DR. CHAD P EDWARDS (NPI# 1790833481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790833481 |
| Entity Type | Individual |
| Full Name | DR. CHAD P EDWARDS |
| Credential | D.O. |
| Practice Address |
12142 S Yukon Ave Glenpool OK 74033 |
| Mailing Address |
12142 S Yukon Ave Glenpool OK 74033-6621 |
| Practice Telephone | 9189353636 |
| Practice Fax Number | 9182967934 |
| Mailing Telephone | 9189353636 |
| Mailing Fax Number | 9182967934 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2018-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 03124 | KY | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 4353 | OK | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3910 E 51st St, Tulsa, OK 741353606 | 9184973500 | 9184973531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649390139 | Chad Randall Edwards | Surgery | 1504 N Thornton Ave Ste 101, Dalton, GA 30720-8394 | 2007-03-30 |
| 1063436079 | Chad J Edwards | Optometrist | 12455 E 100th St N # 110, Owasso, OK 74055-4600 | 2006-07-26 |
| 1083605000 | Chad Oliver Edwards | Dentist | 3046 Columbia Ave, Ste. 201, Franklin, TN 37064-7429 | 2005-10-31 |
| 1649631946 | Chad Edwards | Nurse Anesthetist, Certified Registered | 3610 24th St, Lubbock, TX 79410-2014 | 2016-03-14 |
| 1891186680 | Chad Aaron Edwards | Orthopaedic Surgery | 1775 Browning Way Ste 201, Elko, NV 89801-8340 | 2015-02-15 |
| 1487924171 | Chad Robert Edwards | Clinical Neuropsychologist | 314 W Catalpa Dr, Suite E, Mishawaka, IN 46545-3194 | 2012-01-11 |
| 1255654216 | Chad O Edwards | Dietitian, Registered | 975 S Fairmont Ave, Lodi, CA 95240-5118 | 2010-03-04 |
| 1568652337 | Chad A. Edwards | Physical Therapist | 10004 204th Ave E, Ste 3100, Bonney Lake, WA 98391-6539 | 2007-07-27 |
| Street Address |
12142 S YUKON AVE |
| City | GLENPOOL |
| State | OK |
| Zip Code | 74033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629632229 | Kelly Marie Moore | Nurse Practitioner | 12142 S Yukon Ave, Glenpool, OK 74033-6621 | 2019-04-29 |
| 1497263818 | Transformation Health Pllc | Family Medicine | 12142 S Yukon Ave, Glenpool, OK 74033 | 2018-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736657 | Genscripts Glenpool, LLC | Pharmacy | 12100 South Yukon Avenue, Suite A, Glenpool, OK 74033 | 2020-06-30 |
| 1982194908 | Glenpool Pain Management LLC | Pain Medicine | 148 W Main St Ste A, Glenpool, OK 74033 | 2018-05-15 |
| 1407376981 | Increasing Tranquility LLC | Clinic/Center | 519 E. 141st St., Suite L, Glenpool, OK 74033 | 2017-06-26 |
| 1528446804 | Teresa Hardesty | Internal Medicine | 140 West 151st St S, Ste 202, Glenpool, OK 74033 | 2015-05-07 |
| 1619228814 | Insight Eyecare Pllc | Optometrist | 12140 South Waco Avenue, Glenpool, OK 74033 | 2012-09-27 |
| 1366505448 | Glenpool Eye Care, Pllc | Optometrist | 247 E. 141st St., Glenpool, OK 74033 | 2006-12-19 |
| 1750440129 | Glenpool Pharmacy Inc | Pharmacy | 262 E 141st Street, Glenpool, OK 74033 | 2006-12-08 |
| 1477629293 | Gerhard Fischer | Dentist | 464 E 141st St., Glenpool, OK 74033 | 2006-11-24 |
| 1912089764 | John L Gosnell | Optometrist | 247 E 141st St., Glenpool, OK 74033 | 2006-10-20 |
| 1619071164 | Donna J Price | Family Medicine | 159 W. 146th St, Ste 4, Glenpool, OK 74033 | 2006-09-12 |
| Find all providers in zip 74033 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609254531 | John C. Friedl, Inc | Family Medicine | 13809 S Casper St Ste D, Glenpool, OK 74033-2619 | 2015-05-12 |
| 1003949694 | Glenpool Family Clinic A Prof Corp | Family Medicine | 14226 So Elm, Glenpool, OK 74033-3525 | 2007-03-13 |
| 1619071164 | Donna J Price | Family Medicine | 159 W. 146th St, Ste 4, Glenpool, OK 74033 | 2006-09-12 |
| 1366546673 | Daniel Craig Martin | Family Medicine | 14226 Elm, Glenpool, OK 74033 | 2006-09-08 |
| 1437114758 | Michael Steven Ward | Family Medicine | 550 W 121st St S, Glenpool, OK 74033-8677 | 2006-04-19 |
| 1336131242 | Tony A Little | Family Medicine | 140 W 151st St S Ste 202, Glenpool, OK 74033-4530 | 2005-08-17 |
| 1497263818 | Transformation Health Pllc | Family Medicine | 12142 S Yukon Ave, Glenpool, OK 74033 | 2018-01-19 |
| 1346627304 | Emily White | Family Medicine | 140 W 151st St S Ste 202, Glenpool, OK 74033 | 2015-04-29 |
| 1942490495 | Donna J. Price, D.o. P.C. | Family Medicine | 159 W. 146th St, Glenpool, OK 74033 | 2007-07-31 |
| 1578674503 | Andrea Michele Adams | Family Medicine | 550 W 121st St S, Glenpool, OK 74033-8677 | 2006-08-31 |
| Find all providers in GLENPOOL | ||||
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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.