INTEGRIS BASS BAPTIST HEALTH CENTER (NPI# 1679070577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679070577 |
| Entity Type | Organization |
| Organization Name | INTEGRIS BASS BAPTIST HEALTH CENTER |
| Other Organization Name | INTEGRIS BASS SPECIALTY-GASTROENTEROLOGY |
| Practice Address |
707 S Monroe St Enid OK 73701-7286 |
| Mailing Address |
Po Box 269032 Oklahoma City OK 73126-9032 |
| Practice Telephone | 5809771960 |
| Practice Fax Number | 5809771959 |
| Mailing Telephone | 4052528400 |
| Mailing Fax Number | 4057134322 |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |
| Authorized Official Name | CHRIS HAMMES (EXECUTIVE VICE PRESIDENT & COO) |
| Authorized Official Telephone | 4059493402 |
| Is Organization Subpart | Y |
| Parent Organization Name | INTEGRIS BASS BAPTIST HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| INTEGRIS Bass Specialty-Gastroenterology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436938 | Integris Bass Baptist Health Center | Clinic/Center | 1805 W Owen K Garriott Rd, Enid, OK 73703-5526 | 2020-10-30 |
| 1134499338 | Integris Bass Baptist Health Center | Clinic/Center | 1414 E Willow Rd, Enid, OK 73701-8714 | 2012-01-04 |
| 1700807997 | Integris Bass Baptist Health Center | Home Health | 401 S. 3rd, Enid, OK 73701-5737 | 2006-07-22 |
| 1528060019 | Integris Bass Baptist Health Center | Family Medicine | 316 Main St, Po Bx 659, Garber, OK 73738-0659 | 2005-08-15 |
| 1730180894 | Integris Bass Baptist Health Center | Family Medicine | 158b E Sunset Dr, Medford, OK 73759-2401 | 2005-08-10 |
| 1629679089 | Integris Bass Baptist Health Center | Clinic/Center | 2821 N Van Buren St Ste B, Enid, OK 73703-1729 | 2020-11-03 |
| 1659971398 | Integris Bass Baptist Health Center | Clinic/Center | 300 N Cherokee St, Hennessey, OK 73742-1106 | 2020-10-30 |
| 1740880483 | Integris Bass Baptist Health Center | Clinic/Center | 620 S Madison St, Stes 107, 209 & 301, Enid, OK 73701-7273 | 2020-10-30 |
| 1699383463 | Integris Bass Baptist Health Center | Pediatrics | 600 S Monroe St, Enid, OK 73701-7211 | 2020-07-17 |
| 1396216677 | Integris Bass Baptist Health Center | Clinic/Center | 707 S Monroe St, Enid, OK 73701-7286 | 2018-12-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INTEGRIS BASS BAPTIST HEALTH CENTER | 600 S Monroe St, Enid, OK 73701-7211 |
| Street Address |
707 S MONROE ST |
| City | ENID |
| State | OK |
| Zip Code | 73701-7286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710974506 | Matthew W. Thoms | Physician Assistant | 707 S Monroe St, Enid, OK 73701-7286 | 2005-10-05 |
| 1396216677 | Integris Bass Baptist Health Center | Clinic/Center | 707 S Monroe St, Enid, OK 73701-7286 | 2018-12-11 |
| 1952846842 | Sarah Elaine Wamsley | Dietitian, Registered | 707 S Monroe St, Enid, OK 73701-7286 | 2016-12-30 |
| 1710105077 | John O Schrader | Internal Medicine | 707 S Monroe St, Enid, OK 73701-7286 | 2007-04-23 |
| 1265508634 | Chander Kamal Malhotra | Internal Medicine | 707 S Monroe St, Enid, OK 73701-7286 | 2006-11-28 |
| 1851406805 | Douglas Kip Brown | Internal Medicine | 707 S Monroe St, Enid, OK 73701-7286 | 2006-08-20 |
| 1508891789 | Cardiology Services of Enid | Internal Medicine | 707 S Monroe St, Enid, OK 73701-7286 | 2006-07-12 |
| 1174509699 | Integris Rural Health Inc | Surgery | 707 S Monroe St, Enid, OK 73701-7286 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407318595 | Sheila Watkins | Speech-Language Pathologist | 401 S. 3rd St, Physical Therapy, Enid, OK 73701 | 2019-04-05 |
| 1225548993 | Mirannda Lea Shourek | Case Manager/Care Coordinator | 3225 E Randolph, Apt 5a, Enid, OK 73701 | 2017-10-06 |
| 1962942045 | Nicole Elisibeth Hood | Social Worker | 605 W. Oxford St, Enid, OK 73701 | 2017-03-08 |
| 1689027237 | Amanda Partridge | Physician Assistant | 231 S. 30th St., Enid, OK 73701 | 2016-07-19 |
| 1134576952 | Keli Lanee Caffey | Counselor | 317 W. Cherokee Suite B, Enid, OK 73701 | 2016-05-22 |
| 1447670559 | Tamica Webster | Counselor | 1137 Hillside Dr, Enid, OK 73701 | 2014-04-16 |
| 1881024024 | Misty Ward | Registered Nurse | 600 S. Monroe, Enid, OK 73701 | 2013-11-26 |
| 1164856944 | Pharmcareok of Enid, Inc. | Pharmacy | 1119a E Owen Garriott Rd, Enid, OK 73701 | 2013-08-28 |
| 1922383421 | Bobby Doyle Taylor | Pharmacist | 902 West Garriott, Enid, OK 73701 | 2011-10-15 |
| 1194009324 | Stacia Paul | Counselor | 121 W. Maple, Enid, OK 73701 | 2011-10-06 |
| Find all providers in zip 73701 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386740405 | Archana Sanku Rao | Internal Medicine | 330 S 5th St Ste 203, Enid, OK 73701-5861 | 2006-09-16 |
| 1497740468 | Stephen S Hwang | Internal Medicine | 330 South 5th Street, Suite 305, Enid, OK 73701-5862 | 2005-09-15 |
| 1073519815 | Charles Lawrence Cannon | Internal Medicine | 1218 W Willow, Ste A, Enid, OK 73703-2534 | 2005-06-27 |
| 1992864086 | Sanku S Rao | Internal Medicine | 330 S 5th St, Suite 301, Enid, OK 73701-5825 | 2006-12-06 |
| 1861476517 | Trenton Ferrell Horst | Internal Medicine | 330 S 5th St, Suite 103, Enid, OK 73701-5825 | 2005-12-05 |
| 1538158233 | Michael R Grossman | Internal Medicine | 330 S 5th St, Enid, OK 73701-5825 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760720668 | Stillwater Histology LLC | Internal Medicine | 1301 W. 6th St, Suite 106, Stillwater, OK 74074 | 2013-01-28 |
| 1568706554 | Ahmad S Jazzar | Internal Medicine | 5617 Normandy Ter, Oklahoma City, OK 73142-1823 | 2012-11-15 |
| 1730444886 | Molly Beth Lindquist Disbrow | Internal Medicine | 920 Stanton L Young Blvd # Wp1345, Oklahoma City, OK 73104-5036 | 2012-07-05 |
| 1306111448 | Southwest Gastroenterology Associates Pllc | Internal Medicine | 525 Sw 80th Street, Suite 200, Oklahoma City, OK 73139 | 2012-03-21 |
| 1154611457 | Aatish Mukesh Patel | Internal Medicine | 4200 E Skelly Dr Ste 700, Tulsa, OK 74135-3256 | 2011-04-08 |
| 1447478722 | Richard W. Seifert, M.d., Inc | Internal Medicine | 1145 S. Utica, Suite 909, Tulsa, OK 74104 | 2007-04-23 |
| 1528199866 | Verapan Vongthavaravat | Internal Medicine | 4811 Gaillardia Pkwy Ste 200, Oklahoma City, OK 73142-1874 | 2007-03-08 |
| 1992852875 | Shih-kuang Hong | Internal Medicine | 3110 Sw 89th St Ste 104, Oklahoma City, OK 73159-7920 | 2007-01-04 |
| 1407920036 | Robert Edward Ringrose | Internal Medicine | 324 E Oklahoma Ave, Guthrie, OK 73044-3315 | 2006-11-17 |
| 1083709430 | Imad A Zantout | Internal Medicine | 4200 W.memorial Road, Suite 305, Oklahoma City, OK 73120 | 2006-10-03 |
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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.