JAMES RICHARD BROCK


Address: 405 E Excelsior Ave, Vinita, OK 74301-4226
Phone: 9182566476

JAMES RICHARD BROCK (NPI# 1801306022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801306022
Entity Type Individual
Full Name JAMES RICHARD BROCK
Practice Address 405 E Excelsior Ave
Vinita
OK 74301-4226
Practice Telephone 9182566476
Practice Fax Number 9182563628
Mailing Telephone 9182566476
Mailing Fax Number 9182563628
Enumeration Date 2017-10-02
Last Update Date 2017-10-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Other Providers JAMES BROCK

NPI Name Taxonomy Address Enumeration
1912036823 James Murray Brock Jr. Dermatology 136 Marion Ave, Mccomb, MS 39648-3620 2007-03-05
1316034754 James Lee Brock Technician/Technologist 108 W George St, Arcanum, OH 45304-1109 2006-10-06
1750485850 James Vaughn Brock Jr. Psychologist Dougherty Counseling Center, 1919 State St., Ste. #2, New Albany, IN 47150 2006-09-11
1790711711 James Brock Obstetrics & Gynecology 3686 Grandview Pkwy Ste 320, Birmingham, AL 35243-3404 2006-06-23
1871133660 James Brock Behavior Technician 1801 Excise Ave Ste 116, Ontario, CA 91761-8557 2020-01-09
1164071734 James M Brock Peer Specialist 2803 Old North Hills St, Meridian, MS 39305-1630 2019-09-06
1427613520 James Brock Case Manager/Care Coordinator 2347 Vine St, Cincinnati, OH 45219-1745 2019-05-03
1427520493 James Albert Brock IIi Anesthesiology 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 2019-01-01
1871859611 James Philip Brock Pediatrics 2801 Atlantic Ave, Peds Pulmonary, Long Beach, CA 90806 2012-04-05
1073742607 James Benjamin Brock Internal Medicine 2500 N State St, Jackson, MS 39216-4500 2009-07-02

Office Location

Street Address 405 E EXCELSIOR AVE
City VINITA
State OK
Zip Code 74301-4226

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710994835 Grand Lake Mental Health Center, Inc. Clinic/Center 405 E Excelsior Ave, Vinita, OK 74301-4226 2006-08-02
1023625563 Steven Ray Coatney Peer Specialist 405 E Excelsior Ave, Vinita, OK 74301-4226 2020-09-29
1932712775 Karen Tiscareno Peer Specialist 405 E Excelsior Ave, Vinita, OK 74301-4226 2020-08-30
1669085528 Felicia Johnson Peer Specialist 405 E Excelsior Ave, Vinita, OK 74301-4226 2020-08-28
1508474982 Kari West Case Manager/Care Coordinator 405 E Excelsior Ave, Vinita, OK 74301-4226 2020-07-21
1770108920 India Leigh Uhlemeyer Peer Specialist 405 E Excelsior Ave, Vinita, OK 74301-4226 2020-06-13
1356964399 Allison L Andrasko Registered Nurse 405 E Excelsior Ave, Vinita, OK 74301-4226 2020-05-26
1861013070 Chad H Wiens Registered Nurse 405 E Excelsior Ave, Vinita, OK 74301-4226 2020-04-28
1154940005 Lisa R Farbro Case Manager/Care Coordinator 405 E Excelsior Ave, Vinita, OK 74301-4226 2020-04-10
1215569413 Laytin Allen Parker Peer Specialist 405 E Excelsior Ave, Vinita, OK 74301-4226 2020-02-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336740786 Jennifer Lynn Black Registered Nurse 24919 S 4420 Road, Vinita, OK 74301 2020-11-03
1720686272 Chancie Marie Cooper Case Manager/Care Coordinator 444 737 Hwy 28, Vinita, OK 74301 2020-10-15
1265082515 Ruth Irving Technician 843 North Miller, Vinita, OK 74301 2019-09-18
1952897449 Sarah Renee Gilmore Behavior Technician 526 N. Brewer, Vinita, OK 74301 2018-07-08
1134664683 Sheila Mason Nurse Practitioner Department of Veterans Affairs Clinic, 269 South 7th Street, Vinita, OK 74301 2016-12-19
1881145274 Saint Francis Hospital Vinita, Inc Clinic/Center 711 North Brewer Street, Vinita, OK 74301 2016-10-20
1699147249 Beth Powell Peer Specialist 405 East Excelsior Ave, Vinita, OK 74301 2015-10-22
1790196202 Peter Rausch Psychologist 735 N. Foreman St., Vinita, OK 74301 2014-05-19
1548605041 Anita Joy Cantrell Counselor 1520 North Industrial Ave, Vinita, OK 74301 2013-05-10
1033469606 Matt Lance Oldacre Pharmacist 525 S. Wilson, Vinita, OK 74301 2012-09-11
Find all providers in zip 74301

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255930038 Brandon Loyd Hopkins Peer Specialist 446 S Scraper St, Vinita, OK 74301-4250 2020-10-22
1174174130 Gloria Grace Ojeda Peer Specialist 111 W Halsell Ave, Vinita, OK 74301-2221 2019-09-21
1760969687 Yvette Gayle Hacker Peer Specialist 448542 E 280 Rd, Vinita, OK 74301-6610 2018-07-24
1891289021 Hannah Maurica Smith Peer Specialist 442075 E 250 Rd, Vinita, OK 74301-5218 2018-06-20
1699147249 Beth Powell Peer Specialist 405 East Excelsior Ave, Vinita, OK 74301 2015-10-22
1023625563 Steven Ray Coatney Peer Specialist 405 E Excelsior Ave, Vinita, OK 74301-4226 2020-09-29
1932712775 Karen Tiscareno Peer Specialist 405 E Excelsior Ave, Vinita, OK 74301-4226 2020-08-30
1669085528 Felicia Johnson Peer Specialist 405 E Excelsior Ave, Vinita, OK 74301-4226 2020-08-28
1770108920 India Leigh Uhlemeyer Peer Specialist 405 E Excelsior Ave, Vinita, OK 74301-4226 2020-06-13
1366062697 Rylie Bowin Peer Specialist 405 E. Excelsior, Vinita Ok 7, Vinita, OK 74301-4226 2020-04-16
Find all providers in VINITA

Competitor

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City VINITA
Zip Code 74301

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Dataset Information

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.

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