SCARBOW LAKE EMERGENCY PHYSICIANS LLC (NPI# 1841724473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841724473 |
| Entity Type | Organization |
| Organization Name | SCARBOW LAKE EMERGENCY PHYSICIANS LLC |
| Practice Address |
111 N Bailey St Pryor OK 74361-4201 |
| Mailing Address |
13737 Noel Rd 1600 Dallas TX 75240-1331 |
| Practice Telephone | 4694012386 |
| Mailing Telephone | 4694012386 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |
| Authorized Official Name | TENNA K BEHM (OFFICER) |
| Authorized Official Telephone | 4694012386 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
111 N BAILEY ST |
| City | PRYOR |
| State | OK |
| Zip Code | 74361-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811987712 | Dawn M Lovins | Emergency Medicine | 111 N Bailey St, Pryor, OK 74361-4201 | 2005-10-24 |
| 1053967083 | Sean Darrieus Grissett | Physical Therapy Assistant | 111 N Bailey St, Pryor, OK 74361-4201 | 2019-08-15 |
| 1942856042 | Daniel Stockton | Physical Therapy Assistant | 111 N Bailey St, Pryor, OK 74361-4201 | 2019-08-14 |
| 1780125005 | Ahs Pryor Hospital, LLC | General Acute Care Hospital | 111 N Bailey St, Pryor, OK 74361-4201 | 2017-03-20 |
| 1902140718 | Oklahoma Emergency Physician Partners Pllc | Emergency Medicine | 111 N Bailey St, Pryor, OK 74361-4201 | 2012-11-16 |
| 1861748576 | Mayes County Hmpn, LLC | Nurse Anesthetist, Certified Registered | 111 N Bailey St, Pryor, OK 74361-4201 | 2012-07-31 |
| 1922338425 | David Matthew White | Nurse Anesthetist, Certified Registered | 111 N Bailey St, Pryor, OK 74361-4201 | 2010-01-05 |
| 1013147248 | Saran Desiree Oliver | Internal Medicine | 111 N Bailey St, Pryor, OK 74361-4201 | 2009-07-22 |
| 1841460714 | Annette Clair Mills | Nurse Anesthetist, Certified Registered | 111 N Bailey St, Pryor, OK 74361-4201 | 2008-03-07 |
| 1134307044 | Diagnostic Laboratory of Oklahoma LLC | Clinical Medical Laboratory | 111 N Bailey St, Pryor, OK 74361-4201 | 2008-02-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740787928 | Ahs Pryor Hospital, LLC | Clinic/Center | 1301 Ne 1st St Ste 400, Pryor, OK 74361 | 2018-04-12 |
| 1073029310 | Amber Bowman | Registered Nurse | 109 N. Fairland, Pryor, OK 74361 | 2017-12-22 |
| 1922361096 | Crystal Noel Parrett | Counselor | 215 N. Fairland, Pryor, OK 74361 | 2012-06-22 |
| 1447516703 | Rocky Mountain Holdings LLC | Ambulance | 591 Airport Rd, Pryor, OK 74361 | 2012-04-11 |
| 1356673180 | Tressa Fern Rice | Speech-Language Pathologist | 510 S. Elliott St. Suite C, Mayes County Speech Therapy, Pryor, OK 74361 | 2010-02-04 |
| 1083945208 | Ladena Carol Moore | Counselor | 212 S E 1st, Pryor, OK 74361 | 2010-01-28 |
| 1164753323 | Anita K Sanders | Counselor | 212 Se 1st, Pryor, OK 74361 | 2010-01-27 |
| 1619203775 | Sandra Kay Runnells | Psychologist | 109 South Fairland, Suite 101, Pryor, OK 74361 | 2009-10-26 |
| 1972838969 | Ramona L Whitehurst | Advanced Practice Midwife | 1400 Willow Road, Pryor, OK 74361 | 2009-10-08 |
| 1396971297 | Shauna Leann Jackson | Speech-Language Pathologist | 510 S. Elliott, Suite C, Pryor, OK 74361 | 2009-06-05 |
| Find all providers in zip 74361 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780883801 | William Russell Swan | Emergency Medicine | 513 Se 13th Ct, Pryor, OK 74361-7625 | 2007-07-18 |
| 1902140718 | Oklahoma Emergency Physician Partners Pllc | Emergency Medicine | 111 N Bailey St, Pryor, OK 74361-4201 | 2012-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323891 | Derek C Hill | Emergency Medicine | 901 N Porter Avenue, Norman, OK 73071-6404 | 2020-07-17 |
| 1295359248 | Optimum Complete Care, Pllc | Emergency Medicine | 5200 E. Interstate 240 Service Rd., Oklahoma City, OK 73135 | 2020-06-05 |
| 1427693399 | Johnnie Lee Gilpen Jr. | Emergency Medicine | 7997 Alfadale St, Union City, OK 73090-6615 | 2019-11-14 |
| 1164920252 | True North Health Navigation LLC | Emergency Medicine | 2525 Nw Expressway St Ste 102, Oklahoma City, OK 73112-7200 | 2018-01-24 |
| 1376052381 | Catherine Loeffler | Emergency Medicine | 1609 Breckenridge Dr, Edmond, OK 73013-7667 | 2017-09-21 |
| 1295256162 | Andrew Phillips | Emergency Medicine | 901 N Porter Ave Ofc, Norman, OK 73071-6404 | 2017-06-30 |
| 1801329958 | Alicia Claire Hubbell | Emergency Medicine | Integris Canadian Valley Hospital, 1201 Health Center Parkway, Yukon, OK 73099-6381 | 2017-04-06 |
| 1477002277 | Marianne Bacharach, Md, Pllc | Emergency Medicine | 1905 Nw 56th Ter, Oklahoma City, OK 73118-1409 | 2016-09-22 |
| 1457715799 | John Carl Sacra | Emergency Medicine | 7911 S. Hudson Pl, Tulsa, OK 74136 | 2016-04-13 |
| 1811359607 | Healthcare Stat of Anadarko Inc | Emergency Medicine | 1503 S Mission St, Suite A, Anadarko, OK 73005-5815 | 2016-03-22 |
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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.