DR. JERRY C CHILDS JR.


Address: 1520 Morning Star, Edmond, OK 73034-6579
Phone: 4056598840

DR. JERRY C CHILDS JR. (NPI# 1639137409) 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) 1639137409
Entity Type Individual
Full Name DR. JERRY C CHILDS JR.
Credential D.O.
Practice Address 1520 Morning Star
Edmond
OK 73034-6579
Practice Telephone 4056598840
Enumeration Date 2006-05-02
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
2157 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK 100089890A 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
700 S Telephone Road, Moore, OK 73160 4057939355

Office Location

Street Address 1520 MORNING STAR
City EDMOND
State OK
Zip Code 73034-6579

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306447172 Saints Medical Group, LLC Family Medicine 2749 Progressive Dr, Suite B, Edmond, OK 73034 2020-11-06
1194339861 Susan Haesook Kim Pharmacist 1400 2nd St, Edmod, Edmond, OK 73034 2020-09-01
1821616038 Aaron Michael Gowens Specialist/Technologist 015 Wantland Hall 100 University Dr., Edmond, OK 73034 2020-07-14
1043834849 Paddington Place Lcc Intermediate Care Facility, Mental Illness 3225 French Park Drive, Suite 6, Edmond, OK 73034 2020-06-08
1083254932 Purpose Healthcare Inc Psychologist 301 South Blvd, Suite 117, Edmond, OK 73034 2020-01-08
1740773662 Healthcare Express, LLP Family Medicine 2300 E 2nd St, Edmond, OK 73034 2018-06-14
1427555713 Sara Nicole Smith Specialist/Technologist 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 2018-04-12
1619475084 Carissa Leigh Brackelsberg Chiropractor 3709 E 2nd St, Edmond, OK 73034 2018-01-31
1760996177 Laurel Michelle Glendening Physical Therapist 3531 River Wood Lane, Edmond, OK 73034 2017-11-21
1134643380 Keith S Quinn Dentist 3008 Peaceful Ln, Edmond, OK 73034 2017-07-31
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578512596 Medhat S.f. Michael Emergency Medicine 1265 E 33rd St, Edmond, OK 73013-6307 2006-05-08
1437629581 Oklahoma Ep, Pllc Emergency Medicine 15103 N Pennsylvania Ave, Edmond, OK 73013-1401 2018-12-03
1053378554 Richard T Swenson Emergency Medicine 1705 Renaissance Blvd, Ste 100, Edmond, OK 73013-3041 2006-04-27

Providers in the same taxonomy and state

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
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
1629052311 Donald L Sutmiller Emergency Medicine 119 W Main St, Hominy, OK 74035-1031 2005-12-06
1023008653 Kirk M. Smith Emergency Medicine 4909 Se Mills Ave, Lawton, OK 73501-8705 2005-10-25
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Competitor

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City EDMOND
Zip Code 73034

Improve Information

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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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