HEALTHWORKS MEDICAL GROUP OF OKLAHOMA P C (NPI# 1538767363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538767363 |
| Entity Type | Organization |
| Organization Name | HEALTHWORKS MEDICAL GROUP OF OKLAHOMA P C |
| Other Organization Name | PREMISE HEALTH - DEL CITY |
| Practice Address |
5460 Main St Ste 102 Del City OK 73115-5525 |
| Mailing Address |
5500 Maryland Way Ste 120 Brentwood TN 37027-4993 |
| Practice Telephone | 4056106998 |
| Practice Fax Number | 4056103431 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | DR. STEVEN A HINITT (PRESIDENT) |
| Authorized Official Telephone | 8444077557 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| 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 |
|---|---|
| Premise Health - Del City | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021459 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 915 E Owen K Garriott Rd Ste 202, Enid, OK 73701-6156 | 2019-06-13 |
| 1093379331 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 404 S Commerce St, Ardmore, OK 73401-5010 | 2019-04-23 |
| 1144700477 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 4200 Coletta Dr, Oklahoma City, OK 73120-8317 | 2018-08-16 |
| 1225518558 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 136 Nw 10th St Ste 110, Oklahoma City, OK 73103-4906 | 2018-08-16 |
| 1861972291 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 1104 E Kenosha St, Broken Arrow, OK 74012-2067 | 2018-08-15 |
| 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 |
| 1689154031 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 6912 E Reno Ave Ste 202, Midwest City, OK 73110-2157 | 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 |
| 1831698752 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 109 Ne 40th St, Oklahoma City, OK 73105-2415 | 2018-02-06 |
| Street Address |
5460 MAIN ST STE 102 |
| City | DEL CITY |
| State | OK |
| Zip Code | 73115-5525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366729279 | Lisa Dawn Eckhardt | Physician Assistant | 5460 Main St Ste 102, Del City, OK 73115-5525 | 2011-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776222 | Physicians Choice Dialysis of Midwest City LLC | Technician, Other | 3200 Se 29th Street, Del City, OK 73115 | 2020-10-06 |
| 1942784715 | Iacc/ehi Nw, LLC | General Acute Care Hospital | 4801 S.e. 15th Street, Del City, OK 73115 | 2018-09-18 |
| 1285164392 | Jerry Medlock | Peer Specialist | 4312 Vfw Dr. Apt # 7, 4312 Vfw Dr. Apt # 7, Del City, OK 73115 | 2017-06-13 |
| 1326425588 | Peace of Mind Pediatrics Pllc | Clinic/Center | 5476 Main Street, 104, Del City, OK 73115 | 2015-04-27 |
| 1588077044 | Latasha Aujena Walker | Case Management | 4337 Se15th, Del City, OK 73115 | 2014-06-03 |
| 1164834701 | Affordable Dentures-midwest City, P.C. | Dentist | 5301 Main Street, Suite 111, Del City, OK 73115 | 2014-06-02 |
| 1629488028 | Nikke Sogunro | Counselor | 3517 Ridglea Ct., Del City, OK 73115 | 2014-05-07 |
| 1033539358 | Shelli Holtsman | Counselor | 4329 Se 40th Street, Del City, OK 73115 | 2014-04-25 |
| 1215238514 | Tonya Dailwayne Wilson | Counselor | 4016 S.e. 24th Street, Del City, OK 73115 | 2010-11-03 |
| 1851611099 | Kelly Camille Kingsley | Behavioral Analyst | 4018 Se 11th Street, Del City, OK 73115 | 2010-06-10 |
| Find all providers in zip 73115 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326425588 | Peace of Mind Pediatrics Pllc | Clinic/Center | 5476 Main Street, 104, Del City, OK 73115 | 2015-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609476654 | Team Clinic Management Partners LLC | Clinic/Center | 372 N Cobb, Caney, OK 74533 | 2020-10-29 |
| 1184222705 | Essential Md, Pllc | Clinic/Center | 6316 E 102nd St Ste 100, Tulsa, OK 74137-7061 | 2020-10-15 |
| 1881292191 | Team Clinic Management Partners LLC | Clinic/Center | 3100 W New Orleans St, Broken Arrow, OK 74011-1468 | 2020-10-09 |
| 1972115392 | Team Clinic Management Partners LLC | Clinic/Center | 225 E Omaha St, Broken Arrow, OK 74012-1761 | 2020-08-18 |
| 1093327413 | Team Clinic Management Partners LLC | Clinic/Center | 301 W New Orleans St, Broken Arrow, OK 74011-2206 | 2020-08-18 |
| 1962013110 | Team Clinic Management Partners LLC | Clinic/Center | 4300 E Gary Street, Broken Arrow, OK 74014 | 2020-08-12 |
| 1750992038 | Team Clinic Management Partners LLC | Clinic/Center | 251 E Omaha St, Broken Arrow, OK 74012-1761 | 2020-08-11 |
| 1689285975 | Team Clinic Management Partners LLC | Clinic/Center | 301 E Tucson St, Broken Arrow, OK 74011-7235 | 2020-08-11 |
| 1417568700 | Team Clinic Management Partners LLC | Clinic/Center | 1351 E Albany St, Broken Arrow, OK 74012-8995 | 2020-08-11 |
| 1164033569 | Team Clinic Management Partners LLC | Clinic/Center | 6800 E Quincy Pl, Broken Arrow, OK 74014-4523 | 2020-08-11 |
| 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.