SHELLEY SUZANNE CRAGG (NPI# 1720161698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720161698 |
| Entity Type | Individual |
| Full Name | SHELLEY SUZANNE CRAGG |
| Other Name | SHELLEY SUZANNE WEDEL |
| Credential | PA-C |
| Practice Address |
2115 Parkview Dr El Reno OK 73036-2109 |
| Mailing Address |
6100 Walnut Ln Oklahoma City OK 73132-5621 |
| Practice Telephone | 4052622640 |
| Mailing Telephone | 4056212112 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2014-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1030 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2115 PARKVIEW DR |
| City | EL RENO |
| State | OK |
| Zip Code | 73036-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821087065 | Parkview Hospital | General Acute Care Hospital | 2115 Parkview Dr, El Reno, OK 73036-2109 | 2005-10-20 |
| 1760873020 | Rachel Witmer | Physician Assistant | 2115 Parkview Dr, El Reno, OK 73036-2109 | 2015-02-09 |
| 1922449289 | Andrew Michael Eaton | Emergency Medicine | 2115 Parkview Dr, El Reno, OK 73036-2109 | 2013-07-15 |
| 1083910442 | Mercy Hospital El Reno, Inc | Emergency Medicine | 2115 Parkview Dr, El Reno, OK 73036-2109 | 2011-02-02 |
| 1356662811 | Mercy Hospital El Reno, Inc. | Home Health | 2115 Parkview Dr, El Reno, OK 73036-2109 | 2010-06-18 |
| 1184945644 | Mercy Hospital El Reno, Inc. | General Acute Care Hospital | 2115 Parkview Dr, El Reno, OK 73036-2109 | 2010-06-18 |
| 1770804395 | Mercy Hospital El Reno, Inc. | Ambulance | 2115 Parkview Dr, El Reno, OK 73036-2109 | 2010-06-17 |
| 1669620332 | Daniel L Harris Jr. | Physician Assistant | 2115 Parkview Dr, El Reno, OK 73036 | 2008-09-05 |
| 1841485026 | Parkview Hospital | General Acute Care Hospital | 2115 Parkview Dr, El Reno, OK 73036-2109 | 2007-09-11 |
| 1093917890 | Parkview Hospital | General Acute Care Hospital | 2115 Parkview Dr, El Reno, OK 73036-2109 | 2007-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931293 | Morganne Eaton | Counselor | 7777 E U.S. Rte 66, El Reno, OK 73036 | 2020-08-04 |
| 1669934436 | Mikaila Marie Martin | Case Manager/Care Coordinator | 600 South Choctaw, El Reno, OK 73036 | 2019-04-02 |
| 1023573250 | Aja D'lin Woods | Counselor | 7777 E Rte 66, El Reno, OK 73036 | 2019-02-01 |
| 1033694229 | Matt Alan Matthews | Counselor | 7401-7799 Rte 66, El Reno, OK 73036 | 2018-10-03 |
| 1629553771 | Cierra Chapa | Registered Nurse | 600 S. Choctaw, El Reno, OK 73036 | 2018-09-25 |
| 1548766934 | Theresa Arlene Byard | Counselor | 7401-7799 E Us Hwy 66, El Reno, OK 73036 | 2018-04-04 |
| 1669991360 | Melissa Larimore | Counselor | 7565 E Hwy 66, El Reno, OK 73036 | 2017-09-13 |
| 1174045561 | Jordan Garcia | Counselor | 7565 E. Hwy 66, El Reno, OK 73036 | 2017-07-07 |
| 1073034179 | Starr L Johnson | Counselor | 7777 Rte 66, El Reno, OK 73036 | 2017-06-29 |
| 1295190593 | Roger Dale Wantland | Physical Therapist | 1901 Parkway Drive, Elreno, OK 73036 | 2015-12-31 |
| Find all providers in zip 73036 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275707408 | Keith Alex Rasmussen | Physician Assistant | 605 Sw 27th St, El Reno, OK 73036-5928 | 2008-04-18 |
| 1811085178 | Robert Charles Dicintio | Physician Assistant | 203 S Rock Island Ave, El Reno, OK 73036-2734 | 2006-10-11 |
| 1316932676 | Alan Wayne Taylor | Physician Assistant | 2115 Parkview Drive, El Reno, OK 73036-2109 | 2005-09-13 |
| 1144277351 | Valorie Jean Graves | Physician Assistant | 2001 Parkview Dr, El Reno, OK 73036-2107 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790392868 | James Scott Turner | Physician Assistant | 924 Nw 14th St, Moore, OK 73160-1610 | 2020-09-23 |
| 1386283679 | Cody Rice Chambers | Physician Assistant | 2002 12th Ave Nw Ste B, Ardmore, OK 73401-1206 | 2020-01-03 |
| 1073154647 | Haley Nicole Beaird | Physician Assistant | 8907 E 93rd St, Tulsa, OK 74133-5634 | 2019-10-03 |
| 1568920924 | Direct2u Urgent Care Pllc | Physician Assistant | 2417 County Road 1263, Blanchard, OK 73010-3123 | 2019-03-05 |
| 1538625660 | Symachia LLC | Physician Assistant | 115 N. Main St., Cashion, OK 73106 | 2019-02-13 |
| 1982172029 | William Landon Ross | Physician Assistant | 3705 W Memorial Rd Ste 101, Oklahoma City, OK 73134-1508 | 2018-11-07 |
| 1639646656 | Jacob Allbritton | Physician Assistant | 10824 Admiral Dr, Oklahoma City, OK 73162-6843 | 2018-10-29 |
| 1316420086 | Lauren Anto | Physician Assistant | 2824 Classen Blvd Ste 100, Norman, OK 73071-4059 | 2018-09-10 |
| 1073004768 | Shelby Teel | Physician Assistant | 1200 Everett Dr # 8305, Oklahoma City, OK 73104-5047 | 2018-05-29 |
| 1093240749 | Green's Country Clinic, LLC | Physician Assistant | 223 E Blackwell Ave, Blackwell, OK 74631-2909 | 2017-05-01 |
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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.