URGENT CARE OF GREEN COUNTRY PLLC (NPI# 1376697003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376697003 |
| Entity Type | Organization |
| Organization Name | URGENT CARE OF GREEN COUNTRY PLLC |
| Practice Address |
11717 South Memorial Bixby OK 74008 |
| Mailing Address |
Po Box 1044 Owasso OK 74055 |
| Practice Telephone | 9183699555 |
| Practice Fax Number | 9183699556 |
| Mailing Telephone | 9182748555 |
| Mailing Fax Number | 9182748556 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2013-05-10 |
| Authorized Official Name | STEPHEN ROBERT KOVACS (OWNER) |
| Authorized Official Telephone | 9182748555 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200094640A | 05 | |
| OK | MEDICAID DME | 200094640E | 01 |
| OK | AETNA | 7835422 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134273873 | Urgent Care of Green Country Pllc | Clinic/Center | 13616 E 103rd Street N, Suite A, Owasso, OK 74055 | 2007-01-22 |
| 1043460694 | Urgent Care of Green Country Pllc | Clinic/Center | 4115 Redden, Pryor, OK 74361-9192 | 2008-09-19 |
| 1336293067 | Urgent Care of Green Country Pllc | Clinic/Center | 985 W Will Rogers Blvd, Claremore, OK 74017 | 2007-01-22 |
| Street Address |
11717 SOUTH MEMORIAL |
| City | BIXBY |
| State | OK |
| Zip Code | 74008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656570 | Cheryl Fleming | Dentist | 7810 E. 121st St. S., Bixby, OK 74008 | 2020-07-14 |
| 1326674177 | Premier Pediatric and Adolescent Care of Bixby | Pediatrics | 7814 E 121st St, Bixby, OK 74008 | 2020-03-12 |
| 1255821005 | South Tulsa Pain Management LLC. | Pain Medicine | 12345 S Memorial Dr Ste 106, Bixby, OK 74008 | 2018-05-17 |
| 1083104483 | Jennifer Scoggins Ms, Rd/ld, L.L.C. | Dietitian, Registered | 20164 S 137th East Ave, Bixby, OK 74008 | 2018-05-11 |
| 1043749310 | Brooke E Landers | Case Manager/Care Coordinator | 11113 S 107th E Ave, Bixby, OK 74008 | 2017-06-08 |
| 1053770404 | Mitzi Blanchard | Nurse Practitioner | 7333 E. 121st St S, Suite 200, Bixby, OK 74008 | 2016-02-13 |
| 1578942124 | Candace Taylor | Physical Therapist | 9013 East 138th St S, Bixby, OK 74008 | 2015-05-28 |
| 1427445188 | Kevin Toliver | Contractor | 10723 E 115th St South, Bixby, OK 74008 | 2015-04-21 |
| 1992102164 | Jessica Thompson | Speech-Language Pathologist | 7701 E. 121st, Bixby, OK 74008 | 2014-12-03 |
| 1700070232 | Body Worx Chiropractic | Chiropractor | 5085 East 151st St., Suite B, Bixby, OK 74008 | 2007-08-28 |
| Find all providers in zip 74008 | ||||
| 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 |
| 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 |
| 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.