SQUAREONE COMPASSION INC (NPI# 1508493784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508493784 |
Entity Type | Organization |
Organization Name | SQUAREONE COMPASSION INC |
Other Organization Name | SQUAREONE MEDICAL CENTER |
Practice Address |
5323 South 65th West Avenue Tulsa OK 74107 |
Practice Telephone | 9183405024 |
Mailing Telephone | 9183405024 |
Enumeration Date | 2020-03-26 |
Last Update Date | 2020-04-14 |
Authorized Official Name | MR. MATTHEW RILEY BLAIR (PRESIDENT) |
Authorized Official Telephone | 9185214185 |
Is Organization Subpart | Y |
Parent Organization Name | SQUAREONE COMPASSION INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
SquareOne Medical Center | Doing Business As Name - Organization |
Street Address |
5323 SOUTH 65TH WEST AVENUE |
City | TULSA |
State | OK |
Zip Code | 74107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649772476 | Lauren Michele Rogers | Student in an Organized Health Care Education/Training Program | 1111 W. 17th St., Barson 241, Tulsa, OK 74107 | 2018-03-07 |
1336641828 | Frank Patrick Goodman | Student in an Organized Health Care Education/Training Program | 2345 Sw Blvd, Tulsa, OK 74107 | 2018-03-01 |
1659827269 | Careatc - America Waste | Clinic/Center | 23322 Southwest Blvd, Tulsa, OK 74107 | 2016-09-01 |
1538530886 | Jeremy Michael Bowles | Pharmacist | 4227 Southwest Boulevard, Tulsa, OK 74107 | 2015-10-13 |
1760725865 | Nicholas Alexander | Student in an Organized Health Care Education/Training Program | 2345 Southwest Blvd., Osu Health Care Center, Tulsa, OK 74107 | 2013-03-27 |
1295095321 | Robert Steven Wedding | Counselor | 6033 S. 31 St. West Ave., Tulsa, OK 74107 | 2012-05-23 |
1295911451 | American Current Care P.a. | Clinic/Center | 5682 W Skelly Drive, Tulsa, OK 74107 | 2008-01-17 |
1821200072 | Leeca Jenkins | Counselor | 2007 W. 57th St, Tulsa, OK 74107 | 2007-05-03 |
1477670552 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 5682 W. Skelly Drive, Tulsa, OK 74107 | 2007-03-23 |
1790879450 | Latricia D Taylor | Counselor | 4122 W 55th Pl, Tulsa, OK 74107 | 2006-10-03 |
Find all providers in zip 74107 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184222705 | Essential Md, Pllc | Clinic/Center | 6316 E 102nd St Ste 100, Tulsa, OK 74137-7061 | 2020-10-15 |
1053962738 | Careatc | Clinic/Center | 15 E 5th St Ste 1600, Tulsa, OK 74103-4320 | 2019-09-24 |
1023669793 | Careatc | Clinic/Center | 808 N 161st East Ave, Tulsa, OK 74116-4115 | 2019-09-24 |
1285285932 | Careatc | Clinic/Center | 5311 S 122nd East Ave, Tulsa, OK 74146-6006 | 2019-09-24 |
1740760172 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 6801 S 65th West Ave, Tulsa, OK 74131-2424 | 2018-08-15 |
1427538834 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 100 W 5th St Ste Ll1020, Tulsa, OK 74103-4245 | 2018-08-15 |
1508346958 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 4415 S Harvard Ave Ste 202, Tulsa, OK 74135-2618 | 2018-08-15 |
1659827269 | Careatc - America Waste | Clinic/Center | 23322 Southwest Blvd, Tulsa, OK 74107 | 2016-09-01 |
1144673112 | The Wellness Clinic | Clinic/Center | 3562 E 51st St, Tulsa, OK 74135-3518 | 2016-07-14 |
1336553502 | Medrite LLC | Clinic/Center | 7307 S Yale Ave Ste 101, Tulsa, OK 74136-7028 | 2014-06-16 |
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.