CHARLES P CROWELL III (NPI# 1487623294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487623294 |
| Entity Type | Individual |
| Full Name | CHARLES P CROWELL III |
| Credential | DO |
| Practice Address |
119 W Main St Hominy OK 74035-1031 |
| Mailing Address |
212 N Main St Fairfax OK 74637-3023 |
| Practice Telephone | 9188854640 |
| Practice Fax Number | 9188854644 |
| Mailing Telephone | 9186423100 |
| Mailing Fax Number | 9186425639 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2013-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1918 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100190910B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215343835 | Charles Conrad Crowell | Behavioral Analyst | 210 Ward Ave, 219b, Honolulu, HI 96814-4008 | 2014-07-02 |
| 1639388614 | Charles Carlos Crowell IIi | Internal Medicine | 624 Quaker Ln, Ste 207c, High Point, NC 27262-3832 | 2007-05-22 |
| Street Address |
119 W MAIN ST |
| City | HOMINY |
| State | OK |
| Zip Code | 74035-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629052311 | Donald L Sutmiller | Emergency Medicine | 119 W Main St, Hominy, OK 74035-1031 | 2005-12-06 |
| 1306356183 | Stephanie Ann Hope | Nurse Practitioner | 119 W Main St, Hominy, OK 74035-1031 | 2017-10-05 |
| 1891166864 | Wendy Denise Madison | Nurse Practitioner | 119 W Main St, Hominy, OK 74035-1031 | 2015-10-15 |
| 1104199470 | Kisha Marie Farrell | Nurse Practitioner | 119 W Main St, Hominy, OK 74035-1031 | 2012-02-17 |
| 1376855445 | Brandi Nicole Thompson | Dentist | 119 W Main St, Hominy, OK 74035-1031 | 2010-07-06 |
| 1629308390 | Glenda D Boyle | Social Worker | 119 W Main St, Hominy, OK 74035-1031 | 2009-12-31 |
| 1609040864 | Fairfax Medical Facilities Inc | Family Medicine | 119 W Main St, Hominy, OK 74035 | 2008-04-18 |
| 1710177738 | Charles S Oleary | Physician Assistant | 119 W Main St, Hominy, OK 74035-1031 | 2007-07-26 |
| 1477539559 | Michael James Fox | Dentist | 119 W Main St, Hominy, OK 74035-1031 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427120823 | Donald R Woolery | Optometrist | 117 S Wood St, Hominy, OK 74035 | 2006-11-14 |
| 1447203930 | Denzil Larry Carney | Pharmacist | 104 W Main St, Hominy, OK 74035 | 2006-05-18 |
| 1588150528 | D and L Strategies, LLC | Pharmacy | 104 W Main St, Hominy, OK 74035-1032 | 2018-07-02 |
| 1174901961 | R & D Strategies | Durable Medical Equipment & Medical Supplies | 104 W Main St, Hominy, OK 74035-1032 | 2015-05-12 |
| 1124417738 | David Derby | Pharmacist | 104 W Main St, Hominy, OK 74035-1032 | 2015-01-20 |
| 1356426647 | Hominy Rexall Inc | Pharmacy | 104 W Main St, Hominy, OK 74035-1032 | 2006-10-26 |
| 1477666808 | John Eric Snider | Pharmacist | 104 W Main St, Hominy, OK 74035-1032 | 2006-08-17 |
| 1003997628 | Hominy Community Medical Trust Authority | Ambulance | 505 N. Eastern, Hominy, OK 74035-1034 | 2006-10-18 |
| 1629603907 | Sandra Lynn Balentine | Case Manager/Care Coordinator | 605 E Main St, Hominy, OK 74035-1519 | 2020-03-07 |
| 1326496183 | Andrea Beach | Physician Assistant | 129 Conner Rd, Hominy, OK 74035-2100 | 2016-06-01 |
| Find all providers in zip 74035 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609040864 | Fairfax Medical Facilities Inc | Family Medicine | 119 W Main St, Hominy, OK 74035 | 2008-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1346841673 | Nugenex Plus Aprn-cnp Pllc | Family Medicine | 13425 Deer Spring Dr, Piedmont, OK 73078-3001 | 2020-11-03 |
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1548868573 | Kayla Lynn Birchfield | Family Medicine | 220 W Jackson St, Crescent, OK 73028-8908 | 2020-10-12 |
| 1164039632 | Axiom Medical Solutions, LLC | Family Medicine | 14132 Se 134th St, Oklahoma City, OK 73165-7669 | 2020-09-28 |
| 1174139554 | Crestcare Family Medicine,pllc | Family Medicine | 817 S Elm Pl Ste 104, Broken Arrow, OK 74012-5369 | 2020-09-21 |
| 1346855640 | Charger Health Group Pllc | Family Medicine | 511 N Aspen Ave, Broken Arrow, OK 74012-2220 | 2020-09-14 |
| 1952916645 | Brandi Suzanne Shell | Family Medicine | 26471 E 141st St S, Coweta, OK 74429-5517 | 2020-09-10 |
| 1730793696 | Osumc Professional Services LLC | Family Medicine | 112 W 5th Street, Okmulgee, OK 74447-0000 | 2020-09-08 |
| 1104437219 | L and M Investments LLC | Family Medicine | 6001 Nw 139th St, Oklahoma City, OK 73142-1919 | 2020-08-12 |
| 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.