DUSTIN COREY BROOKS (NPI# 1477060457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477060457 |
Entity Type | Individual |
Full Name | DUSTIN COREY BROOKS |
Credential | PA-C |
Practice Address |
6744 Nw Cache Rd Lawton OK 73505-2702 |
Mailing Address |
1832 Parkridge Dr Norman OK 73071-1301 |
Practice Telephone | 5805369355 |
Mailing Telephone | 4058182451 |
Enumeration Date | 2017-12-29 |
Last Update Date | 2017-12-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2731 | OK | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568017333 | Dustin Brooks | Nurse Practitioner | 127 Stewart St, East Peoria, IL 61611-2613 | 2019-08-07 |
1265704100 | Dustin Brooks | Massage Therapist | 5818 Beverlyhill St Ste 100, Houston, TX 77057-6710 | 2012-02-08 |
1043358716 | Dustin James Brooks | Optometrist | 2305 S Tucker St, Pittsburg, KS 66762-6530 | 2007-02-02 |
Street Address |
6744 NW CACHE RD |
City | LAWTON |
State | OK |
Zip Code | 73505-2702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063882140 | Theleka Williams | Nurse Practitioner | 6744 Nw Cache Rd, Lawton, OK 73505-2702 | 2015-10-01 |
1043836786 | Katherine Nguyen | Nurse Practitioner | 6744 Nw Cache Rd, Lawton, OK 73505-2702 | 2020-06-18 |
1730650680 | Susan Ann Armour | Nurse Practitioner | 6744 Nw Cache Rd, Lawton, OK 73505-2702 | 2018-12-17 |
1679013809 | Jamie Marie Ernst | Nurse Practitioner | 6744 Nw Cache Rd, Lawton, OK 73505-2702 | 2017-03-07 |
1760936033 | Staci Fite | Nurse Practitioner | 6744 Nw Cache Rd, Lawton, OK 73505-2702 | 2016-08-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
Find all providers in zip 73505 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558382846 | Frank Williams | Physician Assistant | 642 Ne Valley View Rd, Lawton, OK 73507-8010 | 2006-07-21 |
1699220368 | Sarah Viscarra | Physician Assistant | 110 Nw 31st St, 2nd Floor, Lawton, OK 73505 | 2016-08-23 |
1730554338 | Amy Hannington | Physician Assistant | 1202 Nw Arlington Ave, Lawton, OK 73507-6537 | 2015-12-08 |
1568629863 | Sandra Louise Johnson | Physician Assistant | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2008-05-22 |
1467642538 | Crystal Michelle Coe | Physician Assistant | 1301 Nw 40th St, Lawton, OK 73505-3656 | 2007-07-25 |
1184745697 | Marolyn Jean Pearson | Physician Assistant | 4411 W Gore Blvd, Suite A2, Lawton, OK 73505 | 2007-04-02 |
1518003656 | Lawton Emergency Group LLC | Physician Assistant | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 | 2007-01-29 |
1427154681 | David Allen Clem | Physician Assistant | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2006-09-15 |
1578551412 | Westley A Carter | Physician Assistant | 3201 W Gore Blvd, Suite 201, Lawton, OK 73505 | 2005-10-13 |
1942295779 | Doyle G Stark Jr. | Physician Assistant | 3401 W Gore Blvd, Lawton, OK 73505 | 2005-09-19 |
Find all providers in LAWTON |
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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.