TODD BRADFORD PELTON (NPI# 1770560567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770560567 |
| Entity Type | Individual |
| Full Name | TODD BRADFORD PELTON |
| Credential | PAC |
| Practice Address |
15951 Little Axe Dr Norman OK 73026-9088 |
| Practice Telephone | 4054470300 |
| Practice Fax Number | 4057017914 |
| Mailing Telephone | 4054470300 |
| Mailing Fax Number | 4057017914 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2012-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA968 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200161660A | 05 |
| Street Address |
15951 LITTLE AXE DR |
| City | NORMAN |
| State | OK |
| Zip Code | 73026-9088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326030628 | Kerri L Williams | Family Medicine | 15951 Little Axe Dr, Norman, OK 73026-9088 | 2005-08-22 |
| 1164023354 | Taylor G'nae Shoemake | Pharmacist | 15951 Little Axe Dr, Norman, OK 73026-9088 | 2020-11-04 |
| 1508465428 | Keira A Mccrary | Dietitian, Registered | 15951 Little Axe Dr, Norman, OK 73026-9088 | 2020-10-21 |
| 1720624661 | Vasileios Aloumanis | Pharmacist | 15951 Little Axe Dr, Norman, OK 73026-9088 | 2019-11-26 |
| 1902442817 | Michael Jared Scott | Pharmacist | 15951 Little Axe Dr, Norman, OK 73026-9088 | 2019-11-26 |
| 1164072161 | Robert Eldon Stone | Physical Therapist | 15951 Little Axe Dr, Norman, OK 73026-9088 | 2019-09-12 |
| 1356995476 | Kristie Michelle Mcguire | Nurse Practitioner | 15951 Little Axe Dr, Norman, OK 73026-9088 | 2019-07-26 |
| 1568952307 | Completecare Home Health LLC | Home Health | 15951 Little Axe Dr, Norman, OK 73026-9088 | 2018-05-17 |
| 1588165641 | Jennifer L Enoch | Registered Nurse | 15951 Little Axe Dr, Norman, OK 73026-9088 | 2018-02-23 |
| 1710498233 | Mollie Dilbeck | Registered Nurse | 15951 Little Axe Dr, Norman, OK 73026-9088 | 2017-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235390907 | Jeremy David King | Optometrist | 15702 East Highway 9, Norman, OK 73026 | 2008-06-24 |
| 1831428143 | Nicole Willis | Pediatrics | 15951 Little Axe Drive, Norman, OK 73026 | 2009-12-15 |
| 1750897518 | Living Hope Eating Disorder Treatment Center, Pllc | Clinic/Center | 3900 E Robinson St, Norman, OK 73026-0725 | 2017-12-15 |
| 1649757212 | Jarrod Boersma | Case Manager/Care Coordinator | 5935 Cardinal Ln, Norman, OK 73026-0821 | 2018-07-25 |
| 1386295624 | Beverly Stash | Technician | 822 Flaming Oaks Dr, Norman, OK 73026-0858 | 2019-09-27 |
| 1750310546 | Joan Kneedler Berryhill | Occupational Therapist | 900 Olde Oak Ct, Norman, OK 73026-0899 | 2006-07-02 |
| 1316142763 | Nickolate Lorenzen | Lodging | 1719 Quail Creek Dr, Norman, OK 73026-0943 | 2007-06-17 |
| 1821619040 | Ruha Astani | Student in an Organized Health Care Education/Training Program | 2003 Forest Rd, Norman, OK 73026-0974 | 2020-04-28 |
| 1831600857 | Beatrice Waller | Counselor | 2500 Shoreline Dr, Norman, OK 73026-1319 | 2017-10-17 |
| 1225410202 | Danielle Klevgard | Speech-Language Pathologist | 4700 Wellington Lake Dr, Norman, OK 73026-1324 | 2015-06-25 |
| Find all providers in zip 73026 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497384754 | Leah Cannady Hester | Physician Assistant | 3145 Midland Valley St, Norman, OK 73069-6970 | 2020-04-07 |
| 1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
| 1639647332 | Lauren Tomlinson | Physician Assistant | 1211 Dakota St, Norman, OK 73069-6805 | 2018-11-12 |
| 1669965190 | Ann Cloud | Physician Assistant | 1300 Lindale Ave, Norman, OK 73069-4421 | 2018-06-09 |
| 1518468313 | Surgical Helpers, Pllc | Physician Assistant | 3334 W Main St # 508, Norman, OK 73072-4805 | 2018-02-27 |
| 1396274809 | Balance Hormone Center | Physician Assistant | 3351 W. Rock Creek Rd Ste 100, Norman, OK 73072 | 2017-06-08 |
| 1265862023 | Gordon Hart | Physician Assistant | 3351 W Rock Creek Rd Ste 100, Norman, OK 73072-2463 | 2013-11-14 |
| 1477792562 | Brian Horst Herb | Physician Assistant | 3620 24th Ave Nw, 63 Cst/wmd, Norman, OK 73069-8232 | 2009-02-12 |
| 1104849736 | Richard Francis Vanya | Physician Assistant | 3650 Stonebrook Dr, Norman, OK 73072-9111 | 2006-07-25 |
| 1487693743 | Avis J Lucas | Physician Assistant | 950 N Porter Ave Ste 200, Norman, OK 73071 | 2006-06-05 |
| Find all providers in NORMAN | ||||
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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.