DR. AMANDA BIGHORSE (NPI# 1619243888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619243888 |
| Entity Type | Individual |
| Full Name | DR. AMANDA BIGHORSE |
| Credential | D.O. |
| Practice Address |
395200 W 2900 Rd Ochelata OK 74051-2463 |
| Practice Telephone | 9185356000 |
| Mailing Telephone | 9185356000 |
| Enumeration Date | 2012-04-01 |
| Last Update Date | 2020-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5203 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
395200 W 2900 RD |
| City | OCHELATA |
| State | OK |
| Zip Code | 74051-2463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053430512 | Gregory S. Brooks | Family Medicine | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2007-03-28 |
| 1972067585 | Kayla Horton | Licensed Practical Nurse | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2019-01-28 |
| 1205310349 | Shaunda Stanley | Registered Nurse | 395200 W 2900 Rd, Ochelata, OK 74051 | 2018-09-24 |
| 1871972430 | Cherokee Nation | Clinic/Center | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2015-05-28 |
| 1366839029 | Kellye Parker | Pharmacist | 395200 W 2900 Rd, Ochelata, OK 74501 | 2015-04-21 |
| 1629476221 | Cherokee Nation | Pharmacy | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2014-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700324209 | Angela Mackey | Counselor | 396301 W Rd 3000, Ochelata, OK 74051 | 2017-02-03 |
| 1578123022 | Tracy Lyne Coquillette | Case Manager/Care Coordinator | 28788 N 3964 Rd, Ochelata, OK 74051-2049 | 2019-06-17 |
| 1912354069 | Bridget Shook | Case Manager/Care Coordinator | 30615 N 3950 Rd, Ochelata, OK 74051-2417 | 2016-05-18 |
| 1326566001 | Minor Pediatrics Kristie Minor Aprn-cnp Pllc | Nurse Practitioner | 29334 N 3950 Rd, Ochelata, OK 74051-2485 | 2017-09-01 |
| 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 |
|---|---|---|---|---|
| 1053430512 | Gregory S. Brooks | Family Medicine | 395200 W 2900 Rd, Ochelata, OK 74051-2463 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1346841673 | Nugenex Plus Aprn-cnp Pllc | Family Medicine | 13425 Deer Spring Dr, Piedmont, OK 73078-3001 | 2020-11-03 |
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1548868573 | Kayla Lynn Birchfield | Family Medicine | 220 W Jackson St, Crescent, OK 73028-8908 | 2020-10-12 |
| 1164039632 | Axiom Medical Solutions, LLC | Family Medicine | 14132 Se 134th St, Oklahoma City, OK 73165-7669 | 2020-09-28 |
| 1174139554 | Crestcare Family Medicine,pllc | Family Medicine | 817 S Elm Pl Ste 104, Broken Arrow, OK 74012-5369 | 2020-09-21 |
| 1346855640 | Charger Health Group Pllc | Family Medicine | 511 N Aspen Ave, Broken Arrow, OK 74012-2220 | 2020-09-14 |
| 1952916645 | Brandi Suzanne Shell | Family Medicine | 26471 E 141st St S, Coweta, OK 74429-5517 | 2020-09-10 |
| 1730793696 | Osumc Professional Services LLC | Family Medicine | 112 W 5th Street, Okmulgee, OK 74447-0000 | 2020-09-08 |
| 1104437219 | L and M Investments LLC | Family Medicine | 6001 Nw 139th St, Oklahoma City, OK 73142-1919 | 2020-08-12 |
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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.