ELIZABETH MORGAN HADDOCK (NPI# 1376036616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376036616 |
| Entity Type | Individual |
| Full Name | ELIZABETH MORGAN HADDOCK |
| Credential | PA-C |
| Practice Address |
1000 S Byrd St Tishomingo OK 73460 |
| Mailing Address |
1000 S Byrd St Tishomingo OK 73460-3265 |
| Practice Telephone | 5803712327 |
| Practice Fax Number | 5803712127 |
| Mailing Telephone | 5803712327 |
| Mailing Fax Number | 5803712127 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2817 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1000 S BYRD ST |
| City | TISHOMINGO |
| State | OK |
| Zip Code | 73460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235108168 | Laura Anne Walgren | Physician Assistant | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2006-03-14 |
| 1154747384 | Lighthouse Behavioral Wellness Centers | Psychiatry & Neurology | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2014-03-12 |
| 1972809002 | Mercy Hospital Tishomingo, Inc | Emergency Medicine | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2011-02-08 |
| 1932404431 | Mercy Hospital Tishomingo, Inc. | Clinic/Center | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2011-01-14 |
| 1578868121 | Mercy Hospital Tishomingo, Inc. | Medicare Defined Swing Bed Unit | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2011-01-12 |
| 1356544399 | Acadiana Healthcare of Oklahoma, Inc. | General Acute Care Hospital | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2007-06-07 |
| 1588875504 | Johnston County Hospital LLC | Emergency Medicine | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2007-05-24 |
| 1659305274 | Samuel Jerry Tucker | Physician Assistant | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912380742 | Lori Pigg | Speech-Language Pathologist | 508 N. Neshoba, Tishomingo, OK 73460 | 2015-06-29 |
| 1407241748 | Brittany Walker | Case Management | 850 E. Highway 22, Tishomingo, OK 73460 | 2015-04-03 |
| 1427460641 | Elizabeth Mcdonald | Counselor | 512 East 24th, Tishomingo, OK 73460 | 2014-05-22 |
| 1619387131 | Sheri Slaughter | Counselor | 102 N. Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1336559848 | Heather Marlatt | Counselor | 102 North Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1811231939 | Wanda Luann Beesley Gray | Emergency Medical Technician, Paramedic | 3100 E St Hwy 78, Tishomingo, OK 73460 | 2012-11-15 |
| 1497014724 | Jessica Kay Johnston | Counselor | Outpatient Services-tishomingo; 817 E. 6th St., Strong Family Development, Tishomingo, OK 73460 | 2012-05-07 |
| 1487910949 | Rhonda Gayle Harrison | Counselor | 817 E. 6th St., Medical Family Therapy, Tishomingo, OK 73460 | 2012-04-09 |
| 1265704183 | Parks Family Dental | Preferred Provider Organization | 1520 E. Main Street, Tishomingo, OK 73460 | 2012-02-08 |
| 1770852295 | Gina Marice Frazier | Social Worker | Outpatient Services- Tishomingo, 817 E. 6th St., Tishomingo, OK 73460 | 2011-12-29 |
| Find all providers in zip 73460 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235108168 | Laura Anne Walgren | Physician Assistant | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326496 | Courtland Henderson | Physician Assistant | 2614 Wagon Trl, Enid, OK 73703-1630 | 2020-11-03 |
| 1013517168 | Madeleine Hill | Physician Assistant | 5304 N Hudson Ave, Oklahoma City, OK 73118-6232 | 2020-10-28 |
| 1851990097 | Lauren Heim | Physician Assistant | 7324 Bucks Xing, Edmond, OK 73034-3520 | 2020-10-19 |
| 1003414673 | Stephanie Ann Stephens | Physician Assistant | 5021 Eric Dr, Oklahoma City, OK 73135-4129 | 2020-10-15 |
| 1508464355 | Lauren Danielle Ukleya | Physician Assistant | 1315 Chisholm Trail Pkwy Ste A, Duncan, OK 73533-1544 | 2020-10-14 |
| 1598362964 | Madison Kitchens | Physician Assistant | 471688 Ok-51, Stilwell, OK 74960 | 2020-10-07 |
| 1689271041 | Maissa Baker Mitwalli | Physician Assistant | 700 S Desert Palm Ave, Broken Arrow, OK 74012-8815 | 2020-10-07 |
| 1730705229 | Jenna Specht | Physician Assistant | 2501 N 14th St, Ponca City, OK 74601-1734 | 2020-06-19 |
| 1477176147 | April Dawn Sullivan | Physician Assistant | 1111 Walnut Dr, Ardmore, OK 73401-2354 | 2020-05-28 |
| 1497384754 | Leah Cannady Hester | Physician Assistant | 3145 Midland Valley St, Norman, OK 73069-6970 | 2020-04-07 |
| Find all providers with the same taxonomy | ||||
| City | TISHOMINGO |
| Zip Code | 73460 |
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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.