MR. MITCHELL GENE DESHAZER (NPI# 1700303575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700303575 |
| Entity Type | Individual |
| Full Name | MR. MITCHELL GENE DESHAZER |
| Practice Address |
624 W Independence St Ste 113-115 Shawnee OK 74804-4306 |
| Practice Telephone | 4055856413 |
| Mailing Telephone | 4055856413 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023276870 | Mitchell Deshazer | Internal Medicine | 400 N State of Franklin Rd, Room 2746, Johnson City, TN 37604-6035 | 2008-05-29 |
| Street Address |
624 W INDEPENDENCE ST STE 113-115 |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-4306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174040935 | Brooke Alane Runion | Marriage & Family Therapist | 624 W Independence St Ste 113, Shawnee, OK 74804-4329 | 2017-08-23 |
| 1144685199 | James A Morrison | Marriage & Family Therapist | 23785 W 57th St, Shawnee, KS 66226-2938 | 2015-12-17 |
| 1114276730 | Kimberly Rigsby | Marriage & Family Therapist | 8826 Santa Fe Drive, Suite 210, Shawnee, KS 66203 | 2012-08-29 |
| 1396978359 | Paulann C Canty | Marriage & Family Therapist | 219 E Highland St, Shawnee, OK 74801-7042 | 2009-08-25 |
| 1811133721 | Scott Hupfer | Marriage & Family Therapist | 4406 Bison Rd, Shawnee, OK 74804-1241 | 2008-12-23 |
| 1316192727 | Sheri Lynn Wood | Marriage & Family Therapist | 5548 Cody St, Shawnee, KS 66203-2212 | 2008-11-26 |
| 1972776946 | Paula Lorene Wilson | Marriage & Family Therapist | 4937 Parkhill St, Shawnee, KS 66216-1426 | 2008-04-10 |
| 1851561872 | Canaan R Crane | Marriage & Family Therapist | 624 W Independence St, Suite 113, Shawnee, OK 74804-4329 | 2008-03-05 |
| 1003939760 | Melissa P Donaghy | Marriage & Family Therapist | 5110 Rosehill Rd, Shawnee, KS 66216-1490 | 2007-04-09 |
| 1952453714 | Canaan R. Crane | Marriage & Family Therapist | 2413 N Kickapoo Ave, Shawnee, OK 74804-2501 | 2007-01-18 |
| Find all providers in SHAWNEE | ||||
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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.