HEALTHWORKS MEDICAL GROUP OF OKLAHOMA P C


Address: 1104 E Kenosha St, Broken Arrow, OK 74012-2067
Phone: 9189946866

HEALTHWORKS MEDICAL GROUP OF OKLAHOMA P C (NPI# 1861972291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861972291
Entity Type Organization
Organization Name HEALTHWORKS MEDICAL GROUP OF OKLAHOMA P C
Other Organization Name PREMISE HEALTH - BROKEN ARROW
Practice Address 1104 E Kenosha St
Broken Arrow
OK 74012-2067
Mailing Address 5500 Maryland Way Ste 400
Brentwood
TN 37027-7048
Practice Telephone 9189946866
Practice Fax Number 9189946897
Enumeration Date 2018-08-15
Last Update Date 2018-08-15
Authorized Official Name DR. STEVEN ASHLEY HINITT (PRESIDENT)
Authorized Official Telephone 6154686248
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Premise Health - Broken Arrow Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1568021459 Healthworks Medical Group of Oklahoma P C Clinic/Center 915 E Owen K Garriott Rd Ste 202, Enid, OK 73701-6156 2019-06-13
1093379331 Healthworks Medical Group of Oklahoma P C Clinic/Center 404 S Commerce St, Ardmore, OK 73401-5010 2019-04-23
1144700477 Healthworks Medical Group of Oklahoma P C Clinic/Center 4200 Coletta Dr, Oklahoma City, OK 73120-8317 2018-08-16
1225518558 Healthworks Medical Group of Oklahoma P C Clinic/Center 136 Nw 10th St Ste 110, Oklahoma City, OK 73103-4906 2018-08-16
1740760172 Healthworks Medical Group of Oklahoma P C Clinic/Center 6801 S 65th West Ave, Tulsa, OK 74131-2424 2018-08-15
1427538834 Healthworks Medical Group of Oklahoma P C Clinic/Center 100 W 5th St Ste Ll1020, Tulsa, OK 74103-4245 2018-08-15
1689154031 Healthworks Medical Group of Oklahoma P C Clinic/Center 6912 E Reno Ave Ste 202, Midwest City, OK 73110-2157 2018-08-15
1508346958 Healthworks Medical Group of Oklahoma P C Clinic/Center 4415 S Harvard Ave Ste 202, Tulsa, OK 74135-2618 2018-08-15
1831698752 Healthworks Medical Group of Oklahoma P C Clinic/Center 109 Ne 40th St, Oklahoma City, OK 73105-2415 2018-02-06
1538767363 Healthworks Medical Group of Oklahoma P C Clinic/Center 5460 Main St Ste 102, Del City, OK 73115-5525 2020-10-14

Office Location

Street Address 1104 E KENOSHA ST
City BROKEN ARROW
State OK
Zip Code 74012-2067

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881292191 Team Clinic Management Partners LLC Clinic/Center 3100 W New Orleans St, Broken Arrow, OK 74011-1468 2020-10-09
1972115392 Team Clinic Management Partners LLC Clinic/Center 225 E Omaha St, Broken Arrow, OK 74012-1761 2020-08-18
1093327413 Team Clinic Management Partners LLC Clinic/Center 301 W New Orleans St, Broken Arrow, OK 74011-2206 2020-08-18
1962013110 Team Clinic Management Partners LLC Clinic/Center 4300 E Gary Street, Broken Arrow, OK 74014 2020-08-12
1750992038 Team Clinic Management Partners LLC Clinic/Center 251 E Omaha St, Broken Arrow, OK 74012-1761 2020-08-11
1689285975 Team Clinic Management Partners LLC Clinic/Center 301 E Tucson St, Broken Arrow, OK 74011-7235 2020-08-11
1417568700 Team Clinic Management Partners LLC Clinic/Center 1351 E Albany St, Broken Arrow, OK 74012-8995 2020-08-11
1164033569 Team Clinic Management Partners LLC Clinic/Center 6800 E Quincy Pl, Broken Arrow, OK 74014-4523 2020-08-11
1295346609 Team Clinic Management Partners LLC Clinic/Center 7200 E Quincy Pl, Broken Arrow, OK 74014-4522 2020-08-11
1386262335 Team Clinic Management Partners LLC Clinic/Center 405 E Richmond St, Broken Arrow, OK 74012-5642 2020-07-07
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Competitor

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City BROKEN ARROW
Zip Code 74012

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Dataset Information

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.

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