DUANE GERARD KOEHLER (NPI# 1811976566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811976566 |
| Entity Type | Individual |
| Full Name | DUANE GERARD KOEHLER |
| Credential | DO |
| Practice Address |
30 B St Sw Miami OK 74354-6808 |
| Practice Telephone | 9185425551 |
| Practice Fax Number | 9185421555 |
| Mailing Telephone | 9185425551 |
| Mailing Fax Number | 9185421555 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2009-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 2956 | OK | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 2956 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100080320C | 05 | |
| OK | 100699440M | 05 | |
| OK | 100080320A | 05 | |
| OK | 100080320B | 05 | |
| OK | 100724930F | 05 |
| Street Address |
30 B ST SW |
| City | MIAMI |
| State | OK |
| Zip Code | 74354-6808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427035419 | Marcia Kay Matthews | Family Medicine | 30 B St Sw, Miami, OK 74354-6808 | 2005-12-29 |
| 1912508375 | Baptist Healthcare of Oklahoma, LLC | Clinic/Center | 30 B St Sw, Miami, OK 74354-6808 | 2020-11-03 |
| 1972103810 | Jennifer Marie Walker | Physician Assistant | 30 B St Sw, Miami, OK 74354-6808 | 2020-10-29 |
| 1881253920 | Andrea Leighann Hight | Nurse Practitioner | 30 B St Sw, Miami, OK 74354-6808 | 2019-06-12 |
| 1720180433 | Darwin David Selwyn Jeyaraj | Internal Medicine | 30 B St Sw, Miami, OK 74354-6808 | 2006-09-02 |
| 1558326421 | Integris Baptist Regional Health Center | Podiatrist | 30 B St Sw, Miami, OK 74354 | 2006-04-20 |
| 1508839093 | Romeo Lapus Obsequio | Internal Medicine | 30 B St Sw, Miami, OK 74354-6808 | 2006-02-07 |
| 1265412613 | David Dean Garrett | Podiatrist | 30 B St Sw, Miami, OK 74354-6808 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447786603 | Coal Creek Counseling, LLC | Social Worker | 204 D St Ne, Miami, OK 74354 | 2017-05-10 |
| 1164958567 | Yco Tulsa, Inc | Counselor | 1458 E Steve Owens Blvd, Miami, OK 74354 | 2017-05-04 |
| 1982064226 | Yco Tulsa, Inc | Clinic/Center | 1519 E Steve Owens Blvd, Miami, OK 74354 | 2016-02-29 |
| 1548641285 | Courtney Marie Winfrey | Occupational Therapy Assistant | 310 2nd Ave Sw Fl 3, Miami, OK 74354 | 2015-06-17 |
| 1417338039 | Michelle Dawn Johnson | Case Manager/Care Coordinator | 1519 E. Steve Owens Blvd, Miami, OK 74354 | 2015-06-10 |
| 1790100337 | Jordan Taylor-threet | Speech-Language Pathologist | 2225 N. Main St., Miami, OK 74354 | 2014-02-19 |
| 1700137551 | Miami Healthcare, LLC | Skilled Nursing Facility | 2530 North Elm St., Miami, OK 74354 | 2012-09-19 |
| 1144507534 | Julia Brown | Pharmacist | 11 West Central, Miami, OK 74354 | 2011-11-14 |
| 1841504685 | Dodie A Giles Keith | Counselor | 33 C Street Northeast, Miami, OK 74354 | 2010-08-04 |
| 1013221571 | Katherine Renee Burke | Counselor | 111 S. Treaty Rd., Miami, OK 74354 | 2010-07-27 |
| Find all providers in zip 74354 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1316550163 | Asela Infante Suarez | General Practice | 13450 Sw 97th Ct, Miami, FL 33176-6105 | 2020-08-30 |
| 1740890607 | Serenity Community Mental Healthcare, LLC | General Practice | 10300 Sw 72nd St Ste 250, Miami, FL 33173-3014 | 2020-08-05 |
| 1144841776 | Simplify Home Health Pllc | General Practice | 3301 Ne 1st Ave Apt 2906, Miami, FL 33137-4174 | 2020-05-05 |
| 1104447804 | Dr Jean Pierre LLC | General Practice | 5050 Biscayne Blvd, Miami, FL 33137-3203 | 2020-05-04 |
| 1891316105 | Jorge Luis Vega Morales | General Practice | 14760 Sw 66th St, Miami, FL 33193-2039 | 2020-04-28 |
| 1518587203 | Premium Healthcare Holdings, Lllp | General Practice | 2400 Sw 69th Ave, Miami, FL 33155-1706 | 2020-04-22 |
| 1770118416 | Guido A.perez, M.d., Inc. | General Practice | 701 Nw 57th Ave Ste 260, Miami, FL 33126-2083 | 2020-03-03 |
| Find all providers in MIAMI | ||||
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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.