MALAYA REYNA DEEMER


Address: 5602 Sw Lee Blvd, Lawton, OK 73505-9699
Phone: 5805314786

MALAYA REYNA DEEMER (NPI# 1629531900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629531900
Entity Type Individual
Full Name MALAYA REYNA DEEMER
Other Name MR. MALAYA REYNA PETERSON
Credential CNP
Practice Address 5602 Sw Lee Blvd
Lawton
OK 73505-9699
Practice Telephone 5805314786
Mailing Telephone 5805314786
Enumeration Date 2019-04-12
Last Update Date 2019-04-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
124007 OK Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5602 SW LEE BLVD
City LAWTON
State OK
Zip Code 73505-9699

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326044603 Dennis Dodd Nurse Anesthetist, Certified Registered 5602 Sw Lee Blvd, Lawton, OK 73505-9635 2005-06-22
1295213106 Kylie Danielle Starnes Nurse Practitioner 5602 Sw Lee Blvd, Lawton, OK 73505-9699 2018-08-02
1669963575 Catherine H Phipps Physician Assistant 5602 Sw Lee Blvd, Lawton, OK 73505-9699 2018-05-25
1558730952 Deanna Harmon Registered Nurse 5602 Sw Lee Blvd, Lawton, OK 73505-9699 2015-09-16
1881909604 Southwestern Radiology Affiliates, LLC Radiology 5602 Sw Lee Blvd, Lawton, OK 73505-9635 2010-08-17
1538472899 Chad Reid Family Medicine 5602 Sw Lee Blvd, Lawton, OK 73505-9635 2010-07-15
1770728412 Lawton Ems Services, Inc. Emergency Medicine 5602 Sw Lee Blvd, Lawton, OK 73505-9635 2008-12-10
1013169531 Southwestern Surgical Affiliates, LLC Orthopaedic Surgery 5602 Sw Lee Blvd, Lawton, OK 73505-9635 2008-10-15
1912186651 Abdallah M Hussein Family Medicine 5602 Sw Lee Blvd, Lawton, OK 73505-9635 2007-10-30
1518003656 Lawton Emergency Group LLC Physician Assistant 5602 Sw Lee Blvd, Lawton, OK 73505-9635 2007-01-29
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801414628 Kimberly Noelle Hanley Nurse Practitioner 4411 W Gore Blvd Ste A, Lawton, OK 73505-6016 2020-07-08
1871133835 Jeannie Marie Wyrick Nurse Practitioner 1805 Nw Arlington Ave, Lawton, OK 73507-6310 2020-01-07
1780234690 Candace Michelle Flournoy Nurse Practitioner 3201 W Gore Blvd Ste 103, Lawton, OK 73505-6350 2019-09-13
1073071940 Kimberly Ann Turnipseed Nurse Practitioner 6104 Nw Williams Ave, Lawton, OK 73505-1320 2019-03-08
1962980631 Piettra Santos Alves Nurse Practitioner 5606 Sw Lee Blvd Ste 301, Lawton, OK 73505-9618 2018-08-03
1639670649 Isabelle Zlatnik Nurse Practitioner 4411 W Gore Blvd Ste B1, Lawton, OK 73505-5977 2018-02-25
1932627387 Tonya Bardsher Nurse Practitioner 916 Sw 38th St Ste D, Lawton, OK 73505-7005 2017-09-06
1063882140 Theleka Williams Nurse Practitioner 6744 Nw Cache Rd, Lawton, OK 73505-2702 2015-10-01
1255708012 Shannon Ballou Nurse Practitioner 3811 W Gore Blvd Ste 6, Lawton, OK 73505-6328 2015-08-27
1437553252 Ada Diann Johnson Nurse Practitioner 5050 Sw Lee Blvd, Lawton, OK 73505 2014-10-22
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Competitor

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City LAWTON
Zip Code 73505

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Dataset Information

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.

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