DR. MYRA ANN GREGORY (NPI# 1669439899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669439899 |
| Entity Type | Individual |
| Full Name | DR. MYRA ANN GREGORY |
| Credential | D.O., LLC |
| Practice Address |
2202 N. Broadway Poteau OK 74953 |
| Mailing Address |
Po Box 1368 2202 N. Broadway Poteau OK 74953 |
| Practice Telephone | 9186479533 |
| Practice Fax Number | 9186479492 |
| Mailing Telephone | 9186479533 |
| Mailing Fax Number | 9186479492 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2009-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 3031 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100120120F | 05 | |
| OK | 100120120A | 05 |
| Street Address |
2202 N. BROADWAY |
| City | POTEAU |
| State | OK |
| Zip Code | 74953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235644550 | Kim Lynn Mcconnell | Case Manager/Care Coordinator | 907 Grace St., Poteau, OK 74953 | 2017-12-08 |
| 1356889745 | Brenda Stacy | Prevention Professional | 507 Drwey, Potesu, OK 74953 | 2017-02-06 |
| 1639621451 | Sabrina Danielle Minor | Case Manager/Care Coordinator | 15715 Greentop Road, Poteau, OK 74953 | 2016-10-27 |
| 1902352545 | Daniel Jesse Bruesch | Counselor | 600 Oklahoma Ave., Poteau, OK 74953 | 2016-09-01 |
| 1578912465 | Jo Ann Walden | Counselor | 507 Dewey Avenue, Poteau, OK 74953 | 2016-06-10 |
| 1154708477 | Kendal Repass | Specialist/Technologist | 17100 Nail Creek, Poteau, OK 74953 | 2015-05-06 |
| 1669891768 | Jennifer Branscum | Case Manager/Care Coordinator | 22681 Valley View Rd, Poteau, OK 74953 | 2014-04-16 |
| 1437582145 | Kim Loggains | Counselor | 2104 A-n. Broadway, Poteau, OK 74953 | 2013-08-16 |
| 1457783573 | Derek Morris | Counselor | 3111b N. Broadway St., Box 34, Poteau, OK 74953 | 2013-07-31 |
| 1568743177 | Carol Ann Oliver | Counselor | 34183 Country Club Lane, Poteau, OK 74953 | 2011-09-09 |
| Find all providers in zip 74953 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407367717 | Lynda K Enkoff Health Blooms | Family Medicine | 500 S Broadway St Ste E, Poteau, OK 74953-3818 | 2017-10-14 |
| 1619296670 | Timothy Edward King | Family Medicine | 202 Arkansas St, Poteau, OK 74953-2920 | 2010-05-28 |
| 1902959141 | Eastern Oklahoma Healthcare Corp | Family Medicine | 204 Wall Street, Poteau, OK 74953 | 2007-01-19 |
| 1184682866 | Jonathan Scott Clark | Family Medicine | 1103 Dewey Ave, Poteau, OK 74953-4411 | 2006-05-03 |
| 1336102532 | Dennis J Carter | Family Medicine | 1013 Dewey Ave, Poteau, OK 74953-4409 | 2006-04-10 |
| 1649885443 | Tabitha Rena Young | Family Medicine | 1011 N Broadway St, Poteau, OK 74953-2609 | 2020-09-09 |
| 1043796626 | River Valley Primary Care of Poteau, LLC | Family Medicine | 502 Dewey Ave, Poteau, OK 74953-4216 | 2018-07-17 |
| 1093229395 | Autumn R Hembree | Family Medicine | 210 W Robert St, Poteau, OK 74953-2942 | 2017-11-22 |
| 1174903389 | Kassandra L Payne | Family Medicine | 104 Wall St, Poteau, OK 74953 | 2015-06-02 |
| 1811331754 | Arthur Wayne Pearson IIi | Family Medicine | 2110 N Broadway St, Poteau, OK 74953-2501 | 2013-04-22 |
| Find all providers in POTEAU | ||||
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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.