OKLAHOMA STATE DEPARTMENT OF HEALTH (NPI# 1629472998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629472998 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA STATE DEPARTMENT OF HEALTH |
| Practice Address |
1010 Sw Sheridan Rd Lawton OK 73505-1531 |
| Mailing Address |
1000 Ne 10th St Oklahoma City OK 73117-1207 |
| Practice Telephone | 5802485890 |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |
| Authorized Official Name | BRIANNA MARIE VARGAS (APRN) |
| Authorized Official Telephone | 5806495064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
R0099778 | OK | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184168643 | Oklahoma State Department of Health | Clinic/Center | 1000 Ne 10th St, Oklahoma City, OK 73117-1207 | 2016-12-16 |
| 1710132782 | Oklahoma State Department of Health | Clinic/Center | 1000 Ne 10th St, Oklahoma City, OK 73117-1299 | 2008-11-18 |
| 1174790513 | Oklahoma State Department of Health | Clinical Medical Laboratory | 1000 Ne 10th St, Oklahoma City, OK 73117-1299 | 2008-05-14 |
| 1992822241 | Oklahoma State Department of Health | Case Management | 1000 Ne 10th St, Oklahoma City, OK 73117-1207 | 2007-03-23 |
| 1699892869 | Oklahoma State Department of Health | Clinic/Center | 1000 Ne 10th St, Oklahoma City, OK 73117-1207 | 2007-03-23 |
| 1477670529 | Oklahoma State Department of Health | Clinical Medical Laboratory | 1000 Ne 10th St, Oklahoma City, OK 73117-1299 | 2007-03-23 |
| 1487771671 | Oklahoma State Department of Health | Clinic/Center | 1000 Ne 10th St, Oklahoma City, OK 73117-1207 | 2007-03-23 |
| 1790802882 | Oklahoma State Department of Health | Case Management | 1000 Ne 10th St, Oklahoma City, OK 73117-1207 | 2007-03-23 |
| 1629195722 | Oklahoma State Department of Health | Clinic/Center | 1000 Ne 10th St, Oklahoma City, OK 73117-1207 | 2007-03-23 |
| 1134246259 | Oklahoma State Department of Health | Clinic/Center | 1000 Ne 10th St, Oklahoma City, OK 73117-1207 | 2007-03-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OKLAHOMA STATE DEPARTMENT OF HEALTH | 1000 Ne Tenth St Ste 305, Oklahoma City, OK 73117-1207 |
| Street Address |
1010 SW SHERIDAN RD |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-1531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841350592 | Barbara Ann Mcendree | Nurse Practitioner | 1010 Sw Sheridan Rd, Lawton, OK 73505-1531 | 2006-12-11 |
| 1306338918 | Lauren Hickman | Dietitian, Registered | 1010 Sw Sheridan Rd, Lawton, OK 73505-1531 | 2018-05-31 |
| 1649710211 | Ethan Evan Epperson | Counselor | 1010 Sw Sheridan Rd, Lawton, OK 73505-1531 | 2017-03-02 |
| 1952547275 | Kimberly N. Barnes | Nurse Practitioner | 1010 Sw Sheridan Rd, Lawton, OK 73505-1531 | 2008-12-17 |
| 1518175892 | Angela C Farmer | Nurse Practitioner | 1010 Sw Sheridan Rd, Lawton, OK 73505-1531 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477713097 | Oklahoma City-county Health Department | Clinic/Center | 4330 Nw 10th St, Oklahoma City, OK 73107-5711 | 2008-06-17 |
Please comment or provide details below to improve the information on OKLAHOMA STATE DEPARTMENT OF HEALTH.
| 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.