MUSKOGEE VAMC (NPI# 1750320776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750320776 |
| Entity Type | Organization |
| Organization Name | MUSKOGEE VAMC |
| Practice Address |
9322 E 41st St Tulsa OK 74145-3721 |
| Mailing Address |
Po Box 94517 Cleveland OH 44101-4517 |
| Practice Telephone | 6153553451 |
| Mailing Telephone | 6153553451 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2017-12-18 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184116857 | Muskogee Vamc | Clinic/Center | 5110 S Yale Ave Ste 200, Tulsa, OK 74135-7475 | 2018-05-30 |
| 1851815294 | Muskogee Vamc | Clinic/Center | 901 Se Washington St, Idabel, OK 74745-3333 | 2017-07-27 |
| 1326436676 | Muskogee Vamc | Clinic/Center | 2414 E Shawnee Rd, Muskogee, OK 74403-1530 | 2015-01-08 |
| 1740517275 | Muskogee Vamc | Clinic/Center | 269 S 7th St, Vinita, OK 74301-3737 | 2009-11-04 |
| 1316335664 | Muskogee Vamc | Clinic/Center | 10159 E 11th St, Tulsa, OK 74128-3058 | 2015-01-08 |
| 1326201138 | Muskogee Vamc | Department of Veterans Affairs (VA) Pharmacy | 9322 E 41st St, Tulsa, OK 74145-3721 | 2008-07-02 |
| 1316999410 | Muskogee Vamc | Clinic/Center | 2 E Clark Bass Blvd, Mcalester, OK 74501-4282 | 2006-05-17 |
| 1598714925 | Muskogee Vamc | General Acute Care Hospital | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2006-05-10 |
| 1770541377 | Muskogee Vamc | Department of Veterans Affairs (VA) Pharmacy | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2006-05-03 |
| Street Address |
9322 E 41ST ST |
| City | TULSA |
| State | OK |
| Zip Code | 74145-3721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619953411 | Geneva Joan Kilgore | Nurse Practitioner | 9322 E 41st St, Ernest Childers Va Out Patient Clinic, Tulsa, OK 74145-3721 | 2005-12-22 |
| 1497227110 | Wesley Luther Johnston | Registered Nurse | 9322 E 41st St, Tulsa, OK 74145-3721 | 2018-12-19 |
| 1548784184 | Andrea Nichole Briggs | Optometrist | 9322 E 41st St, Tulsa, OK 74145-3721 | 2017-07-26 |
| 1104163278 | Stuart Snyder | Pharmacist | 9322 E 41st St, Tulsa, OK 74145-3721 | 2013-01-10 |
| 1073803532 | Pearl Jewell Freese | Social Worker | 9322 E 41st St, Tulsa, OK 74145-3721 | 2011-04-18 |
| 1720216500 | Korey Legnon | Pharmacist | 9322 E 41st St, Tulsa, OK 74145-3721 | 2009-06-30 |
| 1326201138 | Muskogee Vamc | Department of Veterans Affairs (VA) Pharmacy | 9322 E 41st St, Tulsa, OK 74145-3721 | 2008-07-02 |
| 1568646768 | Mary Kay Carter | Physical Therapist | 9322 E 41st St, Tulsa, OK 74145-3721 | 2007-12-24 |
| 1609059385 | Deborah S Richardson | Nurse Practitioner | 9322 E 41st St, Tulsa, OK 74145-3721 | 2007-12-17 |
| 1134216609 | Lisa Marie Kedzuf-mcginnis | Optometrist | 9322 E 41st St, Tulsa, OK 74145-3721 | 2006-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015606 | Grayson Elaine Kirk | Social Worker | 7028 E 32nd St, Tulsa, OK 74145 | 2018-05-31 |
| 1407378060 | Matthew Ryan Lazar | Case Manager/Care Coordinator | 3405 S 95th East Ave, Tulsa, OK 74145 | 2017-07-14 |
| 1770014243 | Sarah Truman | Counselor | 5332 S. Memorial Dr., Tulsa, OK 74145 | 2017-03-25 |
| 1265977615 | Tsaw LLC | Chiropractor | 6949-51 E. 71st St., Tulsa, OK 74145 | 2016-12-21 |
| 1740722115 | Green Country Pain Management | Internal Medicine | 6048-a S Sheridan Rd, Tulsa, OK 74145 | 2016-11-16 |
| 1790234003 | Joy Home Care Services LLC | In Home Supportive Care | 9434 E 51st Street, Tulsa, OK 74145 | 2016-09-27 |
| 1407302821 | Tammera Mcclenton | Counselor | 7225 E 58th St., Tulsa, OK 74145 | 2016-08-26 |
| 1366839482 | Tesia D. Wells | Marriage & Family Therapist | 7226 E 41st St, Tulsa, OK 74145 | 2015-04-16 |
| 1942613427 | Kevin Bonifield | Counselor | 5327 S Sheridan Rd, Tulsa, OK 74145 | 2014-06-03 |
| 1518208040 | Kelsee Lane Mccutchen | Counselor | 7477 E. 46th Place, Tulsa, OK 74145 | 2013-03-07 |
| Find all providers in zip 74145 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184116857 | Muskogee Vamc | Clinic/Center | 5110 S Yale Ave Ste 200, Tulsa, OK 74135-7475 | 2018-05-30 |
| 1316335664 | Muskogee Vamc | Clinic/Center | 10159 E 11th St, Tulsa, OK 74128-3058 | 2015-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157065 | Oklahoma City Vamc | Clinic/Center | 1808 Commons Cir Ste B, Yukon, OK 73099-9518 | 2020-09-01 |
| 1598391716 | Oklahoma City Vamc | Clinic/Center | 7050 Air Depot Blvd Ste 1094, Tinker Afb, OK 73145-8716 | 2020-03-19 |
| 1215572656 | Oklahoma City Vamc | Clinic/Center | 315 W Gary Blvd, Clinton, OK 73601-2835 | 2019-11-08 |
| 1851815294 | Muskogee Vamc | Clinic/Center | 901 Se Washington St, Idabel, OK 74745-3333 | 2017-07-27 |
| 1326436676 | Muskogee Vamc | Clinic/Center | 2414 E Shawnee Rd, Muskogee, OK 74403-1530 | 2015-01-08 |
| 1740517275 | Muskogee Vamc | Clinic/Center | 269 S 7th St, Vinita, OK 74301-3737 | 2009-11-04 |
| 1982738852 | Oklahoma City Vamc | Clinic/Center | 717 Better Now Plz, Ada, OK 74820-2279 | 2007-03-15 |
| 1578506382 | Oklahoma City Vamc | Clinic/Center | 4303 Pitman and Thomas Road, Building 4303, Fort Sill, OK 73503-4473 | 2006-06-13 |
| 1780635128 | Oklahoma City Vamc | Clinic/Center | 1235 12th Ave Nw, Ardmore, OK 73401-1578 | 2006-05-12 |
| 1568076313 | Oklahoma City Vamc | Clinic/Center | 1020 24th Ave Nw, Norman, OK 73069-6341 | 2020-08-31 |
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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.