MED-CORP PLUS, INC. (NPI# 1558465617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558465617 |
| Entity Type | Organization |
| Organization Name | MED-CORP PLUS, INC. |
| Other Organization Name | MOBILE DIAGNOSTICS |
| Practice Address |
1338 W Shawnee St Muskogee OK 74401-3406 |
| Mailing Address |
3310 Chandler Rd Muskogee OK 74403-4906 |
| Practice Telephone | 9186873297 |
| Practice Fax Number | 9186870971 |
| Mailing Telephone | 9186878033 |
| Mailing Fax Number | 9186874092 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ALFRED EZELL (OWNER) |
| Authorized Official Telephone | 9186878033 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MOBILE DIAGNOSTICS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619089257 | Med-corp Plus, Inc. | Case Management | 1338 W Shawnee St, Muskogee, OK 74401-3406 | 2006-08-31 |
| Street Address |
1338 W SHAWNEE ST |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619089257 | Med-corp Plus, Inc. | Case Management | 1338 W Shawnee St, Muskogee, OK 74401-3406 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033315767 | D & J White, Inc. | Clinic/Center | 3008 E 87th St, Tulsa, OK 74137-2505 | 2007-06-21 |
| 1154431625 | Impact Imaging, Inc. | Clinic/Center | 207 Bryant Pl, Del City, OK 73115-1001 | 2006-08-30 |
| 1912989534 | Heart Institute of Tulsa, Inc. | Clinic/Center | 6972 E 38th St, Suite 100, Tulsa, OK 74145-3246 | 2005-11-18 |
| 1255956769 | Pdi Health Ok LLC | Clinic/Center | 8211 E Regal Pl, Tulsa, OK 74133-7167 | 2020-06-10 |
| 1336596469 | Today Mobile Diagnostics | Clinic/Center | 701 Ne 36th St, Oklahoma City, OK 73105-7203 | 2016-05-18 |
| 1790053536 | Mms Diagnostic Services | Clinic/Center | 2410 W Memorial Rd, Suite C 156, Oklahoma City, OK 73134-8047 | 2011-12-08 |
| 1578703930 | Sooner Mobile X-ray, Inc. | Clinic/Center | 4505 Copperwood St, Duncan, OK 73533-8904 | 2009-02-25 |
| 1306047899 | Mobile Imaging Solutions Inc | Clinic/Center | 330 S 5th St, Suite 404, Enid, OK 73701-5825 | 2007-05-30 |
| 1326001199 | Rcoa Imaging Services, Inc | Clinic/Center | 305 S 5th St, Enid, OK 73701-5832 | 2006-04-11 |
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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.