MR. MICHAEL SCAMMAHORN (NPI# 1285096909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285096909 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL SCAMMAHORN |
| Credential | APRN |
| Practice Address |
1055 S Houston Ave Tulsa OK 74127-9043 |
| Mailing Address |
650 S Peoria Ave Tulsa OK 74120-4429 |
| Practice Telephone | 9189916641 |
| Practice Fax Number | 9185601399 |
| Mailing Telephone | 9189916641 |
| Mailing Fax Number | 9185601399 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2017-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
81026 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1055 S HOUSTON AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74127-9043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265525166 | Toni Gatanis | Nurse Practitioner | 1055 S Houston Ave, Tulsa, OK 74127-9043 | 2006-10-02 |
| 1407457708 | Jenifer Nicole Stoycoff | Case Manager/Care Coordinator | 1055 S Houston Ave, Tulsa, OK 74127-9043 | 2020-11-03 |
| 1467052951 | Destiny Green | Social Worker | 1055 S Houston Ave, Tulsa, OK 74127-9043 | 2020-10-26 |
| 1083211973 | Sarah Kimball Pilgrim | Case Manager/Care Coordinator | 1055 S Houston Ave, Tulsa, OK 74127-9043 | 2020-10-05 |
| 1609494558 | Shronda L Wilson | Peer Specialist | 1055 S Houston Ave, Tulsa, OK 74127-9043 | 2020-07-08 |
| 1700403383 | Catherine Beasley | Case Manager/Care Coordinator | 1055 S Houston Ave, Tulsa, OK 74127-9043 | 2020-06-30 |
| 1164046751 | Anika-michiko Smith-e-incas-allen | Case Manager/Care Coordinator | 1055 S Houston Ave, Tulsa, OK 74127-9043 | 2020-05-30 |
| 1124650700 | Yoliana Torres Cleveland | Case Manager/Care Coordinator | 1055 S Houston Ave, Tulsa, OK 74127-9043 | 2020-02-11 |
| 1851921639 | Rachel Gonshor | Case Manager/Care Coordinator | 1055 S Houston Ave, Tulsa, OK 74127-9043 | 2020-01-22 |
| 1295388767 | Lauren Marie Van Deventer | Case Manager/Care Coordinator | 1055 S Houston Ave, Tulsa, OK 74127-9043 | 2019-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366966699 | Tarell Lynell Earl | Case Manager/Care Coordinator | 602 N. 28th W. Pl., Tulsa, OK 74127 | 2017-07-28 |
| 1023538014 | Milton Dean IIi | Counselor | 1234 N Rosedale, Tulsa, OK 74127 | 2017-06-21 |
| 1740700988 | Lisa Lee Ann Gilliland | Case Manager/Care Coordinator | 2001 W Ute Pl, Tulsa, OK 74127 | 2017-06-20 |
| 1114456498 | Kevin Thomas Jackson | Counselor | 310 S 49th W Ave, Tulsa, OK 74127 | 2017-06-08 |
| 1427406180 | Byron Conrad Dixon Jr. | Case Manager/Care Coordinator | 551 N. 28th W. Ave., Tulsa, OK 74127 | 2016-06-02 |
| 1548621568 | Brandon Worth | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2016-03-18 |
| 1073987467 | Jo Lowe | Social Worker | 420 S. Lawton Ave. Apt 315, Tulsa, OK 74127 | 2015-11-23 |
| 1154718575 | William Hughes | Health Educator | 3101 W Edison, Tulsa, OK 74127 | 2015-04-23 |
| 1801289665 | Kristyn Janelle Zrenda | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2015-03-17 |
| 1831595719 | Mallory Yarbrough | Counselor | 3005 N 24th West Ave, Tulsa, OK 74127 | 2014-11-05 |
| Find all providers in zip 74127 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265525166 | Toni Gatanis | Nurse Practitioner | 1055 S Houston Ave, Tulsa, OK 74127-9043 | 2006-10-02 |
| 1598786469 | Stephanie Ann Plummer | Nurse Practitioner | 10159 E 11th St Ste 100, Tulsa Va - Behavioral Medicine, Tulsa, OK 74128-3046 | 2006-07-23 |
| 1326684903 | Dachaunda Twynette Pete | Nurse Practitioner | 1055 S Houston Ave W, Tulsa, OK 74127-9014 | 2019-11-19 |
| 1114482940 | Jennifer Aycock | Nurse Practitioner | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2019-02-06 |
| 1407321672 | Anthony Jacob Yount | Nurse Practitioner | 10159 E 11th St, Tulsa, OK 74128-3058 | 2018-10-03 |
| 1558759159 | Stana Powell | Nurse Practitioner | 6655 S Yale Ave, Laureate Psychiatric Clinic and Hospital, Tulsa, OK 74136-3326 | 2015-01-05 |
| 1245646389 | Lisa Danielle Gale | Nurse Practitioner | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2014-07-09 |
| 1437563590 | James Eddie Laster | Nurse Practitioner | 6655 S Yale Ave, Tulsa, OK 74136-3326 | 2014-06-17 |
| 1730436668 | Emily Anne Moore | Nurse Practitioner | 7302 S Yale Ave, Tulsa, OK 74136-7027 | 2012-08-09 |
| 1366720229 | Rebecca Cline | Nurse Practitioner | 7302 S Yale Ave, Tulsa, OK 74136-7027 | 2011-07-26 |
| Find all providers in TULSA | ||||
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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.