CHARLES A ANDERSON (NPI# 1720225477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720225477 |
| Entity Type | Individual |
| Full Name | CHARLES A ANDERSON |
| Credential | CP |
| Practice Address |
4301 N Classen Blvd Oklahoma City OK 73118-5031 |
| Practice Telephone | 4055254000 |
| Practice Fax Number | 4055303670 |
| Mailing Telephone | 4055254000 |
| Mailing Fax Number | 4055303670 |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | LP11 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433804 | Charles C Anderson | Counselor | 171 Graham St., Gardner, MA 01440 | 2020-09-26 |
| 1538608575 | Charles Anderson | Social Worker | 145 W K St, Casper, WY 82601-1018 | 2017-02-22 |
| 1922451194 | Charles Anderson | Counselor | 4250 River Center Ct Ne, Suite D, Cedar Rapids, IA 52402-7546 | 2016-07-22 |
| 1790172013 | Charles Anderson | Marriage & Family Therapist | 825 Webster St Ste D, Fairfield, CA 94533-5522 | 2015-04-24 |
| 1083054274 | Charles Lee Anderson | Dentist | 2240 E Windrow Ave, Fort Huachuca, AZ 85613-7040 | 2013-07-02 |
| 1427390970 | Charles Anderson Iv | Counselor | 1445 Hartford Ter, Alpharetta, GA 30004-0661 | 2013-03-22 |
| 1376896084 | Charles Nolis Anderson | Pharmacist | 17605 S. Halsted Street, Homewood, IL 60430 | 2012-10-18 |
| 1720377179 | Charles E Anderson | Pharmacist | 3030 Market Ave N, Canton, OH 44714-1428 | 2011-04-06 |
| 1831494194 | Charles Robert Anderson | Behavioral Analyst | 1892 Hollow Oak Dr, Kingston, OK 73439-9745 | 2011-01-18 |
| 1255635215 | Charles H. Anderson | Counselor | 631 Spanish Oak Ct, Arlington, TX 76002-4535 | 2011-01-06 |
| Street Address |
4301 N CLASSEN BLVD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73118-5031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861461998 | William Barringer | Orthotist | 4301 N Classen Blvd, Oklahoma City, OK 73118-5031 | 2006-03-14 |
| 1417580150 | Lindsay Nicole Turner | Occupational Therapist | 4301 N Classen Blvd, Oklahoma City, OK 73118-5031 | 2020-02-21 |
| 1184186538 | Maggie Man Ki Ho | Optometrist | 4301 N Classen Blvd, Oklahoma City, OK 73118-5031 | 2019-04-04 |
| 1205170685 | Michael Carroll | Orthotist | 4301 N Classen Blvd, Oklahoma City, OK 73118-5031 | 2012-11-25 |
| 1104181817 | Michael Lloyd Martin | Prosthetist | 4301 N Classen Blvd, Oklahoma City, OK 73118-5031 | 2012-07-09 |
| 1073827200 | Newview Oklahoma Inc. | Health Educator | 4301 N Classen Blvd, Oklahoma City, OK 73118-5031 | 2010-07-29 |
| 1023255767 | Kirby G Shelton | Orthotist | 4301 N Classen Blvd, Oklahoma City, OK 73118-5031 | 2009-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255812772 | Karrie Danea Moreno | Behavior Technician | 1507 Ne 31st, Oklahoma, OK 73118 | 2018-08-23 |
| 1528578499 | Revive Medical LLC | General Practice | 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 | 2017-10-05 |
| 1225556228 | Anika Carr | Case Manager/Care Coordinator | 1212 Nw 32nd Street, Oklahoma City, OK 73118 | 2017-08-30 |
| 1740635168 | Nikhil Malhotra | Internal Medicine | 3635 Vista Avenue At Grand Boulevard, 14th Floor, Desloge Towers, St. Louis, MO 73118 | 2016-05-04 |
| 1144694183 | Christopher Woon | Counselor | 4001 N Classen, Suite 105, Oklahoma City, OK 73118 | 2015-11-13 |
| 1699181925 | Stac Embry | Counselor | 3321 N. Mckinley Ave, Oklahoma City, OK 73118 | 2014-07-08 |
| 1194161216 | Jennifer Kaye Powers | Counselor | 3124 N. Classen Blvd., Ste. A, Oklahoma City, OK 73118 | 2013-05-15 |
| 1932445491 | Jessica Camp | Behavioral Analyst | 3220 N Harvey Pkwy, Oklahoma City, OK 73118 | 2013-01-02 |
| 1942578661 | Michael D Danielson | Behavioral Analyst | 4232 N Sante Fe Ave, Oklahoma City, OK 73118 | 2011-12-08 |
| 1912280587 | Tara Roberts | Counselor | 1743 Nw 37th, Oklahoma City, OK 73118 | 2011-09-21 |
| Find all providers in zip 73118 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299376 | Lindsay Ann Lafuente | Prosthetist | 229 Nw 9th St Ste 104, Oklahoma City, OK 73102-2619 | 2019-11-14 |
| 1467932731 | Nicholas Brown | Prosthetist | 225 Nw 9th St, Oklahoma City, OK 73102-2619 | 2018-08-16 |
| 1952644007 | Andy John Anders | Prosthetist | 937 Sw 89th St Ste B, Oklahoma City, OK 73139-9231 | 2013-03-27 |
| 1962022822 | Innovative Prothestics and Research, LLC | Prosthetist | 229 Nw 9th St Ste 104, Oklahoma City, OK 73102-2619 | 2020-04-21 |
| 1356835052 | Alexander Ashoff | Prosthetist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2018-06-18 |
| 1396234589 | Martin Bionics Clinical Care, LLC | Prosthetist | 214 E Main St, Oklahoma City, OK 73104-4221 | 2018-05-03 |
| 1619400876 | Christopher Prestridge | Prosthetist | 229 Nw 9th St, Oklahoma City, OK 73102-2619 | 2017-04-05 |
| 1104181817 | Michael Lloyd Martin | Prosthetist | 4301 N Classen Blvd, Oklahoma City, OK 73118-5031 | 2012-07-09 |
| 1780837211 | Melissa Baker | Prosthetist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2008-10-28 |
| 1609845783 | Jonathan D Day | Prosthetist | 1122 Ne 13th St, Ori Wb501, Oklahoma City, OK 73117-1039 | 2006-03-14 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73118 |
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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.