RYLAN-JAGGER MEDICAL LLC (NPI# 1316127913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316127913 |
| Entity Type | Organization |
| Organization Name | RYLAN-JAGGER MEDICAL LLC |
| Other Organization Name | SANTA FE CLINIC OF EDMOND |
| Practice Address |
523 S Santa Fe Ave Edmond OK 73003-6226 |
| Mailing Address |
Po Box 99112 Oklahoma City OK 73199-0001 |
| Practice Telephone | 4055137070 |
| Practice Fax Number | 4055137071 |
| Mailing Telephone | 4055137070 |
| Mailing Fax Number | 4055137071 |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2008-05-29 |
| Authorized Official Name | DATHAN D JAY (PRESIDENT) |
| Authorized Official Telephone | 4055137070 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SANTA FE CLINIC OF EDMOND | Doing Business As Name - Organization |
| Street Address |
523 S SANTA FE AVE |
| City | EDMOND |
| State | OK |
| Zip Code | 73003-6226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295271500 | Katherine Heitmann | Nurse Practitioner | 523 S Santa Fe Ave, Sutie B, Edmond, OK 73003-6226 | 2017-01-10 |
| 1235480260 | Jennifer J Fulmer | Nurse Practitioner | 523 S Santa Fe Ave, Suite B, Edmond, OK 73003-6226 | 2012-10-01 |
| 1255631388 | Ashley Hebert | Nurse Practitioner | 523 S Santa Fe Ave, Suite B, Edmond, OK 73003-6226 | 2010-10-22 |
| 1184681306 | James Larry Charles Jr. | Optometrist | 523 S Santa Fe Ave, Ste A, Edmond, OK 73003-6291 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945202 | Korbin Hally | Dentist | 2600 Tayler Street, Edmond, OK 73003 | 2020-06-04 |
| 1003448325 | Diagnostic Resources, LLC | Physical Medicine & Rehabilitation | 1641 Saratoga Way, Edmond, OK 73003 | 2020-02-05 |
| 1861904021 | Rhonda Diane Pennington | Occupational Therapist | 515 S Santa Fe Ave Ste 103, Edmond, OK 73003 | 2017-10-27 |
| 1588173744 | Hpc Holdings LLC | Clinic/Center | 813 W Covell Rd, Edmond, OK 73003 | 2017-09-20 |
| 1194243568 | Nightengale Chiropractic, LLC | Chiropractor | 2616 Covell Village Dr Ste. 120, Edmond, OK 73003 | 2017-09-06 |
| 1104274927 | Bonsu Osei Asibey | Case Manager/Care Coordinator | 1301 Craig Blvd, Edmond, OK 73003 | 2016-06-02 |
| 1215390810 | Prince Yebo | Case Manager/Care Coordinator | 1817 Redland Dr, Edmond, OK 73003 | 2016-03-31 |
| 1548621691 | Charles Loftis | Physical Therapist | 1321 Fretz Drive, 100, Edmond, OK 73003 | 2016-03-17 |
| 1487013801 | Courage Counseling Center | Community/Behavioral Health | 1400 S. Fretz Ave, Suite 1400, Edmond, OK 73003 | 2016-02-12 |
| 1669889887 | Shannon Gogel | Occupational Therapy Assistant | 1309 Val Genes Rd, Edmond, OK 73003 | 2014-07-21 |
| Find all providers in zip 73003 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902426737 | Creekside Urgent Care LLC | Clinic/Center | 1101 Nw 178th St Ste B, Edmond, OK 73012-4281 | 2020-04-22 |
| 1225378466 | Genesis Medical Services, LLC | Clinic/Center | 17923 N Portland Ave, Edmond, OK 73012-8960 | 2013-02-25 |
| 1730599507 | Advance Physicians Group | Clinic/Center | 1221 N Kelly Ave, Edmond, OK 73003-4865 | 2014-05-02 |
| 1194155143 | Key Health Institute of Edmond, LLC | Clinic/Center | 14701 N Kelly Ave, Edmond, OK 73013-3814 | 2013-11-12 |
| 1154753614 | Immediate Care of Oklahoma LLC | Clinic/Center | 805 W Covell Rd, Suite 200, Edmond, OK 73003-2176 | 2013-08-06 |
| 1346687241 | Edmond Urgent Care Inc. | Clinic/Center | 1101 Nw 178th St, Suite B, Edmond, OK 73012-4281 | 2013-05-31 |
| 1104165331 | Immediate Care of Oklahoma, LLC | Clinic/Center | 1265 E 33rd St, Edmond, OK 73013-6307 | 2013-02-07 |
| 1265614200 | Qclinic LLC | Clinic/Center | 1705 Renaissance Blvd, Suite 100, Edmond, OK 73013-3041 | 2007-11-30 |
| 1114040797 | Best Care Medical Center P C | Clinic/Center | 1265 E 33rd St, Edmond, OK 73013 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604434 | Medwise LLC | Clinic/Center | 11495 S. State Highway 51, Coweta, OK 74429 | 2020-03-13 |
| 1831722982 | Sooner Urgent Care LLC | Clinic/Center | 2100 W Lindsey St Ste B, Norman, OK 73069-4108 | 2020-02-18 |
| 1720639263 | Nicholette Brosseau | Clinic/Center | 1520 Sw 1st St, Wagoner, OK 74467-4839 | 2019-09-25 |
| 1548819477 | Christi Lea Vick | Clinic/Center | 704 Azalea Hill Dr, Yukon, OK 73099-6504 | 2019-09-04 |
| 1447805544 | Revive Medical Urgent Care LLC | Clinic/Center | 4215 N Classen Blvd Ste 100, Oklahoma City, OK 73118-2426 | 2019-08-06 |
| 1780239202 | Immediate Care of Oklahoma, LLC | Clinic/Center | 10616 U.S. Highway 66, Suite 100, Oklahoma City, OK 73099 | 2019-08-02 |
| 1982161386 | On Demand Urgent Care, LLC | Clinic/Center | 11426 N 134th E Ave, Owasso, OK 74055-5755 | 2019-02-22 |
| 1720554231 | Gdn LLC | Clinic/Center | 1315 Chisholm Trail Pkwy, Duncan, OK 73533-1533 | 2018-10-23 |
| 1699262576 | Immediate Care of Oklahoma, LLC | Clinic/Center | 4500 Tinker Rd, Oklahoma City, OK 73135-4614 | 2018-04-17 |
| 1992292999 | Immediate Care of Oklahoma, LLC | Clinic/Center | 10551 Se 59th St, Oklahoma City, OK 73150-4302 | 2018-04-16 |
| 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.