MR. JOHN ROBERT PALMORE JR. (NPI# 1700141116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700141116 |
| Entity Type | Individual |
| Full Name | MR. JOHN ROBERT PALMORE JR. |
| Credential | PA-C |
| Practice Address |
2950 S Elm Pl Suite 120 Broken Arrow OK 74012-7877 |
| Mailing Address |
6600 S Yale Ave Suite 1400 Tulsa OK 74136-3347 |
| Practice Telephone | 9184515191 |
| Practice Fax Number | 9184515272 |
| Mailing Telephone | 9184886001 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2014-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2950 S ELM PL SUITE 120 |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-7877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508865361 | Riley Mark Hill | Internal Medicine | 2950 S Elm Pl, Suite 256, Broken Arrow, OK 74012-7877 | 2005-07-14 |
| 1487151106 | Stephani Brooke Brisbin | Physician Assistant | 2950 S Elm Pl, Broken Arrow, OK 74012-7877 | 2018-04-09 |
| 1417388091 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Orthopaedic Surgery | 2950 S Elm Pl, Ste E456, Broken Arrow, OK 74012-7877 | 2013-12-06 |
| 1245521889 | Lisa Diane Macek | Pediatrics | 2950 S Elm Pl, Suite 160, Broken Arrow, OK 74012-7877 | 2011-05-01 |
| 1902126188 | Jason Deck | Family Medicine | 2950 S Elm Pl, Suite 120, Broken Arrow, OK 74012-7877 | 2010-06-10 |
| 1265756308 | Vic H. Trammell Dmd, PC | Dentist | 2950 S Elm Pl, Suite 340, Broken Arrow, OK 74012-7877 | 2010-03-18 |
| 1467686717 | Rim Tabbaa | Internal Medicine | 2950 S Elm Pl, Suite 260, Broken Arrow, OK 74012-7877 | 2009-05-14 |
| 1194980888 | James Edward Meissen | Family Medicine | 2950 S Elm Pl, Suite 120, Broken Arrow, OK 74012-7877 | 2008-07-23 |
| 1023296746 | Felicia Renee' Lee | Internal Medicine | 2950 S Elm Pl, Suite 260, Broken Arrow, OK 74012-7877 | 2008-02-05 |
| 1003021130 | Carol Ann Belcher | Physical Therapist | 2950 S Elm Pl, #456 Broken Arrow Orthopedics, Broken Arrow, OK 74012-7863 | 2007-05-11 |
| Find all providers in the same location | ||||
| 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 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271041 | Maissa Baker Mitwalli | Physician Assistant | 700 S Desert Palm Ave, Broken Arrow, OK 74012-8815 | 2020-10-07 |
| 1629579792 | Thuc-vi Nguyen | Physician Assistant | 5808 W Twin Oaks St, Broken Arrow, OK 74011-1573 | 2018-02-23 |
| 1114262474 | Natalie Maguire Scardino | Physician Assistant | 2950 S Elm Pl Ste 152, Broken Arrow, OK 74012 | 2012-11-27 |
| 1033480538 | Patricia Joyce Iven | Physician Assistant | 1130 E. Lansing, Broken Arrow, OK 74012 | 2012-01-16 |
| 1235265646 | Eric Steven Franklin | Physician Assistant | 800 W Boise Cir Ste 120, Broken Arrow, OK 74012-4972 | 2007-02-27 |
| 1164584868 | Jennifer L. Rau | Physician Assistant | 8509 S Fir Ave, Broken Arrow, OK 74011-1220 | 2006-12-16 |
| 1043280100 | Ronda L Cherry | Physician Assistant | 2950 S Elm Pl Ste 160, Broken Arrow, OK 74012-7816 | 2006-01-23 |
| 1427033620 | Anthony Barbettini | Physician Assistant | 800 W Boise Cir Ste 160, Broken Arrow, OK 74012 | 2005-12-09 |
| 1972154185 | Karlee Campbell Van Dam | Physician Assistant | 5050 E Kenosha St, Broken Arrow, OK 74014-6711 | 2019-09-28 |
| 1215400767 | Jeffrey Hillhouse | Physician Assistant | 2950 S Elm Pl Ste 120, Broken Arrow, OK 74012-7816 | 2019-01-08 |
| 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.