THE EDEN CLINIC, INC. (NPI# 1437660446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437660446 |
| Entity Type | Organization |
| Organization Name | THE EDEN CLINIC, INC. |
| Other Organization Name | OBRIA MEDICAL CLINIC |
| Practice Address |
1807 W Lindsey St Norman OK 73069-4101 |
| Mailing Address |
Po Box 669 Norman OK 73070-0669 |
| Practice Telephone | 4055794773 |
| Practice Fax Number | 4055794413 |
| Mailing Telephone | 4055794673 |
| Mailing Fax Number | 4055794413 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | LINDA COZADD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4055794673 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
OK | Ambulatory Health Care Facilities | |
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
OK | Ambulatory Health Care Facilities | |
| N | 261QS1000X |
Clinic/Center Specialization: Student Health |
OK | Ambulatory Health Care Facilities | |
| Y | 261Q00000X | Clinic/Center | OK | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Obria Medical Clinic | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1315a Gateway Plz, Midwest City, OK 731104841 | 4055280048 |
| Street Address |
1807 W LINDSEY ST |
| City | NORMAN |
| State | OK |
| Zip Code | 73069-4101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710995303 | Angela Marie Nirschl | Nurse Practitioner | 1807 W Lindsey St, Norman, OK 73069-4101 | 2006-08-03 |
| 1508408394 | Shanda Lynn Gower | Nurse Practitioner | 1807 W Lindsey St, Norman, OK 73069-4101 | 2019-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1841828290 | Cheryl Renee Stoepker | Nurse Practitioner | 3441 24th Ave Nw, Norman, OK 73069 | 2020-03-31 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| 1528539376 | Monika Potdar | Pharmacist | 2550 Mount Williams Dr, Norman, OK 73069 | 2018-12-05 |
| 1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
| 1528536109 | Summit Health and Wellness Center LLC | Counselor | 2770 Washington Dr, Suite 100, Norman, OK 73069 | 2018-11-13 |
| 1386121960 | Sarah Lawhead | Case Manager/Care Coordinator | 525 Dakota St, Norman, OK 73069 | 2018-07-25 |
| 1528554433 | Katie Blankenship | Occupational Therapist | 330 W Grey Street 100-2, Norman, OK 73069 | 2018-07-03 |
| 1568918886 | Brandi Deerinwater | Case Manager/Care Coordinator | 321 S Peters, Norman, OK 73069 | 2016-08-28 |
| Find all providers in zip 73069 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306317581 | Dermatology and Cosmetic Center of Oklahoma, P.l.l.c. | Clinic/Center | 3580 Rc Luttrell Dr Ste 102, Norman, OK 73072-9702 | 2018-12-16 |
| 1013151174 | Kimberly Davis, Rd/ld, P.C., Inc. | Clinic/Center | 1414 N Porter Ave, Norman, OK 73071-6662 | 2009-04-20 |
| 1063030963 | Osu Center for Health Sciences | Clinic/Center | 2002 E Robinson St, Norman, OK 73071-7420 | 2020-07-08 |
| 1134742158 | Osu Center for Health Sciences | Clinic/Center | 3300 Healthplex Pkwy, Norman, OK 73072-9749 | 2020-05-26 |
| 1134765969 | Osu Center for Health Sciences | Clinic/Center | 901 N Porter Ave, Norman, OK 73071-6404 | 2019-11-27 |
| 1144767005 | Osu Center for Health Sciences | Clinic/Center | 2405 Westport Dr, Norman, OK 73069-6337 | 2017-01-30 |
| 1932657772 | Osu Center for Health Sciences | Clinic/Center | 2002 E Robinson St, Norman, OK 73071-7420 | 2016-09-21 |
| 1972802346 | Chickasaw Nation Frs - Norman | Clinic/Center | 3200 Marshall Ave, Suite 220, Norman, OK 73072-8033 | 2011-03-24 |
| 1053615617 | Snodgrass Family Chiropractic, Pllc | Clinic/Center | 751 Canadian Trails Dr, Suite 500, Norman, OK 73072-7638 | 2010-12-22 |
| 1871749820 | Board of Regents of The Univ of Oklahoma-ou Physicians | Clinic/Center | 317 E Himes St, Norman, OK 73069-7810 | 2008-08-11 |
| Find all providers in NORMAN | ||||
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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.