CHAD STEVEN EDMINSTEN (NPI# 1790986826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790986826 |
Entity Type | Individual |
Full Name | CHAD STEVEN EDMINSTEN |
Credential | ATC, PA-C |
Practice Address |
3400 W Tecumseh Rd Ste 101 Norman OK 73072-1810 |
Practice Telephone | 4053606764 |
Mailing Telephone | 4053606764 |
Enumeration Date | 2007-05-29 |
Last Update Date | 2014-12-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT233 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2464 | OK | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2464 | OK | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3400 W TECUMSEH RD STE 101 |
City | NORMAN |
State | OK |
Zip Code | 73072-1810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952368961 | Sally Marie Roark | Physician Assistant | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072-1810 | 2006-04-26 |
1861030280 | Ortho Central | Durable Medical Equipment & Medical Supplies | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072-1810 | 2019-12-16 |
1538707930 | Ortho Central | Physical Therapist | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072-1810 | 2019-12-16 |
1952893521 | Hillarie Elaine Kessler | Physician Assistant | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072-1810 | 2018-05-30 |
1558880526 | Kasey Degiusti | Nurse Practitioner | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072-1810 | 2017-09-11 |
1326431651 | Adam Garrett Burns | Specialist/Technologist | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072-1810 | 2015-03-11 |
1629331921 | Jacob Asher Haynes | Orthopaedic Surgery | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072-1810 | 2012-06-21 |
1871854554 | Clayton Ellis Nelson | Orthopaedic Surgery | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072 | 2012-05-30 |
1609046416 | Kristen Walters Hodges | Physician Assistant | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072 | 2008-03-07 |
1043400641 | John L Glomset IIi | Orthopaedic Surgery | 3400 W Tecumseh Rd Ste 101, Norman, OK 73072-1810 | 2007-07-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326684630 | Summer Crawford | Nurse Practitioner | 2080 Ok-9, Norman, OK 73072 | 2019-11-21 |
1962054882 | Jayme Provine | Registered Nurse | 3300 Healthplex Parkway, Lactation Dept, Norman, OK 73072 | 2019-07-11 |
1811556186 | Elizabeth Moore | Behavioral Analyst | 2240 36th Ave Nw, Suite 100, Norman, OK 73072 | 2019-06-11 |
1861950735 | Michelle Kathleen Spehr | Nurse Practitioner | 3231 Healthplex Dr., Norman, OK 73072 | 2019-03-08 |
1801384953 | Serena Browning | Registered Nurse | 3913 Ripple Ave, Norman, OK 73072 | 2018-04-24 |
1508363771 | Dental Depot of 36th & Tecumseh, Pllc | Dentist | 3401 W. Tecumseh Rd., Norman, OK 73072 | 2018-04-12 |
1396274809 | Balance Hormone Center | Physician Assistant | 3351 W. Rock Creek Rd Ste 100, Norman, OK 73072 | 2017-06-08 |
1174060792 | Rebekah Karnes | Nurse Practitioner | 2120 Mckown Dr Ste B, Norman, OK 73072 | 2017-01-20 |
1881139319 | Heritage Dental Group LLC | Dentist | 3600 W Tecumseh Rd, Norman, OK 73072 | 2016-12-19 |
1043699150 | Alan Jay Washington | Social Worker | 3200 Marshall Ave. Outpatient Services-norman, Suite 220 Strong Family Development, Norman, OK 73072 | 2015-05-21 |
Find all providers in zip 73072 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316420086 | Lauren Anto | Physician Assistant | 2824 Classen Blvd Ste 100, Norman, OK 73071-4059 | 2018-09-10 |
1033174032 | Laura Beth Horstkoetter | Physician Assistant | 334 12th Ave Se St 110, Norman, OK 73071-5070 | 2006-04-20 |
1104281435 | Samuel Elder | Physician Assistant | 3300 Healthplex Pkwy, Norman, OK 73072-9749 | 2015-12-31 |
1922498161 | Robert William Kellington II | Physician Assistant | 901 N Porter Ave, Norman, OK 73071-6404 | 2015-01-26 |
1861732992 | Classen Family Practice LLC | Physician Assistant | 2824 Classen Blvd, Norman, OK 73071-4059 | 2013-02-27 |
1174878433 | Clint D Howell | Physician Assistant | 1125 N Porter Ave Ste 301, Norman, OK 73071-6443 | 2012-07-23 |
1164728366 | Erin Baxter | Physician Assistant | 3400 W Tecumseh Rd, Suite 100, Norman, OK 73072-1810 | 2011-02-04 |
1831429257 | Tracy Toft | Physician Assistant | 700 24th Ave Nw, Norman, OK 73069-6232 | 2010-01-07 |
1003084781 | Cathleen Elizabeth Lebeau | Physician Assistant | 3400 W Tecumseh Rd, Norman, OK 73072-1810 | 2008-02-14 |
1538344122 | Tina M Stinson | Physician Assistant | 808 Wall St, Norman, OK 73069-6302 | 2008-01-02 |
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.