AHS OKLAHOMA PHYSICIAN GROUP, LLC (NPI# 1588728000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588728000 |
| Entity Type | Organization |
| Organization Name | AHS OKLAHOMA PHYSICIAN GROUP, LLC |
| Other Organization Name | COLM MCCAULEY, DO |
| Practice Address |
1025 E 2nd St Cushing OK 74023-4136 |
| Mailing Address |
1145 S Utica Ave Suite 110 Tulsa OK 74104-4000 |
| Practice Telephone | 9182253627 |
| Practice Fax Number | 9182251008 |
| Mailing Telephone | 9185793825 |
| Mailing Fax Number | 9185791262 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT LANGLEY (CFO) |
| Authorized Official Telephone | 9185791000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Colm McCauley, DO | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821308248 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 2400 N Highway 66 Ste B, Catoosa, OK 74015-3074 | 2010-10-19 |
| 1538366083 | Ahs Oklahoma Physician Group, LLC | Internal Medicine | 9245 South Mingo, Tulsa, OK 74133 | 2007-06-28 |
| 1578760021 | Ahs Oklahoma Physician Group, LLC | Pediatrics | 10512 North 110th E. Ave., Owasso, OK 74055 | 2007-06-28 |
| 1982729620 | Ahs Oklahoma Physician Group, LLC | Psychiatry & Neurology | 720 W 7th St, Tulsa, OK 74127-8948 | 2007-03-20 |
| 1891850137 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 10512 N. 110th E. Ave., Owasso, OK 74055 | 2006-12-27 |
| 1588728836 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 1551 N. 9th Street, Broken Arrow, OK 74012 | 2006-12-21 |
| 1427112424 | Ahs Oklahoma Physician Group, LLC | Pediatrics | 10512 N 110th E Ave, Owasso, OK 74055 | 2006-12-21 |
| 1710041009 | Ahs Oklahoma Physician Group, LLC | Nurse Practitioner | 2401 West Main, Henryetta, OK 74437 | 2006-12-20 |
| 1235293846 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 300 Boulder St, Pawnee, OK 74058-3801 | 2006-12-20 |
| 1548324965 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 4739 S Union Ave, Tulsa, OK 74107-7842 | 2006-12-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AHS OKLAHOMA PHYSICIAN GROUP, LLC | 1145 S Utica Ave Ste 115, Tulsa, OK 74104-4013 |
| Street Address |
1025 E 2ND ST |
| City | CUSHING |
| State | OK |
| Zip Code | 74023-4136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861425878 | Robert Brian Hightower | Internal Medicine | 1025 E 2nd St, Cushing, OK 74023-4136 | 2006-07-10 |
| 1770003006 | Halie Muckelrath | Family Medicine | 1025 E 2nd St, Cushing, OK 74023-4136 | 2017-06-27 |
| 1679962856 | Amber Kathryn Reinecke | Physician Assistant | 1025 E 2nd St, Cushing, OK 74023-4136 | 2015-01-12 |
| 1619161205 | Bronwyn L Howard | Nurse Practitioner | 1025 E 2nd St, Cushing, OK 74023-4136 | 2007-08-28 |
| 1538182555 | Courtney Gail Elliot | Nurse Practitioner | 1025 E 2nd St, Cushing, OK 74023-4136 | 2006-07-25 |
| 1356364376 | Randy James Grellner | Family Medicine | 1025 E 2nd St, Cushing, OK 74023-4136 | 2006-07-25 |
| 1518980531 | Colm Patrick Mccauley | Family Medicine | 1025 E 2nd St, Cushing, OK 74023-4136 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982069654 | Laneta D Houston | Nurse's Aide | 1700 E Walnut, Cushing, OK 74023 | 2015-12-23 |
| 1306211024 | Deborah Denise Young | Speech-Language Pathologist | 316 N. Steele Ave, Cushing Upper Elementary, Cushing, OK 74023 | 2015-12-07 |
| 1821463647 | Ladawna Shawndrae Hollingshad | Nurse's Aide | 1405 E Moses, Cushing, OK 74023 | 2015-12-04 |
| 1932573094 | Margaret Marie King | Nurse's Aide | 1405 East Moses, Crushing, OK 74023 | 2015-11-30 |
| 1689056509 | Victoria Moran Nash | Counselor | 321 E. Main, Cushing, OK 74023 | 2015-06-27 |
| 1609140755 | Custom Dental of Cushing,pllc | Dentist | 3200 E. Main Street, Cushing, OK 74023 | 2012-03-06 |
| 1487957601 | World Wide Anesthesia Alliance | Nurse Anesthetist, Certified Registered | 2340 E Main, Cimarron Healthcare Center, Cushing, OK 74023 | 2010-12-09 |
| 1043520695 | Cheryl Kelly | Physical Therapist | 2809 E 9th St, Cushing, OK 74023 | 2010-10-18 |
| 1821279746 | Michael A Miller | Counselor | 100 S Jones, Cushing Valley Hope, Cushing, OK 74023 | 2007-11-20 |
| 1881763050 | Mays Drug Stores Inc | Pharmacy | 2110-o East Main, Cushing, OK 74023 | 2006-11-06 |
| Find all providers in zip 74023 | ||||
| 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 |
|---|---|---|---|---|
| 1962813030 | Hightower & Grellner | Family Medicine | 1002 E Cherry St, Cushing, OK 74023-4102 | 2014-05-12 |
| 1184889446 | Jared M Adams | Family Medicine | 1030 E. Cherry, Suite 200, Cushing, OK 74023-4102 | 2008-07-25 |
| 1275759367 | Charles Stephen Paine Jr. | Family Medicine | 3200 S Kings Hwy, Cushing, OK 74023-5355 | 2007-04-17 |
| 1760576417 | Cimarron Urgent Care Clinic, LLC | Family Medicine | 2340 E. Main Street, Cushing, OK 74023 | 2006-10-03 |
| 1245264894 | Sandra Kay Dimmitt | Family Medicine | 1102 E 2nd St, Cushing, OK 74023-4139 | 2006-07-10 |
| 1134197205 | Tracy Lynn Pyles | Family Medicine | 1030 E Cherry, Cushing, OK 74023-4102 | 2006-03-14 |
| 1861476269 | David Thomas Dotson Ix | Family Medicine | 1027 E Cherry St, Cushing, OK 74023-4101 | 2005-11-30 |
| 1134640162 | Laurel Elizabeth Stacy | Family Medicine | 1030 E Cherry St, Cushing, OK 74023-4102 | 2017-06-29 |
| 1770003006 | Halie Muckelrath | Family Medicine | 1025 E 2nd St, Cushing, OK 74023-4136 | 2017-06-27 |
| 1245779859 | Steven J. Finley, Do, Pllc | Family Medicine | 2340 E Main St, Cushing, OK 74023-2905 | 2017-02-15 |
| Find all providers in CUSHING | ||||
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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.