1871117846 | Beverly Ann Mantooth | Technician | 117801 S 4163 Rd, Eufaula, OK 74432-6607 | 2020-06-04 |
| 1447872494 | Michael Blake Weir | Technician | 413 Chief Stan Waite Dr, Catoosa, OK 74015-2134 | 2020-05-13 |
| 1205455409 | Kellie Elane Curtis | Technician | 13224 County Road 3590, Ada, OK 74820-0021 | 2020-04-09 |
| 1619596848 | Heidi R Presson | Technician | 416842 Muscogee Ln, Checotah, OK 74426-2359 | 2020-04-08 |
| 1396374468 | Patricia K Tlapak-giddens | Technician | 1008 Sw 63rd Street, Oklahoma City, OK 73139-1406 | 2020-04-02 |
| 1124654959 | Tiara Shacole Crawford | Technician | 1890 N Hartford Ave, Tulsa, OK 74106-3550 | 2020-03-12 |
| 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.