TEAM CLINIC MANAGEMENT PARTNERS (NPI# 1629631189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629631189 |
| Entity Type | Organization |
| Organization Name | TEAM CLINIC MANAGEMENT PARTNERS |
| Practice Address |
3112 Cooke Way Oklahoma City OK 73179-2401 |
| Mailing Address |
Po Box 248922 Oklahoma City OK 73124-8922 |
| Practice Telephone | 4056006869 |
| Mailing Telephone | 4056006869 |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2020-04-15 |
| Authorized Official Name | SHERITA BARRETT (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 4056006869 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033696109 | Team Clinic Management Partners | Clinic/Center | 800 N Louisa Ave, Shawnee, OK 74801-5832 | 2018-07-23 |
| 1730666967 | Team Clinic Management Partners | Clinic/Center | 412 N Draper Ave, Shawnee, OK 74801-7410 | 2018-07-20 |
| 1407409642 | Team Clinic Management Partners | Clinic/Center | 601 N 13th St, Clinton, OK 73601-1831 | 2019-07-17 |
| 1679134688 | Team Clinic Management Partners | Clinic/Center | 500 W University St, Shawnee, OK 74804-2522 | 2019-06-21 |
| Street Address |
3112 COOKE WAY |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73179-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477684587 | Kinex Medical Company, LLC | Durable Medical Equipment & Medical Supplies | 3112 Cooke Way, Suite 105, Oklahoma City, OK 73179-2401 | 2007-03-08 |
| 1821506528 | Team Clinic Management Partners LLC | Clinic/Center | 3112 Cooke Way, Oklahoma City, OK 73179-2401 | 2018-01-16 |
| 1093008385 | Eclipse Therapy Solution | Durable Medical Equipment & Medical Supplies | 3112 Cooke Way, Oklahoma City, OK 73179-2401 | 2011-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679063929 | Jamie Guthrie | Nurse Practitioner | 4104 Windgate West, Okc, OK 73179 | 2018-05-12 |
| 1063486280 | Tanya M Keck-smith | Physician Assistant | 5031 Sw 29th Street, Access Medical Center, Oklahoma City, OK 73179 | 2006-02-14 |
| 1902285075 | Julie Bynum | Registered Nurse | 3212 Wexford Ave, Oklahoma City, OK 73179-1202 | 2015-05-22 |
| 1801145388 | Cheryl Lynn Dixon | Counselor | 3221 Wexford Ave, Oklahoma City, OK 73179-1203 | 2012-08-30 |
| 1528539541 | Sheena Margariet Musgrove | Nurse Practitioner | 3101 Hampshire Ln, Oklahoma City, OK 73179-1206 | 2018-12-17 |
| 1588828826 | Kelly S. Beals, Inc. | Dietitian, Registered | 3220 Rockhampton Ave, Oklahoma City, OK 73179-1223 | 2008-07-16 |
| 1104396548 | Adalis Alyse Parker | Student in an Organized Health Care Education/Training Program | 9512 Sw 31st St, Oklahoma City, OK 73179-1232 | 2018-11-28 |
| 1477967966 | Eloisa Perez | Counselor | 3216 Westbury Glen Blvd, Oklahoma City, OK 73179-1246 | 2014-06-12 |
| 1366799371 | Kasandra Deann Redwine | Behavioral Analyst | 3200 Westbury Glen Blvd, Oklahoma City, OK 73179-1246 | 2012-08-08 |
| 1063873966 | Lacey Elizabeth Krivanek | Speech-Language Pathologist | 3209 Westbury Glen Blvd, Oklahoma City, OK 73179-1247 | 2016-03-19 |
| Find all providers in zip 73179 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019556 | Dorissenia Anntionette Peoples | Clinic/Center | 5817 Nw 90th St, Oklahoma City, OK 73132-2830 | 2020-06-29 |
| 1447899778 | First Med Primary Care LLC | Clinic/Center | 1142 Sw 104th St, Oklahoma City, OK 73139 | 2020-01-03 |
| 1497306153 | Careatc | Clinic/Center | 424 Colcord Dr Ste A, Oklahoma City, OK 73102-2500 | 2019-09-24 |
| 1114578887 | Careatc | Clinic/Center | 13500 S Tulsa Dr Ste 302, Oklahoma City, OK 73170-9725 | 2019-09-24 |
| 1144700477 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 4200 Coletta Dr, Oklahoma City, OK 73120-8317 | 2018-08-16 |
| 1225518558 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 136 Nw 10th St Ste 110, Oklahoma City, OK 73103-4906 | 2018-08-16 |
| 1548788698 | Total Primary Care.pc | Clinic/Center | 6301 N Meridian Ave Ste 103, Oklahoma City, OK 73112-1267 | 2017-09-08 |
| 1639621246 | Careatc-okc Care | Clinic/Center | 424 Colcord Dr, Suite A, Oklahoma City, OK 73102-2215 | 2016-10-30 |
| 1609240423 | Today Clinic Pllc | Clinic/Center | 10201 N May Ave, Oklahoma City, OK 73120-2510 | 2015-11-17 |
| 1174995641 | Quad/med, LLC | Clinic/Center | 6801 S Sunnylane Rd, Oklahoma City, OK 73135-1712 | 2015-10-23 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73179 |
Please comment or provide details below to improve the information on TEAM CLINIC MANAGEMENT PARTNERS.
| 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.