SPENCER TRACY ZEAVIN (NPI# 1649670340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649670340 |
Entity Type | Individual |
Full Name | SPENCER TRACY ZEAVIN |
Credential | MD |
Practice Address |
4205 E Highway 66 El Reno OK 73036-9701 |
Mailing Address |
4205 Highway 66 West El Reno OK 73036-1000 |
Practice Telephone | 4053197499 |
Practice Fax Number | 4053197675 |
Mailing Telephone | 4053197499 |
Mailing Fax Number | 4053197675 |
Enumeration Date | 2014-08-29 |
Last Update Date | 2014-08-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2400X |
Clinic/Center Specialization: Prison Health |
01041949A | IN | Ambulatory Health Care Facilities |
Street Address |
4205 E HIGHWAY 66 |
City | EL RENO |
State | OK |
Zip Code | 73036-9701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811229966 | Us Dept of Justice | Pharmacy | 4205 E Highway 66, El Reno, OK 73036-9701 | 2010-01-31 |
1760815302 | Mark Stephen Elliott | Dentist | 4205 E Highway 66, Dental Clinic, El Reno, OK 73036-9701 | 2013-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154931293 | Morganne Eaton | Counselor | 7777 E U.S. Rte 66, El Reno, OK 73036 | 2020-08-04 |
1669934436 | Mikaila Marie Martin | Case Manager/Care Coordinator | 600 South Choctaw, El Reno, OK 73036 | 2019-04-02 |
1023573250 | Aja D'lin Woods | Counselor | 7777 E Rte 66, El Reno, OK 73036 | 2019-02-01 |
1033694229 | Matt Alan Matthews | Counselor | 7401-7799 Rte 66, El Reno, OK 73036 | 2018-10-03 |
1629553771 | Cierra Chapa | Registered Nurse | 600 S. Choctaw, El Reno, OK 73036 | 2018-09-25 |
1548766934 | Theresa Arlene Byard | Counselor | 7401-7799 E Us Hwy 66, El Reno, OK 73036 | 2018-04-04 |
1669991360 | Melissa Larimore | Counselor | 7565 E Hwy 66, El Reno, OK 73036 | 2017-09-13 |
1174045561 | Jordan Garcia | Counselor | 7565 E. Hwy 66, El Reno, OK 73036 | 2017-07-07 |
1073034179 | Starr L Johnson | Counselor | 7777 Rte 66, El Reno, OK 73036 | 2017-06-29 |
1295190593 | Roger Dale Wantland | Physical Therapist | 1901 Parkway Drive, Elreno, OK 73036 | 2015-12-31 |
Find all providers in zip 73036 |
Taxonomy Code | 261QP2400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Prison Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932477288 | Us Phs Federal Bureau of Prisons | Clinic/Center | 4205 W Us Highway 66, El Reno, OK 73036-6906 | 2011-12-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720612443 | Federal Transfer Center Oklahoma City | Clinic/Center | 7410 S Macarthur Blvd, Oklahoma City, OK 73169-6908 | 2020-03-03 |
Please comment or provide details below to improve the information on SPENCER TRACY ZEAVIN.
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.