MOSAIC FOUNDATION SOUTH OKC


Address: 1317 Se 44th St, Oklahoma City, OK 73129-6906
Phone: 4056310611

MOSAIC FOUNDATION SOUTH OKC (NPI# 1285260679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285260679
Entity Type Organization
Organization Name MOSAIC FOUNDATION SOUTH OKC
Practice Address 1317 Se 44th St
Oklahoma City
OK 73129-6906
Mailing Address 701 Ne 36th St
Oklahoma City
OK 73105-7203
Practice Telephone 4056310611
Mailing Telephone 4054457492
Mailing Fax Number 4054457492
Enumeration Date 2020-03-17
Last Update Date 2020-03-17
Authorized Official Name SCOTT MAYER (DIRECTOR)
Authorized Official Telephone 4054457492
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QX0100X Clinic/Center
Specialization: Occupational Medicine
Ambulatory Health Care Facilities
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Office Location

Street Address 1317 SE 44TH ST
City OKLAHOMA CITY
State OK
Zip Code 73129-6906

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710224571 Johnny T Ng Nurse Practitioner 1317 Se 44th St, Oklahoma City, OK 73129-6906 2013-01-12
1629540893 Mendy Marie Stoeser Nurse Practitioner 1317 Se 44th St, Oklahoma City, OK 73129-6906 2018-12-27
1750755583 Today Clinic Pllc Clinic/Center 1317 Se 44th St, Suite I, Oklahoma City, OK 73129-6906 2015-11-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598291098 Homero Rivera Case Manager/Care Coordinator 105 Se 30th St., Oklahoma City, OK 73129 2017-05-04
1437515038 Arturo Pinon Case Manager/Care Coordinator 617 Se 18th St., Oklahoma City, OK 73129 2016-01-12
1578969283 Ramona Paulette Gregory Case Manager/Care Coordinator 116 Se 22nd St, Oklahoma City, OK 73129 2014-11-06
1902221492 Housecalls Transitional Care Associates Family Medicine 4311 S Prospect, Oklahoma City, OK 73129 2014-02-20
1861725301 Nicholle Marie Verhines Counselor 744 S.e. 25th Street, Oklahoma City, OK 73129 2009-09-16
1174728620 Lindsay Renae Sullivan Counselor 744 Se 25th St., Oklahoma City, OK 73129 2007-06-15
1780776153 Laura Christine Balliett-box Counselor 744 Se 25th Street, Oklahoma City, OK 73129 2006-09-29
1639451511 Christina Dawn Adkins Pharmacist 4500 S Shields Blvd, Oklahoma City, OK 73129 2011-09-15
1235255746 Felicia Dawn Cummings Counselor 744 Se 25th Street, Oklahoma City, OK 73129 2007-03-22
1427134022 Cyvil Brion Burks Counselor 744 Se 25th Street, Oklahoma City, OK 73129 2006-10-27
Find all providers in zip 73129

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164039632 Axiom Medical Solutions, LLC Family Medicine 14132 Se 134th St, Oklahoma City, OK 73165-7669 2020-09-28
1104437219 L and M Investments LLC Family Medicine 6001 Nw 139th St, Oklahoma City, OK 73142-1919 2020-08-12
1235748617 Brook Noel Leland Family Medicine 3329 Nw 22nd St, Oklahoma City, OK 73107-3021 2020-07-30
1043835176 Thomas Patrick Owens IIi Family Medicine 900 Ne 10th Street, Oklahoma City, OK 73104-5420 2020-06-15
1730703562 Michael Williamson Family Medicine 3500 Nw 56th St Ste 10, Oklahoma City, OK 73112-4529 2020-06-08
1295363620 Saint Medical Group, LLC Family Medicine 3400 S Douglas Blvd Ste 307, Oklahoma City, OK 73150-1001 2020-03-31
1881220580 Sarah Laing Family Medicine 1111 N Lee Ave Ste 305, Oklahoma City, OK 73103-2620 2020-03-14
1881225290 Neans Lynn Denson Family Medicine 2815 Sw 119th St, Oklahoma City, OK 73170-2605 2020-02-04
1114563699 Aim Health Clinics, LLC Family Medicine 2301 W I 44 Service Rd Ste 310, Oklahoma City, OK 73112-8729 2019-11-20
1841843265 Stephanie N White Family Medicine 3400 Nw Expressway Bldg C-815, Oklahoma City, OK 73112-4493 2019-07-24
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73129

Improve Information

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Dataset Information

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.

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