BROKEN ARROW FAMILY PRACTICE CENTER PLC (NPI# 1790127900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790127900 |
| Entity Type | Organization |
| Organization Name | BROKEN ARROW FAMILY PRACTICE CENTER PLC |
| Practice Address |
817 S Elm Pl Suite A Broken Arrow OK 74012-5369 |
| Practice Telephone | 9182512273 |
| Practice Fax Number | 9182586446 |
| Mailing Telephone | 9182512273 |
| Mailing Fax Number | 9182586446 |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |
| Authorized Official Name | DR. DOUGLAS WILLIAM HOLTE (PRESIDENT OF BAFPC PLC) |
| Authorized Official Telephone | 9182512273 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
15244 | OK | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | BROKEN ARROW FAMILY PRACTICE CENTER PLC | 817 S Elm Pl, Broken Arrow, OK 74012 |
| Street Address |
817 S ELM PL SUITE A |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-5369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164428215 | Mark Steven Hamra | Allergy & Immunology | 817 S Elm Pl, Ste 107, Broken Arrow, OK 74012-5369 | 2005-06-23 |
| 1164082707 | Adriane Paige Brower | Technician, Other | 817 S Elm Pl, Broken Arrow, OK 74012-5369 | 2019-06-17 |
| 1124561113 | Dustin O. Hayes, D.o., P.C. | General Practice | 817 S Elm Pl, Suite C, Broken Arrow, OK 74012-5369 | 2016-11-23 |
| 1992254346 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 817 S Elm Pl, Suite 105, Broken Arrow, OK 74012-5369 | 2016-09-27 |
| 1184981144 | Dustin O'leath Hayes | Psychiatry & Neurology | 817 S Elm Pl, Suite C, Broken Arrow, OK 74012-5369 | 2012-04-16 |
| 1093993933 | Catherine S Morgan Lcsw Inc | Community/Behavioral Health | 817 S Elm Pl, B, Broken Arrow, OK 74012-5369 | 2008-02-02 |
| 1538280920 | Elizabeth Dawn Campbell | Family Medicine | 817 S Elm Pl, Broken Arrow, OK 74012-5369 | 2007-04-03 |
| 1609933100 | Stephen Lester Greer | Psychiatry & Neurology | 817 S Elm Pl, Broken Arrow, OK 74012-5369 | 2007-01-03 |
| 1659457703 | Gaurangi Manek Anklesaria | Family Medicine | 817 S Elm Pl, #104, Broken Arrow, OK 74012-5369 | 2006-10-31 |
| 1912019654 | Catherine S. Morgan | Social Worker | 817 S Elm Pl, B, Broken Arrow, OK 74012-5369 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292191 | Team Clinic Management Partners LLC | Clinic/Center | 3100 W New Orleans St, Broken Arrow, OK 74011-1468 | 2020-10-09 |
| 1972115392 | Team Clinic Management Partners LLC | Clinic/Center | 225 E Omaha St, Broken Arrow, OK 74012-1761 | 2020-08-18 |
| 1093327413 | Team Clinic Management Partners LLC | Clinic/Center | 301 W New Orleans St, Broken Arrow, OK 74011-2206 | 2020-08-18 |
| 1962013110 | Team Clinic Management Partners LLC | Clinic/Center | 4300 E Gary Street, Broken Arrow, OK 74014 | 2020-08-12 |
| 1750992038 | Team Clinic Management Partners LLC | Clinic/Center | 251 E Omaha St, Broken Arrow, OK 74012-1761 | 2020-08-11 |
| 1689285975 | Team Clinic Management Partners LLC | Clinic/Center | 301 E Tucson St, Broken Arrow, OK 74011-7235 | 2020-08-11 |
| 1417568700 | Team Clinic Management Partners LLC | Clinic/Center | 1351 E Albany St, Broken Arrow, OK 74012-8995 | 2020-08-11 |
| 1164033569 | Team Clinic Management Partners LLC | Clinic/Center | 6800 E Quincy Pl, Broken Arrow, OK 74014-4523 | 2020-08-11 |
| 1295346609 | Team Clinic Management Partners LLC | Clinic/Center | 7200 E Quincy Pl, Broken Arrow, OK 74014-4522 | 2020-08-11 |
| 1386262335 | Team Clinic Management Partners LLC | Clinic/Center | 405 E Richmond St, Broken Arrow, OK 74012-5642 | 2020-07-07 |
| Find all providers in BROKEN ARROW | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
Please comment or provide details below to improve the information on BROKEN ARROW FAMILY PRACTICE CENTER PLC.
| 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.