PASSPORT HEALTH OF OKLAHOMA (NPI# 1861868259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861868259 |
| Entity Type | Organization |
| Organization Name | PASSPORT HEALTH OF OKLAHOMA |
| Practice Address |
3000 United Founders Blvd Suite 137 Oklahoma City OK 73112-3958 |
| Practice Telephone | 4055638961 |
| Mailing Telephone | 4055638961 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |
| Authorized Official Name | EMILY SUE HICKS (DIETITIAN) |
| Authorized Official Telephone | 4056061086 |
| Authorized Official Credential | M.S., RDN, LD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
LD2080 | OK | Ambulatory Health Care Facilities |
| Street Address |
3000 UNITED FOUNDERS BLVD SUITE 137 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-3958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841279056 | Tommy L Hewett | Pathology | 3000 United Founders Blvd, Suite 234, Oklahoma City, OK 73112-3958 | 2006-01-16 |
| 1235763178 | Therapy With Dani, LLC | Massage Therapist | 3000 United Founders Blvd, Oklahoma City, OK 73112-3958 | 2020-03-01 |
| 1770029472 | Elizabeth Moore | Case Manager/Care Coordinator | 3000 United Founders Blvd, Oklahoma City, OK 73112-3958 | 2017-01-18 |
| 1285183574 | Jo Woodside | Driver | 3000 United Founders Blvd, 221, Oklahoma City, OK 73112-3958 | 2016-09-27 |
| 1780132951 | Janna Melton | Case Manager/Care Coordinator | 3000 United Founders Blvd, Oklahoma City, OK 73112-3958 | 2016-09-16 |
| 1922451467 | Hartwick Counseling Services, LLC | Community/Behavioral Health | 3000 United Founders Blvd, Ste 108, Oklahoma City, OK 73112-3958 | 2016-07-20 |
| 1962862995 | Layna Fischer | Peer Specialist | 3000 United Founders Blvd, Oklahoma City, OK 73112-3958 | 2016-03-03 |
| 1164894275 | Shyreeta Hearne | Counselor | 3000 United Founders Blvd, Suite #108, Oklahoma City, OK 73112-3958 | 2015-10-28 |
| 1619344041 | Felix Igbeka | Counselor | 3000 United Founders Blvd, Suite 128, Oklahoma City, OK 73112 | 2015-09-02 |
| 1184008484 | Louisa Onyekuru | Psychologist | 3000 United Founders Blvd, 110, Oklahoma City, OK 73112-3958 | 2015-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117885 | Christ Community Health Coalition | Clinic/Center | 101 Sw 25th St, Oklahoma City, OK 73109-6019 | 2020-09-08 |
| 1154764173 | Ne Wellness Community Health Clinic | Clinic/Center | 2600 Ne 63rd Street, Oklahoma City, OK 73111 | 2013-04-09 |
| 1194944272 | City Rescue Mission Medical Clinic | Clinic/Center | 800 W California Ave, Oklahoma City, OK 73106-7807 | 2007-04-25 |
| 1235546961 | South Wellness Community Health Clinic | Clinic/Center | 1122 Ne 13th St, Ori 274, Oklahoma City, OK 73117-1039 | 2014-07-15 |
| 1255621173 | Intergrated Comprehensive Health Care Services | Clinic/Center | 8101 Nw 10th St, Suite B Room 7&8, Oklahoma City, OK 73127-2974 | 2011-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558733782 | Eastpointe Medical Clinic Inc | Clinic/Center | 1506 S Broadway St, Poteau, OK 74953-2900 | 2015-10-27 |
| 1275897357 | Andre Christopher Post | Clinic/Center | 2921 E 91st S, Tulsa, OK 74137-3322 | 2012-07-03 |
| 1588982714 | Home Health Partners, LLC | Clinic/Center | 3505 S 113th West Ave, Ste C, Sand Springs, OK 74063-2720 | 2010-05-12 |
| 1194840389 | Hope Center Health Clinic | Clinic/Center | 1251 N Broadway, Edmond, OK 73034-3616 | 2007-03-20 |
| 1093860272 | Stillwater Chiropractic Clinic Inc | Clinic/Center | 211 N Perkins Rd Ste 20, Stillwater, OK 74075-5518 | 2007-01-25 |
| 1063036424 | Restorer of Youth and Families LLC | Clinic/Center | 1831 E 71st St, Tulsa, OK 74136-3922 | 2020-06-02 |
| 1265975668 | Three Rivers Health Center Muskogee | Clinic/Center | 1001 S 41st St E, Muskogee, OK 74403-6253 | 2016-12-02 |
| 1871048249 | Jimmy Keith Ogden, Dc, PC | Clinic/Center | 3711 Chandler Rd, Muskogee, OK 74403-4930 | 2016-08-16 |
| 1639537194 | Garland Kent II | Clinic/Center | 200 White Eagle Dr, Ponca City, OK 74601-8315 | 2016-01-29 |
| 1255797460 | Latasha Leon | Clinic/Center | 200 White Eagle Dr, Ponca City, OK 74601-8315 | 2016-01-05 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
Please comment or provide details below to improve the information on PASSPORT HEALTH OF OKLAHOMA.
| 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.