JEFFERY S SCHWERDTFEGER (NPI# 1427059179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427059179 |
| Entity Type | Individual |
| Full Name | JEFFERY S SCHWERDTFEGER |
| Other Name | SCOTT SCHWERDTFEGER |
| Credential | PA-C |
| Practice Address |
1084 Nickerson St Waynoka OK 73860-1245 |
| Mailing Address |
5300 N Independence Ave 280 Oklahoma City OK 73112-5556 |
| Practice Telephone | 5808242291 |
| Practice Fax Number | 5808240429 |
| Mailing Telephone | 5805481367 |
| Mailing Fax Number | 5805481583 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2017-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA396 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100848070A | 05 |
| Street Address |
1084 NICKERSON ST |
| City | WAYNOKA |
| State | OK |
| Zip Code | 73860-1245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669428 | Charlene Elaine Reust | Physician Assistant | 1084 Nickerson St, Waynoka, OK 73860 | 2005-06-16 |
| 1760450472 | Elizabeth Romanik Kinzie | Internal Medicine | 1084 Nickerson St, Waynoka, OK 73860 | 2006-03-09 |
| 1124029293 | Integris Bass Baptist Health Center | Family Medicine | 1084 Nickerson St, Waynoka, OK 73860-1245 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538638648 | Milissa A Britt | Case Manager/Care Coordinator | 500 S Nickerson, Waynoka, OK 73860 | 2018-11-19 |
| 1619470507 | Shonda Russell | Case Management | 1095 S. Nickerson St., Waynoka, OK 73860 | 2018-03-16 |
| 1962660738 | Susan M Hull | Internal Medicine | 1630 Santa Fe, Waynoka, OK 73860 | 2008-05-29 |
| 1518421668 | Dian Linnea Frey | Case Manager/Care Coordinator | 500 S Nickerson, Waynoka, OK 73860 | 2019-01-23 |
| 1790028496 | The Medical Clinic, Inc | Clinic/Center | 1630 Santa Fe St., Waynoka, OK 73860-0000 | 2013-04-01 |
| 1043213002 | City of Waynoka | Ambulance | 201 E Cecil St, Waynoka, OK 73860-1233 | 2005-05-24 |
| 1780718478 | Lois Arleta Smith | Case Manager/Care Coordinator | 1095 Nickerson St, Waynoka, OK 73860-1252 | 2007-03-15 |
| 1063026433 | Kohannah Hess | Case Manager/Care Coordinator | 1095 Nickerson St, Waynoka, OK 73860-1252 | 2020-09-03 |
| 1134750698 | Mackenzie Rae Brune | Case Manager/Care Coordinator | 1095 Nickerson St, Waynoka, OK 73860-1252 | 2020-02-03 |
| 1649835869 | Jordan Cremers | Peer Specialist | 1095 Nickerson St, Waynoka, OK 73860-1252 | 2019-05-02 |
| Find all providers in zip 73860 | ||||
| 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 |
|---|---|---|---|---|
| 1588669428 | Charlene Elaine Reust | Physician Assistant | 1084 Nickerson St, Waynoka, OK 73860 | 2005-06-16 |
| 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 | ||||
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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.