MEREDITH L. MOGAN (NPI# 1598089955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598089955 |
| Entity Type | Individual |
| Full Name | MEREDITH L. MOGAN |
| Credential | PA-C |
| Practice Address |
7530 Nw 23rd St Bethany OK 73008-4921 |
| Mailing Address |
14024 Quail Pointe Dr Oklahoma City OK 73134-1006 |
| Practice Telephone | 4057878550 |
| Practice Fax Number | 4057896734 |
| Mailing Telephone | 4054198447 |
| Mailing Fax Number | 4054197745 |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2015-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1884 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7530 NW 23RD ST |
| City | BETHANY |
| State | OK |
| Zip Code | 73008-4921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003802356 | James Milton Gilbert | Psychiatry & Neurology | 7530 Nw 23rd St, Ste B, Bethany, OK 73008-4921 | 2005-09-22 |
| 1396385431 | Your Health LLC | Clinic/Center | 7530 Nw 23rd St, Bethany, OK 73008-4921 | 2020-01-07 |
| 1013570035 | Amaza Tripp | Nurse Practitioner | 7530 Nw 23rd St, Bethany, OK 73008-4921 | 2019-04-16 |
| 1932604808 | Lynna G Hunt | Radiology | 7530 Nw 23rd St, Bethany, OK 73008-4921 | 2018-03-24 |
| 1851823587 | Heather Dawn Foster | Nurse Practitioner | 7530 Nw 23rd St, Bethany, OK 73008 | 2017-03-31 |
| 1417366352 | At Home Care Mht LLC | Family Medicine | 7530 Nw 23rd St, Bethany, OK 73008-4921 | 2014-08-05 |
| 1336415280 | Isaac Ilaoa | Internal Medicine | 7530 Nw 23rd St, Bethany, OK 73008-4921 | 2012-03-26 |
| 1447541750 | Stuart Joseph Lisle | Family Medicine | 7530 Nw 23rd St, Bethany, OK 73008-4921 | 2011-04-21 |
| 1669783726 | Brooke Elayne Caldwell | Nurse Practitioner | 7530 Nw 23rd St, Bethany, OK 73008-4921 | 2010-06-23 |
| 1720314875 | Wellness and Longevity LLC | Nutritionist | 7530 Nw 23rd St, Bethany, OK 73008-4921 | 2009-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150151 | Kimberly Campbell | Counselor | 6612 Nw 42nd Street, Bethany, OK 73008 | 2018-10-23 |
| 1366943151 | Arkansas Liver and Gastroenterology, Pa | Clinic/Center | 2347 North Thompkins Ave, Bethany, OK 73008 | 2018-02-27 |
| 1881106805 | Tiffany Harmon | Physical Therapy Assistant | 6729 Nw 39th Exp., Sawyer Center, Bethany, OK 73008 | 2017-10-31 |
| 1740660257 | Michael Brobston | Specialist | 6729 Nw 39th Expressway, Bethany, OK 73008 | 2015-06-01 |
| 1043626120 | Danielle Manning | Case Manager/Care Coordinator | 6729 Nw Expressway, Bethany, OK 73008 | 2014-07-09 |
| 1487065157 | Carolyn Mgcdf Jones | Behavioral Analyst | 2209 Nth. Beaver Ave., Bethany, OK 73008 | 2014-05-15 |
| 1013327022 | Ephraim Kelley | Counselor | 2800 N. Rockwell Ave., Bethany, OK 73008 | 2014-04-29 |
| 1356600407 | Mallory Crosier | Occupational Therapist | 6800 Nw 39th Expresswaay, Bethany, OK 73008 | 2012-05-10 |
| 1326310897 | Isaac I Juarez | Psychologist | 2020 N Briarcliff Ave., Bethany, OK 73008 | 2012-01-31 |
| 1295015295 | Lauren Vanderloo | Counselor | 7908 Northwest 23rd St, Bethany, OK 73008 | 2011-08-22 |
| Find all providers in zip 73008 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336779206 | John Nelson Lazenby IIi | Physician Assistant | 4 E Clark Bass Blvd Ste 302, Mcalester, OK 74501-4269 | 2020-01-20 |
| 1578025094 | Shawna Rose Liszewski | Physician Assistant | 6767 S Yale Ave Ste A, Tulsa, OK 74136-3302 | 2019-04-03 |
| 1417418666 | Andrea J Caygill | Physician Assistant | 216 N 20th St, Collinsville, OK 74021-1605 | 2019-03-29 |
| 1093290132 | Nisha Panta | Physician Assistant | 4120 W Memorial Rd # 300, Oklahoma City, OK 73120-9322 | 2018-09-25 |
| 1265920565 | Elite Surgical Assisting, LLC | Physician Assistant | 2924 S 98th East Ave, Tulsa, OK 74129-4407 | 2018-04-23 |
| 1417472259 | Brooke Javon Denton | Physician Assistant | 2924 S. 98th East Ave, Tulsa, OK 74129 | 2017-08-12 |
| 1104216662 | Morgan Hanni | Physician Assistant | 3520 Nw 20th St, Oklahoma City, OK 73107-2818 | 2015-02-04 |
| 1790103455 | A Cut Above Surgical Assisting LLC | Physician Assistant | 6313 E Commercial St, Broken Arrow, OK 74014-6981 | 2014-03-31 |
| 1518204056 | Dustin William Tims | Physician Assistant | 11317 S Western Ave Ste 300, Oklahoma City, OK 73170-5848 | 2013-01-03 |
| 1265797781 | Rebecca Lynn Painter | Physician Assistant | 9915 E 82nd Pl, Tulsa, OK 74133-4557 | 2012-07-10 |
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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.