CHILDREN'S CLINIC, PLLC (NPI# 1720633571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720633571 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S CLINIC, PLLC |
| Practice Address |
3101 Chandler Rd Ste 101 Muskogee OK 74403-4955 |
| Practice Telephone | 9186874411 |
| Practice Fax Number | 9186874448 |
| Mailing Telephone | 9186874411 |
| Mailing Fax Number | 9186874448 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |
| Authorized Official Name | MR. RYAN HARDAWAY (GENERAL MANAGER) |
| Authorized Official Telephone | 9186874411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Dr. Jerry Whatley | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053792093 | Children's Clinic, Pllc | Clinic/Center | 3101 Chandler Rd Ste 101, Muskogee, OK 74403-4955 | 2015-06-16 |
| Street Address |
3101 CHANDLER RD STE 101 |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74403-4955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841504362 | Tracy Hoos Do Pllc | Pediatrics | 3101 Chandler Rd Ste 101, Muskogee, OK 74403-4955 | 2010-07-27 |
| 1801449400 | Osu Center for Health Sciences | Clinic/Center | 3101 Chandler Rd Ste 101, Muskogee, OK 74403-4955 | 2019-07-23 |
| 1053792093 | Children's Clinic, Pllc | Clinic/Center | 3101 Chandler Rd Ste 101, Muskogee, OK 74403-4955 | 2015-06-16 |
| 1083787758 | Osu Center for Health Sciences | Clinic/Center | 3101 Chandler Rd Ste 101, Muskogee, OK 74403-4955 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861945602 | Mccall Dental Studio | Dentist | 2214 Chandler Rd, Muskogee, OK 74403 | 2016-07-28 |
| 1386047256 | Dr. Penny B. Smythe, Inc., PC | Optometrist | 1157 N. York St., Muskogee, OK 74403 | 2014-10-06 |
| 1841563210 | Peggy Hanson | Social Worker | 503 E. Cincinnati Avenue, Muskogee, OK 74403 | 2012-02-16 |
| 1467736736 | Crystal S Richardson | Behavioral Analyst | 502 E Cincinnati Ave., Muskogee, OK 74403 | 2011-10-05 |
| 1114109816 | Jennifer Irene Newton | Dietitian, Registered | 1001 S. 41st Street East, Muskogee, OK 74403 | 2007-12-04 |
| 1922290899 | Casey Farmer | Counselor | 501 Fredonia, Muskogee, OK 74403 | 2007-08-15 |
| 1609068501 | Brenda Lawson | Counselor | 501 Fredonia St, Muskogee, OK 74403 | 2007-08-14 |
| 1689888661 | Christy Janet Coggins | Physical Therapy Assistant | 3310 Chandler Road, Muskogee, OK 74403 | 2007-05-09 |
| 1376765412 | Magnolia Gardens | Assisted Living Facility | 3211 Chandler Road, Muskogee, OK 74403 | 2007-05-02 |
| 1841411972 | Country Gardens Assisted Living, LLC | Assisted Living Facility | 611 S. Country Club Road, Muskogee, OK 74403 | 2007-05-02 |
| Find all providers in zip 74403 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841504362 | Tracy Hoos Do Pllc | Pediatrics | 3101 Chandler Rd Ste 101, Muskogee, OK 74403-4955 | 2010-07-27 |
| 1568660728 | Tracy A Hoos II | Pediatrics | 2009 N Main St, Muskogee, OK 74401-4131 | 2007-07-10 |
| 1841202298 | Jason Randall Graham | Pediatrics | 1805 N York St Ste A, Muskogee, OK 74403-1442 | 2006-08-13 |
| 1235107814 | Therese M.b. Amigo | Pediatrics | 401 S York St, Ccom Medical Group, Inc., Muskogee, OK 74403-5955 | 2006-03-09 |
| 1962475558 | Wade Pediatrics PC | Pediatrics | 3505 W Broadway, Muskogee, OK 74401 | 2006-02-13 |
| 1447488762 | Ryan T Mundy | Pediatrics | 2009 N Main St, Premier Pediatrics, Muskogee, OK 74401-4131 | 2009-06-25 |
| 1689771735 | Elizabeth Ijeoma Uche | Pediatrics | 401 S York St, Muskogee, OK 74403-5955 | 2006-09-20 |
| 1679595037 | Michael F Stratton | Pediatrics | 3101 Chandler Rd, #101, Muskogee, OK 74403-4954 | 2006-07-24 |
| 1790703130 | Di Wilkinson | Pediatrics | 3101 Chandler Rd, #101, Muskogee, OK 74403-4954 | 2006-07-17 |
| 1104897719 | Thomas A Kincade | Pediatrics | 1001 S 41st St E, Muskogee, OK 74403-6253 | 2006-01-31 |
| Find all providers in MUSKOGEE | ||||
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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.