EDMOND HEARING DOCTORS PLLC (NPI# 1790068864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790068864 |
| Entity Type | Organization |
| Organization Name | EDMOND HEARING DOCTORS PLLC |
| Practice Address |
307 E Danforth Rd Suite 118 Edmond OK 73034-4483 |
| Practice Telephone | 4053411800 |
| Mailing Telephone | 4053411800 |
| Enumeration Date | 2011-09-24 |
| Last Update Date | 2011-09-24 |
| Authorized Official Name | DR. TREVOR COUROULEAU (AUDIOLOGIST/OWNER) |
| Authorized Official Telephone | 4053411800 |
| Authorized Official Credential | AU.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
351 | OK | Ambulatory Health Care Facilities |
| Street Address |
307 E DANFORTH RD SUITE 118 |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-4483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902842 | David L Graham | Specialist | 307 E Danforth Rd, Suite 154, Edmond, OK 73034-4483 | 2005-06-16 |
| 1346773058 | Onelife Treatment LLC | Community/Behavioral Health | 307 E Danforth Rd, Suite 118, Edmond, OK 73034-4483 | 2017-04-10 |
| 1477009660 | Kayla Michelle Martel | Counselor | 307 E Danforth Rd, #124, Edmond, OK 73034-4483 | 2016-08-29 |
| 1316318694 | Alan Wishard | Counselor | 307 E Danforth Rd, Edmond, OK 73034-4483 | 2015-10-13 |
| 1588041560 | Coraspire Mental Health and Wellness Center, Inc. | Case Management | 307 E Danforth Rd, Suite 124, Edmond, OK 73034-4483 | 2015-04-29 |
| 1285924837 | Graham Dermatology Center, P.C. | Dermatology | 307 E Danforth Rd, Suite 154, Edmond, OK 73034-4483 | 2011-04-17 |
| 1194036129 | Abbey Lynn Blair | Counselor | 307 E Danforth Rd, Suite 124, Edmond, OK 73034-4483 | 2010-06-24 |
| 1427286871 | Angela Diane Schmidt | Chiropractor | 307 E Danforth Rd, Suite 154, Edmond, OK 73034-4483 | 2009-06-24 |
| 1023212891 | Jackie L. Shaw | Counselor | 307 E Danforth Rd, Suite 118, Edmond, OK 73034-4483 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 261QH0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Hearing and Speech |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508342247 | Rhonda Kingsley Slp PC | Clinic/Center | 1529 Salem Ave, Edmond, OK 73003-6122 | 2018-07-16 |
| 1053542282 | Lets Talk Kids | Clinic/Center | 301 S Boulevard St, Suite 126, Edmond, OK 73034-3878 | 2009-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114560935 | Town & Country School Inc. | Clinic/Center | 8906 E 34th St, Tulsa, OK 74145-3404 | 2019-10-24 |
| 1578114591 | Ok Peds Pediatric Therapy Services | Clinic/Center | 7301 S Harrah Rd, Newalla, OK 74857-7912 | 2019-09-20 |
| 1285136135 | Shepherd Mall Therapy LLC | Clinic/Center | 2401 Nw 23rd St Ste 2d, Oklahoma City, OK 73107-2420 | 2018-03-07 |
| 1225562085 | Multiple Communications | Clinic/Center | 2501 Sw 93rd St, Oklahoma City, OK 73159-6713 | 2017-04-18 |
| 1043766405 | Pro Hearing, LLC | Clinic/Center | 10404 S Pennsylvania Ave, Oklahoma City, OK 73159 | 2016-08-26 |
| 1801259692 | Outside The Box Speech Services, LLC | Clinic/Center | 19001 S 369th West Ave, Bristow, OK 74010-2067 | 2016-03-30 |
| 1992194534 | Garrett Speech Language Pathology | Clinic/Center | 2713 Sw 140th St, Oklahoma City, OK 73170-5781 | 2015-01-20 |
| 1063818268 | Bragg Family Hearing Aid Center, LLC | Clinic/Center | 2222 W Hefner Rd Ste K, The Village, OK 73120-7619 | 2014-11-15 |
| 1245545458 | Gore Therapy Center, P.C. | Clinic/Center | 4121 W Gore Blvd, Lawton, OK 73505-6336 | 2010-08-11 |
| 1326664368 | Staton House | Clinic/Center | 1100 E Whispering Oaks Ter, Mustang, OK 73064-4870 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
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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.