STILLWATER MEDICAL CENTER AUTHORITY (NPI# 1679588552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679588552 |
| Entity Type | Organization |
| Organization Name | STILLWATER MEDICAL CENTER AUTHORITY |
| Other Organization Name | COMPREHENSIVE NEUROLOGY |
| Practice Address |
1301 W 6th Ave Suite 108 Stillwater OK 74074-4375 |
| Mailing Address |
1323 W 6th Ave Box 2408 Stillwater OK 74074-4306 |
| Practice Telephone | 4055332667 |
| Mailing Telephone | 4055332667 |
| Mailing Fax Number | 4057424990 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. KAREN L HENDREN (CFO) |
| Authorized Official Telephone | 4057425729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
4112 | OK | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Comprehensive Neurology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538798897 | Stillwater Medical Center Authority | Clinic/Center | 1411 W 7th Ave Ste 201, Stillwater, OK 74074-4300 | 2020-04-07 |
| 1982237244 | Stillwater Medical Center Authority | Clinic/Center | 1116 Manvel Ave, Chandler, OK 74834-3856 | 2020-02-14 |
| 1366075616 | Stillwater Medical Center Authority | Clinic/Center | 505 E Highway 33, Perkins, OK 74059-4520 | 2020-02-14 |
| 1336772680 | Stillwater Medical Center Authority | Clinic/Center | 518 E Lakeview Rd, Stillwater, OK 74075-2825 | 2020-02-14 |
| 1447883780 | Stillwater Medical Center Authority | Clinic/Center | 600 S Linwood Ave Ste A, Cushing, OK 74023-4630 | 2020-02-14 |
| 1407937220 | Stillwater Medical Center Authority | Durable Medical Equipment & Medical Supplies | 1200 S Adams St, Stillwater, OK 74074 | 2006-10-18 |
| 1871567958 | Stillwater Medical Center Authority | Home Health | 1201 S. Adams, Stillwater, OK 74074-4225 | 2006-02-15 |
| 1255943114 | Stillwater Medical Center Authority | Clinic/Center | 300 Boulder St, Pawnee, OK 74058-3801 | 2020-08-20 |
| 1457961567 | Stillwater Medical Center Authority | Clinic/Center | 1411 W 7th Ave Ste 102, Stillwater, OK 74074-4300 | 2020-08-04 |
| 1518577675 | Stillwater Medical Center Authority | Clinic/Center | 2340 E Main St, Cushing, OK 74023-2905 | 2020-08-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | STILLWATER MEDICAL CENTER AUTHORITY | 117 S Main St, Perkins, OK 74059 |
| Street Address |
1301 W 6TH AVE SUITE 108 |
| City | STILLWATER |
| State | OK |
| Zip Code | 74074-4375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596641 | Alison Faith Dancer | Psychiatry & Neurology | 1301 W 6th Ave, Suite 210, Stillwater, OK 74074-4381 | 2005-08-26 |
| 1932655966 | Caitlin Kronenwetter | Physician Assistant | 1301 W 6th Ave, Ste 207, Stillwater, OK 74074-4375 | 2016-08-30 |
| 1619337433 | Erin Hutchison | Physician Assistant | 1301 W 6th Ave, Ste 207, Stillwater, OK 74074-4375 | 2016-03-07 |
| 1669770145 | Jawad Trad | Internal Medicine | 1301 W 6th Ave, Suite 208, Stillwater, OK 74074-4375 | 2011-03-07 |
| 1811171705 | Shyam Sunder Poludasu | Internal Medicine | 1301 W 6th Ave, Ste 207, Stillwater, OK 74074-4375 | 2007-12-27 |
| 1235212630 | Jack T Dancer I | Surgery | 1301 W 6th Ave, Suite 105, Stillwater, OK 74074-4375 | 2006-10-23 |
| 1699866616 | Stillwater Heart Center Inc | Specialist | 1301 W 6th Ave, Suite 110, Stillwater, OK 74074-4375 | 2006-09-27 |
| 1194708545 | James A. Waltermire | Radiology | 1301 W 6th Ave, Suite 202, Stillwater, OK 74074-4375 | 2005-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090680 | Jason K. White, Ph.d., LLC | Psychologist | 807 S. Pine St., Stillwater, OK 74074 | 2019-08-29 |
| 1366095861 | Kelsey Lyn Bigheart | Peer Specialist | 5421 S Deer Trail, Stillwater, OK 74074 | 2019-07-23 |
| 1881256691 | Shelly Lynn Green | Nurse Practitioner | 1321 W. 7th Street, Stillwater, OK 74074 | 2019-07-01 |
| 1811426273 | Judy Catlett | Case Manager/Care Coordinator | 800 E. 6th Str, Stillwater, OK 74074 | 2017-06-08 |
| 1518322296 | Abi Physical Therapy Services | Physical Therapist | 810 S. Walnut Street, Stillwater, OK 74074 | 2015-12-22 |
| 1366833451 | Connecting The Pieces | Case Management | 812 S Walnut, Stillwater, OK 74074 | 2015-02-10 |
| 1790122414 | Airie Flanagan | Doula | 2601 Gregory Ln, Stillwater, OK 74074 | 2013-06-04 |
| 1760720668 | Stillwater Histology LLC | Internal Medicine | 1301 W. 6th St, Suite 106, Stillwater, OK 74074 | 2013-01-28 |
| 1144570565 | Nikkie Jo Dunnigan | Counselor | 2322 W 7th, Stillwater, OK 74074 | 2012-09-13 |
| 1487889952 | Lynn B. Roberts | General Practice | 1321 W 7th St, Stillwater Community Health, Stillwater, OK 74074 | 2009-05-27 |
| Find all providers in zip 74074 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223851 | Amy Kathryn Alberty | Psychiatry & Neurology | 1201 S Adams St, Stillwater, OK 74074-5476 | 2019-03-06 |
| 1538542618 | Stillwater Neurology, LLC | Psychiatry & Neurology | 1201 S Adams St, Stillwater, OK 74074-5476 | 2015-07-07 |
| 1588928543 | Erin Carlson | Psychiatry & Neurology | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2012-06-25 |
| 1215221478 | John Robert Wedlake | Psychiatry & Neurology | 1201 S Adams St, Stillwater, OK 74074-5476 | 2011-06-06 |
| 1770675100 | Rita M. Richardson | Psychiatry & Neurology | 1500 Curve Crest Boulevard, Stillwater Medical Group, Stillwater, MN 55082-6040 | 2006-09-30 |
| 1558377135 | Stillwater Medical Center Authority | Psychiatry & Neurology | 1323 W 6th Ave, Stillwater, OK 74074-4306 | 2006-08-01 |
| 1205883964 | Donna Marie Koning | Psychiatry & Neurology | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2006-05-28 |
| 1821064650 | Winfried Raabe | Psychiatry & Neurology | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2006-02-23 |
| 1679553226 | Patrick R Stokes | Psychiatry & Neurology | 1875 Northwestern Ave S, Stillwater, MN 55082-7534 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110478 | Noor Mahmoud | Psychiatry & Neurology | 825 Ne 10th St Ste 5200, Oklahoma City, OK 73104-5417 | 2020-06-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1295229268 | Veronica Astrid Moreno Gomez | Psychiatry & Neurology | 920 Stanton L Young Blvd Ste Wp-2040, Oklahoma City, OK 73104-5036 | 2018-06-21 |
| 1326558180 | Comanche County Healthcare Corporation | Psychiatry & Neurology | 3201 W Gore Blvd Ste 300, Lawton, OK 73505-6350 | 2017-10-06 |
| 1033632716 | Sergio Ramirez | Psychiatry & Neurology | 920 Staton L. Young Blvd., Suite Wp-2040, Oklahoma City, OK 73104 | 2017-07-25 |
| 1407376890 | Temitope Ayodeji Lawal | Psychiatry & Neurology | 920 Stanton L Young Blvd # W2040, Oklahoma City, OK 73104-5036 | 2017-06-26 |
| 1932637030 | Marina Aleksandrovna Kravtsova | Psychiatry & Neurology | 920 Stanton L Young Blvd Ste Wp2040, Oklahoma City, OK 73104-5036 | 2017-06-01 |
| 1013379627 | Pono Neuromonitoring, Pllc | Psychiatry & Neurology | 3334 W Main St # 518, Norman, OK 73072-4805 | 2016-03-23 |
| 1255710117 | Jason King | Psychiatry & Neurology | 226 Se Debell Ave Ste B, Bartlesville, OK 74006-2300 | 2015-05-26 |
| 1508256165 | George Alexander Curry II | Psychiatry & Neurology | 9615 Prosper Dr, Oklahoma City, OK 73151-8801 | 2015-02-03 |
| Find all providers with the same taxonomy | ||||
| City | STILLWATER |
| Zip Code | 74074 |
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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.