JOE BYNUM BOURLAND (NPI# 1306827373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306827373 |
| Entity Type | Individual |
| Full Name | JOE BYNUM BOURLAND |
| Credential | P.A. |
| Practice Address |
8100 S Walker Ave Building A Oklahoma City OK 73139-9402 |
| Practice Telephone | 4056324468 |
| Practice Fax Number | 4056320436 |
| Mailing Telephone | 4056324468 |
| Mailing Fax Number | 4056320436 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2012-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 899 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
899 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
899 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100140830A | 05 |
| Street Address |
8100 S WALKER AVE BUILDING A |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73139-9402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235139692 | Anthony Cruse | Orthopaedic Surgery | 8100 S Walker Ave, Bldg A, Oklahoma City, OK 73139-9402 | 2005-07-28 |
| 1174997753 | Anesthesia Partners of Oklahoma, LLC | Anesthesiology | 8100 S Walker Ave, Bldg C, Oklahoma City, OK 73139-9402 | 2015-11-19 |
| 1992174304 | Uap of Oklahoma, Inc. | Nurse Anesthetist, Certified Registered | 8100 S Walker Ave, Bldg C, Oklahoma City, OK 73139-9402 | 2015-09-16 |
| 1366862245 | Somnium Dme LLC | Durable Medical Equipment & Medical Supplies | 8100 S Walker Ave, Building C, Oklahoma City, OK 73139-9402 | 2014-04-18 |
| 1568793412 | Osu Center for Health Sciences | Clinic/Center | 8100 S Walker Ave, Bldg A, Oklahoma City, OK 73139-9402 | 2010-01-15 |
| 1205017530 | Donna A. Johnson, Md, Pllc | Pediatrics | 8100 S Walker Ave, Ste 200, Oklahoma City, OK 73139-9402 | 2007-11-15 |
| 1194934646 | Jessica L Brooks | Specialist/Technologist | 8100 S Walker Ave, Suite B, Oklahoma City, OK 73139-9402 | 2007-05-22 |
| 1740400274 | Nick Knutson Md, A Professional Corporation | Internal Medicine | 8100 S Walker Ave, Building A, Suite 230, Oklahoma City, OK 73139-9402 | 2007-04-26 |
| 1669559720 | Southwest Orthopaedic Specialists, P.l.l.c. | Orthopaedic Surgery | 8100 S Walker Ave, Building A, Oklahoma City, OK 73139-9404 | 2006-11-01 |
| 1952486292 | Daniel Lee Md | Internal Medicine | 8100 S Walker Ave, Bldg C, Oklahoma City, OK 73139-9402 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899778 | First Med Primary Care LLC | Clinic/Center | 1142 Sw 104th St, Oklahoma City, OK 73139 | 2020-01-03 |
| 1205305737 | Transit Medical Team LLC | In Home Supportive Care | 1145 S I-240 Service Rd Ste F, Oklahoma City, OK 73139 | 2018-11-14 |
| 1336621770 | Mayra Edith Solis | Case Manager/Care Coordinator | 6510 S. Western Ave Bldg. 400, Oklahoma City, OK 73139 | 2018-09-01 |
| 1619470184 | Linzi L Stewart, D.o., P.l.l.c. | Obstetrics & Gynecology | 10400 S Western Ave Ste 7, Oklahoma City, OK 73139 | 2018-03-12 |
| 1467970467 | Oklahoma Healthcare Transitions Inc | Home Health | 6803 S Western Ave Ste 400, Oklahoma City, OK 73139 | 2017-08-30 |
| 1841714169 | Gentry Kyler Jones | Case Manager/Care Coordinator | 301 W I240 Service Rd, Oklahoma City, OK 73139 | 2017-07-28 |
| 1437688082 | Jasmine Small | Case Manager/Care Coordinator | 6100 S Walker, Okc, OK 73139 | 2017-06-07 |
| 1689029266 | Swalk Operations, LLC | Skilled Nursing Facility | 315 Sw 80th Street, Oklahoma City, OK 73139 | 2016-05-02 |
| 1225491343 | Elizabeth Pratt | Counselor | 301 Interstate 240 Service Rd, Oklahoma City, OK 73139 | 2016-04-05 |
| 1326418542 | Brittany Elis Walley | Case Manager/Care Coordinator | 8015 S Klein Ave, Oklahoma City, OK 73139 | 2015-09-30 |
| Find all providers in zip 73139 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982172029 | William Landon Ross | Physician Assistant | 3705 W Memorial Rd Ste 101, Oklahoma City, OK 73134-1508 | 2018-11-07 |
| 1639646656 | Jacob Allbritton | Physician Assistant | 10824 Admiral Dr, Oklahoma City, OK 73162-6843 | 2018-10-29 |
| 1073004768 | Shelby Teel | Physician Assistant | 1200 Everett Dr # 8305, Oklahoma City, OK 73104-5047 | 2018-05-29 |
| 1255871349 | Michele Starr | Physician Assistant | 409 Nw 39th St, Oklahoma City, OK 73118-8415 | 2017-03-08 |
| 1972042141 | Nathan Carl Kadavy | Physician Assistant | 440 N Portland Ave, Suite 1000, Oklahoma City, OK 73107-6110 | 2017-02-21 |
| 1487191946 | Neilee Wood | Physician Assistant | 8121 Nw 119th St, Oklahoma City, OK 73162-1110 | 2017-01-23 |
| 1508316530 | Shayniel Stears | Physician Assistant | 16201 Gossamer Way, Oklahoma City, OK 73165-1503 | 2016-10-13 |
| 1386016566 | D'amber Nicole Chambers | Physician Assistant | 1918 Ne 23rd St, Oklahoma City, OK 73111-3328 | 2015-10-27 |
| 1700263928 | Micaela Lupov | Physician Assistant | 101 N Robinson Ave Ste 200, Oklahoma City, OK 73102 | 2015-04-27 |
| 1710380001 | Whitney Ward | Physician Assistant | 4120 W Memorial Rd Ste 300, Oklahoma City, OK 73120-9322 | 2014-10-01 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73139 |
Please comment or provide details below to improve the information on JOE BYNUM BOURLAND.
| 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.