OKMULGEE EMERGENCY PLLC (NPI# 1609865666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609865666 |
| Entity Type | Organization |
| Organization Name | OKMULGEE EMERGENCY PLLC |
| Practice Address |
1401 Morris Dr Okmulgee OK 74447-6429 |
| Mailing Address |
Po Box 5387 Norman OK 73070-5387 |
| Practice Telephone | 9187563410 |
| Mailing Telephone | 8663218433 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BERRY E WINN (PRESIDENT) |
| Authorized Official Telephone | 9187563410 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
OK | Allopathic & Osteopathic Physicians |
| Street Address |
1401 MORRIS DR |
| City | OKMULGEE |
| State | OK |
| Zip Code | 74447-6429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174131288 | Susanna Carol Mcdaniel | Nurse Practitioner | 1401 Morris Dr, Okmulgee, OK 74447-6429 | 2020-07-15 |
| 1720637093 | Shawn Hall | General Acute Care Hospital | 1401 Morris Dr, Okmulgee, OK 74447-6429 | 2019-09-09 |
| 1710492558 | Tina Marie Qualls | Social Worker | 1401 Morris Dr, Okmulgee, OK 74447-6429 | 2017-12-01 |
| 1689061947 | Creek Nation Hospital & Clinics | General Acute Care Hospital | 1401 Morris Dr, Okmulgee, OK 74447-6429 | 2015-04-23 |
| 1861889123 | Creek Nation Hospital & Clinics | General Acute Care Hospital | 1401 Morris Dr, Okmulgee, OK 74447-6429 | 2015-04-23 |
| 1598152860 | Creek Nation Hospital & Clinics | General Acute Care Hospital | 1401 Morris Dr, Okmulgee, OK 74447-6429 | 2015-04-23 |
| 1407243777 | Creek Nation Hospital & Clinics | General Acute Care Hospital | 1401 Morris Dr, Okmulgee, OK 74447-6429 | 2015-04-23 |
| 1508253865 | Creek Nation Hospital & Clinics | Home Health | 1401 Morris Dr, Okmulgee, OK 74447-6429 | 2015-04-23 |
| 1376946608 | Creek Nation Hospital & Clinics | General Acute Care Hospital | 1401 Morris Dr, Okmulgee, OK 74447-6429 | 2014-10-01 |
| 1033511480 | Creek Nation Hospital & Clinics | General Acute Care Hospital | 1401 Morris Dr, Okmulgee, OK 74447-6429 | 2014-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718376 | David Louis Holden | Counselor | 1803 W Wood Drive, Okmulgee, OK 74447 | 2020-07-30 |
| 1972097657 | Impact Rehab Consultants | Occupational Therapist | 114 West 7th Street, Okmulgee, OK 74447 | 2018-06-18 |
| 1992192504 | Taquia Bagby | Counselor | 1117 Martin L King Dr., Okmulgee, OK 74447 | 2015-04-21 |
| 1174935886 | Heather Houser | Case Manager/Care Coordinator | 1803 South Wood Drive, Okmuglee, OK 74447 | 2014-05-29 |
| 1376977066 | Anita Kaye Stallings | Case Manager/Care Coordinator | 1018 E 2nd St, Okmulgee, OK 74447 | 2013-08-29 |
| 1013283209 | Megan Breffney Wilson | Family Medicine | 112 West 5th Street, Okmulgee, OK 74447 | 2012-04-01 |
| 1245475466 | Mary Jones | Counselor | 323 W 6th Street, Okmulgee, OK 74447 | 2008-12-03 |
| 1881872182 | State of Oklahoma | Skilled Nursing Facility | 900 E. Airport Rd., Okmulgee, OK 74447 | 2008-02-08 |
| 1053539965 | Shannon Michelle Allison | Physical Therapist | 900 E. Airport Road, Okmulgee, OK 74447 | 2007-04-23 |
| 1023233772 | Ky Joel Kiger | Physical Therapist | 900 East Airport Road, Okmulgee, OK 74447 | 2007-04-16 |
| Find all providers in zip 74447 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740234541 | Allison A Blanchard | Emergency Medicine | 1401 Morris Dr, Okmulgee, OK 74447-6429 | 2006-05-19 |
| 1205826054 | Eva K Earls | Emergency Medicine | 1313 E 20th St, Okmulgee, OK 74447-6303 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285978007 | Medicine Wheel Inc | Emergency Medicine | 128 Buffalo Street, Caddo, OK 74729 | 2012-11-16 |
| 1326149048 | Nadim N Daher | Emergency Medicine | 802 S Jackson Ave Ste 310, Tulsa, OK 74127-9057 | 2006-09-26 |
| 1578512596 | Medhat S.f. Michael | Emergency Medicine | 1265 E 33rd St, Edmond, OK 73013-6307 | 2006-05-08 |
| 1639137409 | Jerry C Childs Jr. | Emergency Medicine | 1520 Morning Star, Edmond, OK 73034-6579 | 2006-05-02 |
| 1134186299 | Boyd David Burns | Emergency Medicine | 4502 E. 41st St, Tulsa, OK 74135-9923 | 2006-05-01 |
| 1649235532 | Stephen R Gilliland | Emergency Medicine | 8813 S 71st East Ave, Tulsa, OK 74133-5056 | 2006-04-20 |
| 1811959166 | Andrew Mark Hoelscher | Emergency Medicine | 8105 Nw Expressway, Oklahoma City, OK 73162-6004 | 2006-04-03 |
| 1841260015 | Joseph M. Nicholson IIi | Emergency Medicine | 1435 S Utica Ave, Tulsa, OK 74104-4649 | 2006-01-23 |
| 1518947100 | Elizabeth S Monnot | Emergency Medicine | 503 S Aspen Ave, Broken Arrow, OK 74012-2296 | 2006-01-19 |
| 1225018757 | Stanley R Stacy | Emergency Medicine | 7153 S Yale Ave, Tulsa, OK 74136-6308 | 2006-01-19 |
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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.