GREEN COUNTRY HEALTHCARE FOR WOMEN (NPI# 1497974984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497974984 |
| Entity Type | Organization |
| Organization Name | GREEN COUNTRY HEALTHCARE FOR WOMEN |
| Practice Address |
1145 S Utica Ave 500 Tulsa OK 74104-4000 |
| Practice Telephone | 9183825399 |
| Practice Fax Number | 9183825704 |
| Mailing Telephone | 9183825399 |
| Mailing Fax Number | 9183825704 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CONCHITA LUSALYER WOODRUFF (OWNER) |
| Authorized Official Telephone | 9183825399 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 23123 | OK | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | UNITED HEALTH CARE | 2250926 | 01 |
| OK | BCBS | 593884499004 | 01 |
| OK | NPI -INDIVIUAL | 1720151707 | 01 |
| OK | TAXONOMY NUMBER | 261QM2500X | 01 |
| OK | TAXOMONY | 207V00000X | 01 |
| OK | PROVIDER NUMBER-UNITED HC | 2372057 | 01 |
| Street Address |
1145 S UTICA AVE 500 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336133024 | Michael Opong-kusi | Family Medicine | 1145 S Utica Ave, Suite 460, Tulsa, OK 74104-4000 | 2005-09-08 |
| 1639631690 | Gautami Gandham | Student in an Organized Health Care Education/Training Program | 1145 S Utica Ave, Tulsa, OK 74104-4000 | 2019-04-01 |
| 1265948269 | Linda Ellard | Nurse Practitioner | 1145 S Utica Ave, Ste 460, Tulsa, OK 74104-4041 | 2017-12-28 |
| 1972038602 | Laquichesha Trotter | Nurse Practitioner | 1145 S Utica Ave, Suite 364, Tulsa, OK 74104-4000 | 2017-05-01 |
| 1265966980 | Jubin Sadeghian | Student in an Organized Health Care Education/Training Program | 1145 S Utica Ave, Tulsa, OK 74104-4000 | 2017-04-19 |
| 1881128775 | Jacqueline R Froese | Nurse Practitioner | 1145 S Utica Ave, Ste 110, Tulsa, OK 74104-4000 | 2017-04-18 |
| 1861931891 | Brittany Goodin | Nurse Practitioner | 1145 S Utica Ave, Ste 460, Tulsa, OK 74104-4000 | 2017-02-23 |
| 1447796545 | Haresh K Ajmera Md Inc | Specialist | 1145 S Utica Ave, Suite 500, Tulsa, OK 74104-4014 | 2017-01-12 |
| 1396281937 | Chih-ying Lee | Physician Assistant | 1145 S Utica Ave, Suite 460, Tulsa, OK 74104-4000 | 2017-01-06 |
| 1023562204 | Katie Rodgers | Nurse Practitioner | 1145 S Utica Ave, Ste 460, Tulsa, OK 74104-4000 | 2016-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| 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 |
|---|---|---|---|---|
| 1467092924 | Gabrielle Mae Fielstra | Specialist | 1711 S 77th East Ave, Tulsa, OK 74112-7817 | 2020-01-13 |
| 1407266075 | Leoncio Raymond | Specialist | 2217 E 59th Str Apt# 624, Tulsa, OK 74105 | 2014-05-05 |
| 1548682644 | Ladd C. Atkins, D.o., P.l.l.c | Specialist | 9641 Riverside Pkwy, A, Tulsa, OK 74137-7441 | 2014-01-09 |
| 1861732919 | Alisha La'trice Mcconnell | Specialist | 1128 N Braden Ave, Tulsa, OK 74115-6417 | 2013-02-27 |
| 1477892024 | Lavonda D Coffey | Specialist | 145 S 36th West Ave, Tulsa, OK 74127-8123 | 2013-02-01 |
| 1891030169 | Advanced Invasive Pain Management of Houston | Specialist | 3558 E 51st St, Tulsa, OK 74135-3518 | 2012-11-28 |
| 1679825806 | Shannen Michon Peters | Specialist | 1822 E Young St, Tulsa, OK 74110-2050 | 2012-10-11 |
| 1912201641 | Dawn Rochelle Demott | Specialist | 7409 E 84th St, Tulsa, OK 74133-6632 | 2011-01-10 |
| 1740598671 | Me Hoen Smith, PC | Specialist | 4629 S. Harvard, Suite A, Tulsa, OK 74135 | 2010-09-14 |
| 1023329604 | Mark A Birdsong Pllc | Specialist | 1809 E. 13th St., Ste.400, Tulsa, OK 74104-4431 | 2010-06-29 |
| Find all providers in TULSA | ||||
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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.