TEAM CLINIC MANAGEMENT PARTNERS LLC (NPI# 1609476654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609476654 |
| Entity Type | Organization |
| Organization Name | TEAM CLINIC MANAGEMENT PARTNERS LLC |
| Practice Address |
372 N Cobb Caney OK 74533 |
| Mailing Address |
Po Box 248922 Oklahoma City OK 73124-8922 |
| Practice Telephone | 4055464130 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | TREVOR A NUTT (CEO) |
| Authorized Official Telephone | 4055464130 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200920640 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1295346609 | Team Clinic Management Partners LLC | Clinic/Center | 7200 E Quincy Pl, Broken Arrow, OK 74014-4522 | 2020-08-11 |
| 1003424060 | Team Clinic Management Partners LLC | Clinic/Center | 1401 N Lark St, Weatherford, OK 73096-2702 | 2020-07-16 |
| Street Address |
372 N COBB |
| City | CANEY |
| State | OK |
| Zip Code | 74533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003119082 | Lori Leann Boehme | Counselor | 301 North Cobb, Caney, OK 74533 | 2010-12-13 |
| 1912020546 | Caney Public School | Public Health or Welfare | 301 N Cobb Ave, Caney, OK 74533 | 2007-04-09 |
| 1831657238 | Jeana Collins | Registered Nurse | 9120 S Trent Ln, Caney, OK 74533-3455 | 2019-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659817476 | Premier Rehab Specialists, Pllc | Clinic/Center | 1517 Cr 1200, Caney, KS 67333-2839 | 2017-01-18 |
| 1194150102 | Shaun Lanceine Meek | Marriage & Family Therapist | 107 W 3rd Ave, Caney, KS 67333-1301 | 2013-09-09 |
| 1609161462 | Angela Kay Metcalf | Counselor | 704 N. Spring Street, Caney, KS 67333 | 2011-06-09 |
| 1245520253 | Marissa May Craft | Nurse's Aide | 401 E 3rd Ave, Caney, KS 67333-2023 | 2011-04-11 |
| 1003049362 | Usd 436 Caney Valley | Local Education Agency (LEA) | 700 E Bullpup Blvd, Caney, KS 67333-2542 | 2009-09-02 |
| 1174797880 | Marilee Ann Mack | Occupational Therapist | 1676 Cr 2300, Caney, KS 67333-8521 | 2008-04-15 |
| 1255504890 | Teresa Lynn Mcvey | Case Manager/Care Coordinator | 2088 Cr 2700, Caney, KS 67333-8524 | 2008-04-03 |
| 1932327087 | Robert L. Mason Dds Pa | Dentist | 101 S Mcgee St, Caney, KS 67333-2140 | 2007-04-23 |
| 1134347883 | Lightning Creek Investment Group Inc | Assisted Living Facility | 400 S Mcgee St, Caney, KS 67333-1601 | 2007-04-20 |
| 1548392046 | Rick Wilson Mediride | Private Vehicle | Rr 1 Box 234b, Caney, KS 67333-9691 | 2007-03-10 |
| Find all providers in CANEY | ||||
| 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 |
| 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 |
| 1295346609 | Team Clinic Management Partners LLC | Clinic/Center | 7200 E Quincy Pl, Broken Arrow, OK 74014-4522 | 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.