GRACE RUIDERA (NPI# 1407886492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407886492 |
| Entity Type | Individual |
| Full Name | GRACE RUIDERA |
| Credential | M.D. |
| Practice Address |
111 N Post Rd Suite C Midwest City OK 73130-3605 |
| Mailing Address |
Po Box 776066 Chicago IL 60677-6066 |
| Practice Telephone | 4054554342 |
| Practice Fax Number | 4054554381 |
| Mailing Telephone | 4054554342 |
| Mailing Fax Number | 4054554381 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2018-11-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 19279 | OK | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100035440B | 05 |
| Street Address |
111 N POST RD SUITE C |
| City | MIDWEST CITY |
| State | OK |
| Zip Code | 73130-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598748113 | Patrick Morgan | Internal Medicine | 111 N Post Rd, Midwest City, OK 73130-3605 | 2005-11-29 |
| 1720440894 | Quy Tien Tran | Family Medicine | 111 N Post Rd, Midwest City, OK 73130-3605 | 2016-03-28 |
| 1881935476 | Tina Marie Crabtree | Nurse Practitioner | 111 N Post Rd, Suite C, Midwest City, OK 73130-3605 | 2013-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059909 | Richard Williams | Behavior Technician | 1121 S. Douglas Boulevard, Suite A, Midwest City, OK 73130 | 2020-09-28 |
| 1730794264 | Cassidy Myers | Behavioral Analyst | 1121 South Douglas Boulevard, Suite A, Midwest City, OK 73130 | 2020-09-11 |
| 1831609320 | Progressive Home Health Inc | Home Health | 9070 Harmony Dr Ste C, Midwest City, OK 73130 | 2017-10-10 |
| 1306290903 | Maria Soledad Dabney | Counselor | 9101 Stonegate, Oklahoma City, OK 73130 | 2016-04-20 |
| 1922452804 | Endodontics and Implant Associates,pllc | Dentist | 1621 Midtown Place, Suite B, Midwest City, OK 73130 | 2016-04-18 |
| 1639574130 | Healthcare Express, LLP | Clinic/Center | 1701 S. Douglas Blvd., Midwest City, OK 73130 | 2014-10-27 |
| 1891045274 | Michelle Lynn Goolsby | Behavioral Analyst | 10822 Blue Sky Drive, Midwest City, OK 73130 | 2012-09-13 |
| 1497026173 | Deberry Interprise | Community/Behavioral Health | 9233 North East10th Street, Midwest City, OK 73130 | 2012-01-26 |
| 1245531789 | Nichelle Stewart | Counselor | 10520 Quail Run Road, Midwest City, OK 73130 | 2010-11-16 |
| 1477877835 | Jan Bierne, Inc. | Counselor | 2912 S. Douglas Blvd, Suite A, Midwest City, OK 73130 | 2010-03-15 |
| Find all providers in zip 73130 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770838690 | Raymond Cato Jr. | Specialist | 1228 Mcdonald Dr, Midwest City, OK 73130-1416 | 2012-07-17 |
| 1578821823 | Gopakumar B Damayanthy | Specialist | 8855 E Reno Ave, Midwest City, OK 73110-7729 | 2012-04-24 |
| 1891060331 | Quality Therapy LLC | Specialist | 8855 E Reno Ave Ste 210, Midwest City, OK 73110-7724 | 2012-03-16 |
| 1760785687 | James E Mays Md Inc | Specialist | 2801 Parklawn Dr Ste 304, Midwest City, OK 73110-4230 | 2010-12-15 |
| 1942409990 | Ganga M Pujari | Specialist | 6908 E Reno Ave Ste 104, Midwest City, OK 73110-2120 | 2007-07-11 |
| 1811208119 | Asim Chohan Md PC | Specialist | 8121 National Ave, Suite 400, Midwest City, OK 73110-7530 | 2010-07-01 |
| 1902923618 | Oklahoma Orthopedic Clinic | Specialist | 1201 S Douglas Blvd Ste H, Midwest City, OK 73130-5263 | 2007-03-26 |
| 1427114867 | Quang M Tu | Specialist | 2801 Parklawn Dr, Suite 207, Midwest City, OK 73110-4211 | 2006-12-29 |
| 1528142247 | Midwest City Hma, Inc. | Specialist | 2825 Parklawn Dr, Midwest City, OK 73110-4201 | 2006-10-25 |
| 1962508424 | Bommasamudram Ashwini Kumar | Specialist | 215 N Midwest Blvd, Midwest City, OK 73110-4320 | 2006-09-15 |
| Find all providers in MIDWEST CITY | ||||
| City | MIDWEST CITY |
| Zip Code | 73130 |
Please comment or provide details below to improve the information on GRACE RUIDERA.
| 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.