WAGONER HOSPITAL AUTHORITY (NPI# 1386611580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386611580 |
| Entity Type | Organization |
| Organization Name | WAGONER HOSPITAL AUTHORITY |
| Practice Address |
1200 W Cherokee St Wagoner OK 74467-4624 |
| Practice Telephone | 9184855514 |
| Practice Fax Number | 9184859701 |
| Mailing Telephone | 9184855514 |
| Mailing Fax Number | 9184859701 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2018-03-09 |
| Authorized Official Name | DEBI HAMILTON (CHAIRMAN) |
| Authorized Official Telephone | 9184855514 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 2298 | OK | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICAID PROVIDER NUMBER FOR PHYSICIAN BILLING | 200100890A | 01 |
| OK | MEDICARE CLINIC PROVIDER NUMBER | 300522264 | 01 |
| OK | 200100890B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568808988 | Wagoner Hospital Authority | Clinic/Center | 3501 W Broadway St, Muskogee, OK 74401-2138 | 2013-05-13 |
| 1366674772 | Wagoner Hospital Authority | Clinic/Center | 3501 W Broadway St, Muskogee, OK 74401-2138 | 2009-08-18 |
| Street Address |
1200 W CHEROKEE ST |
| City | WAGONER |
| State | OK |
| Zip Code | 74467-4624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689660896 | Shalini Sangal | Psychiatry & Neurology | 1200 W Cherokee St, Wagoner, OK 74467-4624 | 2005-09-22 |
| 1205457850 | Jeremy Landsaw | Pharmacist | 1200 W Cherokee St, Wagoner, OK 74467-4624 | 2020-05-05 |
| 1164074472 | Tabatha Truelove | Nurse Practitioner | 1200 W Cherokee St, Wagoner, OK 74467-4624 | 2019-07-16 |
| 1245662550 | Jace Evan Sharp | Physical Therapist | 1200 W Cherokee St, Wagoner, OK 74467-4624 | 2013-08-08 |
| 1225208960 | Toni Jones | Physician Assistant | 1200 W Cherokee St, Wagoner, OK 74467-4624 | 2008-03-10 |
| 1982818811 | Michael D Clark | Physical Therapist | 1200 W Cherokee St, Wagoner, OK 74467-4624 | 2007-05-09 |
| 1720192388 | Jerry Jay Cole | Orthopaedic Surgery | 1200 W Cherokee St, Wagoner, OK 74467-4624 | 2006-08-19 |
| 1780604405 | John P Perry | Emergency Medicine | 1200 W Cherokee St, Wagoner, OK 74467-4624 | 2006-07-19 |
| 1750301479 | William J Guthrie | Emergency Medicine | 1200 W Cherokee St, Wagoner, OK 74467-4624 | 2006-07-19 |
| 1356332886 | Jeff S. Jennings, Do, Pllc | Radiology | 1200 W Cherokee St, Wagoner, OK 74467-4624 | 2005-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251591 | Alesha Lenard | Behavior Technician | 901 S. Harrill Ave, Wagoner, OK 74467 | 2019-08-20 |
| 1679030597 | Lorri Dawn Pitchford | Case Manager/Care Coordinator | Creoks Behavioral Health Services, 109 S Harrill Ave., Wagoner, OK 74467 | 2019-02-27 |
| 1144769399 | Elaina Murray | Technician | 308 Ne 2nd St., Wagoner, OK 74467 | 2017-02-21 |
| 1336699784 | Tommye Evidson | Counselor | 109 Harrill Ave, Wagoner, OK 74467 | 2016-10-10 |
| 1518327857 | Yco Tulsa, Inc | Clinic/Center | 1101a South Mcquarrie, Wagoner, OK 74467 | 2016-02-29 |
| 1396117545 | Sandra Cooper | Behavioral Analyst | 2109 Us-69, Wagoner, OK 74467 | 2015-10-28 |
| 1588051486 | Penny Nye | Counselor | 2109 S.hwy 69, Wagoner, OK 74467 | 2015-04-20 |
| 1376943571 | Justin F Kurtz | Respiratory Therapist, Certified | 1200 W. Cherokee, Suite H Cardiac/pulmonary Rehab, Wagoner, OK 74467 | 2014-08-26 |
| 1780009969 | David H Good | Family Medicine | 1202 W. Cherokee St, Ste E, Wagoner, OK 74467 | 2014-02-25 |
| 1942598875 | Robin Rodriguez-higginbottom | Speech-Language Pathologist | 215 E Cherokee St, Wagoner, OK 74467 | 2011-07-12 |
| Find all providers in zip 74467 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205007531 | Wagoner Orthopedic Center | General Acute Care Hospital | 1202 W Cherokee St Ste B, Wagoner, OK 74467-4629 | 2008-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386101202 | Tulsa Er & Hospital LLC | General Acute Care Hospital | 717 W. 71st Street, Tulsa, OK 74132-7413 | 2019-02-27 |
| 1821565961 | Oklahoma Er Hospital, LLC | General Acute Care Hospital | 15103 N Pennsylvania Ave, Edmond, OK 73013-1401 | 2018-10-26 |
| 1942784715 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 4801 S.e. 15th Street, Del City, OK 73115 | 2018-09-18 |
| 1336623198 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 300 South Rockwell Avenue, Oklahoma City, OK 73128 | 2018-09-18 |
| 1194209155 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 9417 N Council Rd, Oklahoma City, OK 73162-6207 | 2018-09-17 |
| 1265971717 | Tulsa Micro Hospital, LLC | General Acute Care Hospital | 717 West 71st Street, Tulsa, OK 74132 | 2017-02-16 |
| 1811448384 | Emily Hutchinson | General Acute Care Hospital | 6708 E 76th St, Tulsa, OK 74133-3422 | 2016-10-20 |
| 1730635301 | Post Acute Medical Rehabilitation Hospital of Tulsa, LLC | General Acute Care Hospital | 10020 E 91st St, Tulsa, OK 74133-5835 | 2016-09-01 |
| 1922551779 | Malissa Calhoon | General Acute Care Hospital | 1004 Se 1st St, Pryor, OK 74361-4801 | 2016-07-28 |
| 1255884003 | Ou Medical Center | General Acute Care Hospital | 940 Ne 13th St Ste 1360, Oklahoma City, OK 73104-5008 | 2016-07-28 |
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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.