MARTY VIEFHAUS (NPI# 1790762771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790762771 |
| Entity Type | Individual |
| Full Name | MARTY VIEFHAUS |
| Credential | PA-C |
| Practice Address |
1600 N Washington Ave Durant OK 74701-2128 |
| Mailing Address |
1001 N Country Club Rd Ada OK 74820-2847 |
| Practice Telephone | 5809202100 |
| Practice Fax Number | 5809247215 |
| Mailing Telephone | 5804214570 |
| Mailing Fax Number | 5809247215 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2010-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 951 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1600 N WASHINGTON AVE |
| City | DURANT |
| State | OK |
| Zip Code | 74701-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245888437 | Krystal Wurm | Counselor | 1600 N Washington Ave, Durant, OK 74701-2128 | 2019-08-30 |
| 1518038124 | John Joines | Pharmacist | 1600 N Washington Ave, Durant, OK 74701-2128 | 2006-11-13 |
| 1609853696 | Jeffrey Williams | Physician Assistant | 1600 N Washington Ave, Durant, OK 74701-2128 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738362 | Elevate Therapy, Pllc | Physical Therapist | 523 N Wshington Ave, Durant, OK 74701 | 2020-07-23 |
| 1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
| 1184193690 | Inventive Therapy Services, LLC | Occupational Therapist | 2620 Maxey Dr, Durant, OK 74701 | 2018-11-14 |
| 1790271831 | Jazmine Gabrielle Benavidez | Specialist/Technologist | 1713 North 1st Avenue, Durant, OK 74701 | 2018-07-02 |
| 1538659586 | Katelen Sue Morgan | Case Manager/Care Coordinator | 1011 Donna Sue Pl, Durant, OK 74701 | 2018-05-15 |
| 1164941035 | Nsight for Life LLC | Community/Behavioral Health | 1313 N 16th, Durant, OK 74701 | 2017-09-12 |
| 1023534666 | Damon Dye | Physical Therapist | 30 W 3rd St, Durant, OK 74701 | 2017-08-15 |
| 1437605250 | Casey Worsham | Nurse Practitioner | 1800 W University, Durant, OK 74701 | 2016-08-31 |
| 1083160857 | Denise Adanho | Case Manager/Care Coordinator | 1218 Stonebrook Circle, Durant, OK 74701 | 2016-08-31 |
| 1962850271 | Justi Thompson | Case Manager/Care Coordinator | 4817 Ciara St, Durant, OK 74701 | 2016-05-26 |
| Find all providers in zip 74701 | ||||
| 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 |
|---|---|---|---|---|
| 1548396096 | Roy Kent Rogers | Physician Assistant | 1807 W University Blvd, Durant, OK 74701-3011 | 2007-02-26 |
| 1982640116 | Jason Squires | Physician Assistant | 698 Westside Dr Ste 110, Durant, OK 74701-3085 | 2006-06-22 |
| 1689670747 | Anna M Hansen | Physician Assistant | 619 5th Street, Durant, IA 52747 | 2005-06-23 |
| 1912478769 | Lake Texoma Physician Services, PC | Physician Assistant | 1800 W University Blvd, Durant, OK 74701-3006 | 2018-12-05 |
| 1487925715 | Michelle L Van Fossen | Physician Assistant | 1400 Bryan Dr, Suite 303, Durant, OK 74701-2156 | 2012-01-18 |
| 1497883789 | Jeffrey Flint Hamblin | Physician Assistant | 1807 W University Blvd, Durant, OK 74701-3011 | 2007-03-01 |
| 1275607251 | Oklahoma Em-1 Medical Services, P.C. | Physician Assistant | 1800 W University Blvd, Durant, OK 74701-3006 | 2006-11-20 |
| 1518072586 | Ashley Marie Thomann | Physician Assistant | 1800 W University Blvd, Durant, OK 74701-3006 | 2006-08-20 |
| 1114952678 | Charles Powers | Physician Assistant | 1610 W University Blvd, Durant, OK 74701-3045 | 2006-07-12 |
| 1609853696 | Jeffrey Williams | Physician Assistant | 1600 N Washington Ave, Durant, OK 74701-2128 | 2005-12-29 |
| Find all providers in DURANT | ||||
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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.