GENERAL PRACTICE MEDICAL CLINIC, INC. (NPI# 1740330596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740330596 |
| Entity Type | Organization |
| Organization Name | GENERAL PRACTICE MEDICAL CLINIC, INC. |
| Other Organization Name | SLEEP TECHNOLOGY OF ORS |
| Practice Address |
1012 South Plaza Tahlequah OK 74464 |
| Mailing Address |
6767 S Yale Ave Suite B Tulsa OK 74136-3302 |
| Practice Telephone | 9182071400 |
| Practice Fax Number | 9182071401 |
| Mailing Telephone | 9182071400 |
| Mailing Fax Number | 9182071401 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2008-09-26 |
| Authorized Official Name | DR. BOBBY NEAL DANIEL (OWNER) |
| Authorized Official Telephone | 9182071400 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
OK1843 | OK | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sleep Technology of ORS | Doing Business As Name - Organization |
| Street Address |
1012 SOUTH PLAZA |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174910244 | Utica Sleep Laboratories | Clinic/Center | 2812 Rice St, Ponca City, OK 74604-1921 | 2015-04-16 |
| 1780089839 | Somnus Sleep and Wellness, Inc | Clinic/Center | 7725 W Reno Ave, Suite 394, Oklahoma City, OK 73127-9711 | 2014-10-31 |
| 1710306980 | Panhandle Sleep Disorders Center LLC | Clinic/Center | 901 E Highway 54, Guymon, OK 73942-4541 | 2014-04-15 |
| 1154661841 | Avalon Diagnostics LLC | Clinic/Center | 208 W Evergreen St, Durant, OK 74701-4710 | 2013-02-18 |
| 1003084344 | Sleep Solutions Tulsa, LLC | Clinic/Center | 7702 E. 91st St., Suite 200, Tulsa, OK 73104-6054 | 2008-02-20 |
| 1437275484 | Sleep Solutions LLC | Clinic/Center | 13920 North Western Avenue, Edmond, OK 73013 | 2007-03-21 |
| 1801993225 | Nocturna of Tulsa LLC | Clinic/Center | 2651 E 21st St, Suite 400, Tulsa, OK 74114-1716 | 2006-09-20 |
| 1700983129 | Nocturna of Edmond LLC | Clinic/Center | 428 W. 15th St, Suite 1, Edmond, OK 73013 | 2006-09-20 |
| 1467414144 | Oklahoma Sleep Institute LLC | Clinic/Center | 13900 Wireless Way, Oklahoma City, OK 73134-2505 | 2006-04-06 |
| 1023009594 | Sleep Associates LLC | Clinic/Center | 416 Sw 79th St Ste 215, Oklahoma City, OK 73139-8121 | 2005-11-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GENERAL PRACTICE MEDICAL CLINIC, INC..
| 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.