HILLSIDE WELLNESS PLLLP (NPI# 1699216754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699216754 |
| Entity Type | Organization |
| Organization Name | HILLSIDE WELLNESS PLLLP |
| Other Organization Name | HILLSIDE WELLNESS |
| Practice Address |
2311 N 9th St Suite 101 Broken Arrow OK 74012 |
| Practice Telephone | 9188064042 |
| Practice Fax Number | 9188066044 |
| Mailing Telephone | 9189946666 |
| Mailing Fax Number | 9189946667 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |
| Authorized Official Name | DR. AHMED MAYET ABDULRAHIM (OWNER) |
| Authorized Official Telephone | 9183704042 |
| Authorized Official Credential | D.C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4171 | OK | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Hillside wellness | Doing Business As Name - Organization |
| Street Address |
2311 N 9TH ST SUITE 101 |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174046510 | Megan Catherine Mullins | Massage Therapist | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1932648326 | Drew Endicott Dds and Associates Pllc | Dentist | 3300 S Aspen Ave Ste A, Broken Arrow, OK 74012 | 2017-02-17 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598377178 | Hannah Schwartzer | Chiropractor | 2601 N Aspen Ave Ste 1023, Broken Arrow, OK 74012-1378 | 2020-08-17 |
| 1497253009 | Epic Connection Chiropractic, LLC | Chiropractor | 1344 E Hillside Dr, Broken Arrow, OK 74012-2389 | 2018-01-29 |
| 1457711582 | Back To Basics Chiropractic., Pllc | Chiropractor | 845 N Aspen Ave, Broken Arrow, OK 74012-2242 | 2016-03-02 |
| 1962809384 | Chesterfield D Featherston Iv | Chiropractor | 1107 N Kalanchoe Ave, Broken Arrow, OK 74012-2378 | 2014-12-01 |
| 1114260593 | Proactive Sport and Spine Plc | Chiropractor | 4412 W Houston St, Broken Arrow, OK 74012-4645 | 2013-04-03 |
| 1093056178 | Matthew Peter Viejo | Chiropractor | 1605 S Eucalyptus Ave Ste 100, Broken Arrow, OK 74012-5996 | 2013-03-14 |
| 1427388594 | Langford Precision Clinic of Chiropractic, Inc. | Chiropractor | 2401 S Elm Pl, Broken Arrow, OK 74012-7848 | 2010-01-12 |
| 1154561637 | Panacea Wellness and Chiropractic | Chiropractor | 7511 E Galveston Pl, Broken Arrow, OK 74014-7053 | 2009-02-24 |
| 1770764722 | Kats and Associates, L.L.C. | Chiropractor | 2016 W. Houston St, Broken Arrow, OK 74012 | 2007-11-19 |
| 1881881704 | Schumann Family Chiropractic | Chiropractor | 749 N Aspen Ave, Broken Arrow, OK 74012-2224 | 2007-09-25 |
| Find all providers in BROKEN ARROW | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
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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.