MR. JAD ALKHATIB (NPI# 1669008561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669008561 |
| Entity Type | Individual |
| Full Name | MR. JAD ALKHATIB |
| Practice Address |
3804 S Yellow Pine Ave Broken Arrow OK 74011-1270 |
| Practice Telephone | 9186338278 |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
3804 S YELLOW PINE AVE |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74011-1270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336663699 | Cpii, LLC | Pharmacy | 811 W. New Orleans, Ste 101, Broken Arrow, OK 74011 | 2017-07-28 |
| 1053833608 | Cpii, LLC | Pharmacy | 811 W. New Orleans, Suite 101, Broken Arrow, OK 74011 | 2017-07-14 |
| 1184079709 | Melissa David | Lactation Consultant, Non-RN | 417 West San Diego St., Broken Arrow, OK 74011 | 2016-05-02 |
| 1154789576 | Rebecca Young | Registered Nurse | 7801 S Oak Pl, Broken Arrow, OK 74011 | 2016-01-29 |
| 1942524061 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 751 W Tuscan St, 121st, Broken Arrow, OK 74011 | 2010-03-18 |
| 1174764336 | Linda J. Russell | Counselor | 2446 W New Orleans St, Broken Arrow, OK 74011 | 2009-03-18 |
| 1851409080 | Kim Lee Mcneal | Dentist | 3764 South Elm Place, Broken Arrow, OK 74011 | 2006-08-28 |
| 1669433249 | Matthew E Ozment | Optometrist | 2500 West New Orleans, Broken Arrow, OK 74011 | 2006-03-31 |
| 1912275140 | Courtney Brooke Willcoxon | Pharmacist | 4704 S Elm Pl, Broken Arrow, OK 74011 | 2011-12-02 |
| 1558322883 | Gerald Seefeldt | Family Medicine | 66 Cedar Ridge Rd, Broken Arrow, OK 74011-1101 | 2006-03-28 |
| Find all providers in zip 74011 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689292906 | Natasha Firth | Case Manager/Care Coordinator | 1508 S Aspen Ct, Broken Arrow, OK 74012-6201 | 2020-07-13 |
| 1942836598 | Joseph Caleb Michela | Case Manager/Care Coordinator | 802 E Toledo St, Broken Arrow, OK 74012-6513 | 2020-03-16 |
| 1326679911 | Anthea Miller | Case Manager/Care Coordinator | 8224 S Murphree Dr, Broken Arrow, OK 74014-3033 | 2020-01-31 |
| 1780222794 | Carlos L Guzman | Case Manager/Care Coordinator | 3411 W Edgewater Pl, Broken Arrow, OK 74012-7666 | 2019-12-20 |
| 1689210171 | Ellen Ruth Byers | Case Manager/Care Coordinator | 7312 S Garnett Rd Apt 337, Broken Arrow, OK 74012-8744 | 2019-11-20 |
| 1881235026 | Jeffrey Hughes | Case Manager/Care Coordinator | 19702 E 49th St S, Broken Arrow, OK 74014-1369 | 2019-09-30 |
| 1073163036 | Ceirra Kay Moran | Case Manager/Care Coordinator | 1101 W Houston St Apt 904, Broken Arrow, OK 74012-3755 | 2019-09-12 |
| 1861047631 | Charles Vernon Atkins Jr. | Case Manager/Care Coordinator | 3606 S Fir Ct, Broken Arrow, OK 74011-1751 | 2019-08-07 |
| 1063064566 | Kelly P Austin | Case Manager/Care Coordinator | 1903 S Lions Ave, Broken Arrow, OK 74012-6932 | 2019-07-15 |
| 1194296210 | Desmond E Ketter | Case Manager/Care Coordinator | 4071 S 211th East Ave, Broken Arrow, OK 74014-8717 | 2018-12-16 |
| Find all providers in BROKEN ARROW | ||||
| City | BROKEN ARROW |
| Zip Code | 74011 |
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| 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.