MR. DAVID MATHEW (NPI# 1861026254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861026254 |
Entity Type | Individual |
Full Name | MR. DAVID MATHEW |
Credential | APRN |
Practice Address |
6800 Nw 39th Expy Bethany OK 73008-2513 |
Mailing Address |
629 Branch Line Rd Yukon OK 73099-3540 |
Practice Telephone | 4057896711 |
Practice Fax Number | 4054383834 |
Mailing Telephone | 4058873650 |
Enumeration Date | 2020-02-25 |
Last Update Date | 2020-03-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
82808 | OK | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
82808 | OK | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
629 Branch Line Rd, Yukon, OK 730993540 | 4058873650 |
Street Address |
6800 NW 39TH EXPY |
City | BETHANY |
State | OK |
Zip Code | 73008-2513 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235101643 | Tonya C Washburn | Physical Medicine & Rehabilitation | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2006-02-02 |
1881202398 | Marisol Torres | Occupational Therapist | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2020-07-21 |
1295353506 | Adele Burt | Nurse Practitioner | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2020-07-13 |
1710503750 | Ashton Rhylee Walton | Physical Therapist | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2020-06-24 |
1992339683 | Kristin Renee Whisenhunt | Dietitian, Registered | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2020-03-03 |
1902437635 | Caitlin Elizabeth Griffin | Social Worker | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2020-01-31 |
1558992800 | Corey Elizabeth Kelton | Occupational Therapist | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2020-01-27 |
1861035958 | Saeeda Sultana | Registered Nurse | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2019-10-22 |
1962043067 | Janae Lynn Myers | Occupational Therapist | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2019-10-01 |
1225686504 | The Children's Center, Inc. | Clinic/Center | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2019-08-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780150151 | Kimberly Campbell | Counselor | 6612 Nw 42nd Street, Bethany, OK 73008 | 2018-10-23 |
1366943151 | Arkansas Liver and Gastroenterology, Pa | Clinic/Center | 2347 North Thompkins Ave, Bethany, OK 73008 | 2018-02-27 |
1881106805 | Tiffany Harmon | Physical Therapy Assistant | 6729 Nw 39th Exp., Sawyer Center, Bethany, OK 73008 | 2017-10-31 |
1740660257 | Michael Brobston | Specialist | 6729 Nw 39th Expressway, Bethany, OK 73008 | 2015-06-01 |
1043626120 | Danielle Manning | Case Manager/Care Coordinator | 6729 Nw Expressway, Bethany, OK 73008 | 2014-07-09 |
1487065157 | Carolyn Mgcdf Jones | Behavioral Analyst | 2209 Nth. Beaver Ave., Bethany, OK 73008 | 2014-05-15 |
1013327022 | Ephraim Kelley | Counselor | 2800 N. Rockwell Ave., Bethany, OK 73008 | 2014-04-29 |
1356600407 | Mallory Crosier | Occupational Therapist | 6800 Nw 39th Expresswaay, Bethany, OK 73008 | 2012-05-10 |
1326310897 | Isaac I Juarez | Psychologist | 2020 N Briarcliff Ave., Bethany, OK 73008 | 2012-01-31 |
1295015295 | Lauren Vanderloo | Counselor | 7908 Northwest 23rd St, Bethany, OK 73008 | 2011-08-22 |
Find all providers in zip 73008 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538458310 | Pediatric Parenting, LLC | Nurse Practitioner | 435 Amity Rd, Bethany, CT 06524-3038 | 2011-04-01 |
1942717665 | Ebony C Coleman | Nurse Practitioner | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2018-01-03 |
1912376765 | Stacy Danielle Provence | Nurse Practitioner | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2015-09-23 |
1548524499 | Shelly Poplin | Nurse Practitioner | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2012-06-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396383378 | Lindsey Lauren Givens | Nurse Practitioner | 17513 Aragon Ln, Oklahoma City, OK 73170-9209 | 2019-12-20 |
1801453493 | Anna Pauline Reed | Nurse Practitioner | 110 Nw 31st St, Suite 201, Lawton, OK 73505-6100 | 2019-05-20 |
1639631781 | April Keith | Nurse Practitioner | 11204 Katie Beth Cir, Oklahoma City, OK 73170-8403 | 2019-04-05 |
1861950735 | Michelle Kathleen Spehr | Nurse Practitioner | 3231 Healthplex Dr., Norman, OK 73072 | 2019-03-08 |
1740756840 | Darshi Wickrama Edirisooriya | Nurse Practitioner | 1001 N Florence Ave, Claremore, OK 74017-6207 | 2018-10-17 |
1922518232 | Bryan Marshall Tison | Nurse Practitioner | 2000 E 15th St Ste 400a, Edmond, OK 73013-6673 | 2017-10-02 |
1326566001 | Minor Pediatrics Kristie Minor Aprn-cnp Pllc | Nurse Practitioner | 29334 N 3950 Rd, Ochelata, OK 74051-2485 | 2017-09-01 |
1235667833 | Bobbie Renee Stamps | Nurse Practitioner | 18216 S 410 Rd, Hulbert, OK 74441-1832 | 2017-05-25 |
1467984781 | Lauryn Kathleen Trepp | Nurse Practitioner | 2800 W 91st St, Tulsa, OK 74132-3510 | 2017-03-28 |
1760922678 | Carissa Declerck | Nurse Practitioner | 1200 Childrens Ave Ste 2f, Oklahoma City, OK 73104-4637 | 2017-02-27 |
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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.