MICHAEL J REYES (NPI# 1801879838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801879838 |
| Entity Type | Individual |
| Full Name | MICHAEL J REYES |
| Credential | PA C |
| Practice Address |
817 E 6th St Tishomingo OK 73460-1800 |
| Mailing Address |
1334 N Lansing Ave Tulsa OK 74106-5907 |
| Practice Telephone | 5803712392 |
| Mailing Telephone | (918) 273-9911 |
| Mailing Fax Number | 9182739946 |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2017-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1474 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICARE | 37-1832 | 01 |
| OK | MEDICARE | 37-1803 | 01 |
| OK | MEDICARE | 37-1834 | 01 |
| OK | 100768880F | 05 | |
| OK | 100768880J | 05 | |
| OK | 100768880I | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194203950 | Michael Reyes | Occupational Therapy Assistant | 1308 Jasper Dr, Weslaco, TX 78596-6849 | 2018-08-03 |
| 1538561907 | Michael J Reyes | Dentist | 1290 Commerce Pl, Plover, WI 54467-4132 | 2014-09-17 |
| 1437136249 | Michael John Reyes | Optometrist | 2102 S W S Young Dr, Killeen, TX 76543-5364 | 2005-12-22 |
| 1528040656 | Michael A Reyes | Family Medicine | 333 Sw Cutoff, Northborough, MA 01532-2130 | 2005-11-15 |
| 1679134712 | Michael Reyes | Registered Nurse | 5425 Pomona Blvd, Los Angeles, CA 90022-1716 | 2019-06-27 |
| 1124543467 | Michael Eugene Reyes | Counselor | 300 Harvey West Blvd, Santa Cruz, CA 95060-2103 | 2017-08-08 |
| 1376959577 | Michael Reyes | Anesthesiology | 523 N 3rd St, Brainerd, MN 56401 | 2014-07-08 |
| 1730317876 | Michael David Reyes | Pathology | Msc08 4640, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2009-06-28 |
| 1942444880 | Michael J Reyes | Surgery | 6133 Parkway, Corpus Christi, TX 78414-2459 | 2009-04-22 |
| 1275794620 | Michael Reyes | Physical Therapy Assistant | 1517 Knickerbocker Dr, Stockton, CA 95210-3119 | 2008-06-18 |
| Street Address |
817 E 6TH ST |
| City | TISHOMINGO |
| State | OK |
| Zip Code | 73460-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710545934 | Chelsea Griffin | Case Manager/Care Coordinator | 817 E 6th St, Tishomingo, OK 73460-1800 | 2019-06-03 |
| 1366983249 | Shawnna Smith | Registered Nurse | 817 E 6th St, Tishomingo, OK 73460 | 2017-03-13 |
| 1710428693 | Jennifer Corbin | Registered Nurse | 817 E 6th St, Tishomingo, OK 73460 | 2017-03-13 |
| 1003364787 | Brianna Megan Thompson | Counselor | 817 E 6th St, Tishomingo, OK 73460-1800 | 2016-09-12 |
| 1730530932 | Tammy Holder | Nurse Practitioner | 817 E 6th St, Tishomingo, OK 73460-1800 | 2016-06-29 |
| 1184028540 | Courtney Alisha Airington | Nurse Practitioner | 817 E 6th St, Tishomingo, OK 73460-1800 | 2014-10-14 |
| 1487918553 | Clayton Andrew Garrett | Family Medicine | 817 E 6th St, Tishomingo, OK 73460 | 2012-07-03 |
| 1750406757 | Chickasaw Nation Division of Health | Pharmacy | 817 E 6th St, Tishomingo, OK 73460-1800 | 2007-03-20 |
| 1962546150 | Kenneth Leslie Cone | Dentist | 817 E 6th St, Tishomingo, OK 73460 | 2007-02-19 |
| 1649330242 | Chickasaw Nation Division of Health Chickasaw Nation Medical Center | Clinic/Center | 817 E 6th St, Tishomingo, OK 73460-1800 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912380742 | Lori Pigg | Speech-Language Pathologist | 508 N. Neshoba, Tishomingo, OK 73460 | 2015-06-29 |
| 1407241748 | Brittany Walker | Case Management | 850 E. Highway 22, Tishomingo, OK 73460 | 2015-04-03 |
| 1427460641 | Elizabeth Mcdonald | Counselor | 512 East 24th, Tishomingo, OK 73460 | 2014-05-22 |
| 1619387131 | Sheri Slaughter | Counselor | 102 N. Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1336559848 | Heather Marlatt | Counselor | 102 North Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1811231939 | Wanda Luann Beesley Gray | Emergency Medical Technician, Paramedic | 3100 E St Hwy 78, Tishomingo, OK 73460 | 2012-11-15 |
| 1497014724 | Jessica Kay Johnston | Counselor | Outpatient Services-tishomingo; 817 E. 6th St., Strong Family Development, Tishomingo, OK 73460 | 2012-05-07 |
| 1487910949 | Rhonda Gayle Harrison | Counselor | 817 E. 6th St., Medical Family Therapy, Tishomingo, OK 73460 | 2012-04-09 |
| 1265704183 | Parks Family Dental | Preferred Provider Organization | 1520 E. Main Street, Tishomingo, OK 73460 | 2012-02-08 |
| 1770852295 | Gina Marice Frazier | Social Worker | Outpatient Services- Tishomingo, 817 E. 6th St., Tishomingo, OK 73460 | 2011-12-29 |
| Find all providers in zip 73460 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932141728 | Keith Gerrell Plummer | Physician Assistant | 610 E 24th St, Tishomingo, OK 73460-3245 | 2006-06-13 |
| 1194916015 | Tommie Gay Stanberry | Physician Assistant | 610 E 24th St, Tishomingo, OK 73460-3245 | 2007-08-06 |
| 1659305274 | Samuel Jerry Tucker | Physician Assistant | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790392868 | James Scott Turner | Physician Assistant | 924 Nw 14th St, Moore, OK 73160-1610 | 2020-09-23 |
| 1386283679 | Cody Rice Chambers | Physician Assistant | 2002 12th Ave Nw Ste B, Ardmore, OK 73401-1206 | 2020-01-03 |
| 1073154647 | Haley Nicole Beaird | Physician Assistant | 8907 E 93rd St, Tulsa, OK 74133-5634 | 2019-10-03 |
| 1568920924 | Direct2u Urgent Care Pllc | Physician Assistant | 2417 County Road 1263, Blanchard, OK 73010-3123 | 2019-03-05 |
| 1538625660 | Symachia LLC | Physician Assistant | 115 N. Main St., Cashion, OK 73106 | 2019-02-13 |
| 1982172029 | William Landon Ross | Physician Assistant | 3705 W Memorial Rd Ste 101, Oklahoma City, OK 73134-1508 | 2018-11-07 |
| 1639646656 | Jacob Allbritton | Physician Assistant | 10824 Admiral Dr, Oklahoma City, OK 73162-6843 | 2018-10-29 |
| 1316420086 | Lauren Anto | Physician Assistant | 2824 Classen Blvd Ste 100, Norman, OK 73071-4059 | 2018-09-10 |
| 1073004768 | Shelby Teel | Physician Assistant | 1200 Everett Dr # 8305, Oklahoma City, OK 73104-5047 | 2018-05-29 |
| 1093240749 | Green's Country Clinic, LLC | Physician Assistant | 223 E Blackwell Ave, Blackwell, OK 74631-2909 | 2017-05-01 |
| Find all providers with the same taxonomy | ||||
| City | TISHOMINGO |
| Zip Code | 73460 |
Please comment or provide details below to improve the information on MICHAEL J REYES.
| 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.