MS. OLUKANYIN M BODEHARRISON (NPI# 1770506180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770506180 |
| Entity Type | Individual |
| Full Name | MS. OLUKANYIN M BODEHARRISON |
| Credential | M.A |
| Practice Address |
1011 Honor Heights Dr 11a Muskogee OK 74401-1318 |
| Mailing Address |
3542 Delaware St Muskogee OK 74403-4940 |
| Practice Telephone | 9186803666 |
| Practice Fax Number | 9187818540 |
| Mailing Telephone | 9186803666 |
| Mailing Fax Number | 9187818540 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255R0406X |
Specialist/Technologist Specialization: Rehabilitation, Blind |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1011 HONOR HEIGHTS DR 11A |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366440703 | Marsha Lynn Bunney | Clinical Nurse Specialist | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2005-07-11 |
| 1750995585 | James Jorgensen | Registered Nurse | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2020-08-31 |
| 1619599958 | Jonathan Lurz | Nurse Practitioner | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2020-05-09 |
| 1770104069 | Tyler Nelson | Optometrist | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2020-04-28 |
| 1093364366 | Tobi Michelle Poteete | Nurse Practitioner | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2019-09-09 |
| 1699320572 | Anson Graves | Respiratory Therapist, Certified | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2019-08-07 |
| 1447803713 | Sara Katelyn Dempster | Anesthesiology | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2019-07-16 |
| 1962054478 | Darren Eugene Richison | Nurse Practitioner | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2019-07-15 |
| 1437613890 | Kyle A Baer | Surgery | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2019-01-29 |
| 1588142988 | Brittni Kline | Clinical Nurse Specialist | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2018-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 2255R0406X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Rehabilitation, Blind |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336582287 | Preston Lee Solomon | Specialist/Technologist | 6215 Nw 63rd St, Apt. A, Oklahoma City, OK 73132-7515 | 2013-04-10 |
| 1497176408 | Brian Buggs I | Specialist/Technologist | 6539 E 31st St, 6539 East 31st Street Suite 4b, Tulsa, OK 74145-1242 | 2013-12-17 |
| 1114351178 | Andrea Lavette Bee | Specialist/Technologist | 6539 E 31st St, Suite 4b, Tulsa, OK 74145-1242 | 2013-08-27 |
| 1336480433 | Curtis E Diggs Jr. | Specialist/Technologist | 6539 E 31st St, Suite 4b, Tulsa, OK 74145-1242 | 2013-03-14 |
| 1053659946 | Vosia Xan Wilson | Specialist/Technologist | 11428 E 20th St, Unit A, Tulsa, OK 74128-6451 | 2013-01-28 |
| 1669716759 | Stormie Leigh Milne | Specialist/Technologist | 1405 N 4th Ave, Durant, OK 74701-3330 | 2012-11-15 |
| 1881713899 | Anthony J Kirksey | Specialist/Technologist | 921 Ne 13th St, Oklahoma City, Oklahoma City, OK 73104-5007 | 2007-03-29 |
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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.