LORA JEAN MITCHELL-HUBER (NPI# 1851359756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851359756 |
| Entity Type | Individual |
| Full Name | LORA JEAN MITCHELL-HUBER |
| Credential | P.A. |
| Practice Address |
1130 E Lansing St Broken Arrow OK 74012-2429 |
| Practice Telephone | 9182589990 |
| Practice Fax Number | 9182519339 |
| Mailing Telephone | 9182589990 |
| Mailing Fax Number | 9182519339 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2015-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
890 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | RR MEDICARE | 970018309 | 01 |
| OK | RR MEDICARE | P00164911 | 01 |
| OK | 100174170A | 05 |
| Street Address |
1130 E LANSING ST |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-2429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114982063 | Premier Family Care PC | Family Medicine | 1130 E Lansing St, Broken Arrow, OK 74012-2016 | 2006-04-20 |
| 1568992071 | Betsy Jean Graham | Registered Nurse | 1130 E Lansing St, Broken Arrow, OK 74012-2429 | 2017-06-16 |
| 1205190501 | Northeast Oklahoma Physician Network Inc | Clinic/Center | 1130 E Lansing St, Broken Arrow, OK 74012-2429 | 2012-07-02 |
| 1114283025 | Northeast Oklahoma Physician Network Inc | Family Medicine | 1130 E Lansing St, Broken Arrow, OK 74012-2429 | 2012-04-04 |
| 1952563892 | Scott J. Fowler | Family Medicine | 1130 E Lansing St, Broken Arrow, OK 74012-2429 | 2008-07-01 |
| 1215992235 | Urgent Care Incorporated | Family Medicine | 1130 E Lansing St, Broken Arrow, OK 74012-2016 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053828871 | Kristen Catherine Hoelscher | Physician Assistant | 1801 E Kenosha St, Broken Arrow, OK 74012-2098 | 2018-01-02 |
| 1982071007 | Jessica Fox Stewart | Physician Assistant | 705 W Oakland St, Broken Arrow, OK 74012-1656 | 2015-08-24 |
| 1750716809 | Courtney Gayle Abernathy | Physician Assistant | 1801 E Kenosha St, Broken Arrow, OK 74012 | 2013-09-09 |
| 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 | BROKEN ARROW |
| Zip Code | 74012 |
Please comment or provide details below to improve the information on LORA JEAN MITCHELL-HUBER.
| 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.