MEDICAL PARK HOMECARE INC (NPI# 1871693697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871693697 |
| Entity Type | Organization |
| Organization Name | MEDICAL PARK HOMECARE INC |
| Other Organization Name | SELECT HME |
| Practice Address |
139 Se Katherine Ave Bartlesville OK 74006-2316 |
| Practice Telephone | 9183356688 |
| Practice Fax Number | 9183359787 |
| Mailing Telephone | 9183356688 |
| Mailing Fax Number | 9183359787 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2008-04-09 |
| Authorized Official Name | MR. MICHAEL BRENT MOORE (PRESIDENT AND OWNER) |
| Authorized Official Telephone | 9183356688 |
| Authorized Official Credential | RPD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
9-D-777 | OK | Suppliers |
| Other Name | Type Code |
|---|---|
| Select HME | Doing Business As Name - Organization |
| Street Address |
139 SE KATHERINE AVE |
| City | BARTLESVILLE |
| State | OK |
| Zip Code | 74006-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578608626 | Melissa Ann Tibbets | Respiratory Therapist, Certified | 139 Se Katherine Ave, Bartlesville, OK 74006-2316 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646252 | Ntcob LLC | Family Medicine | 234 Se De Bell Ave, Bartlesville, OK 74006 | 2020-07-06 |
| 1053936815 | Priscella Ann Caron | Nurse Practitioner | 226 Se De Bell Ave Building B, Bartlesville, OK 74006 | 2020-06-08 |
| 1508390840 | Megan Christopher | Student in an Organized Health Care Education/Training Program | 3400 Se Frank Phillips Blvd, Suite 502, Bartlesville, OK 74006 | 2017-04-13 |
| 1518339811 | Dori Raycob | Registered Nurse | 3400 Se Frank Phillips Blvd Suite 300, Bartlesville, OK 74006 | 2015-10-26 |
| 1023487436 | Katherine Marie Anderson | Nurse Practitioner | 3500 Sw Frank Phillips, Bartlesville, OK 74006 | 2015-09-16 |
| 1033593207 | Quanisha Roberson | Clinical Nurse Specialist | 226 Se De Bell Avenue, Building A, Suite 101, Bartlesville, OK 74006 | 2015-07-16 |
| 1588064604 | Vance Wayne Blackwell Jr. | Counselor | 2200 Se Washinton Blvd., Bartlesville, OK 74006 | 2014-08-26 |
| 1619314937 | Scott Ethan Sonico | Dentist | 1224 Se Washington Blvd, Bartlesville, OK 74006 | 2013-05-28 |
| 1417229485 | Vernon Lee Newby | Veterinarian | 817 Madison Blvd., Bartlesville, OK 74006 | 2012-02-06 |
| 1306083720 | Sherry M Wilson | Counselor | 3925-g Frank Phillips Blvd., Bartlesville, OK 74006 | 2009-01-08 |
| Find all providers in zip 74006 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003149022 | Apollo Services Inc. | Durable Medical Equipment & Medical Supplies | 1500 Sw Frank Phillips Blvd, Bartlesville, OK 74003-3127 | 2009-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104314665 | Bcw Group LLC | Durable Medical Equipment & Medical Supplies | 3701 S 9th Ave, Durant, OK 74701-1989 | 2018-04-30 |
| 1992079438 | Prime Source Dme of Oklahoma | Durable Medical Equipment & Medical Supplies | 6810 E 40th St Ste A, Tulsa, OK 74145-4510 | 2012-03-01 |
| 1235416207 | Madison Medical LLC | Durable Medical Equipment & Medical Supplies | 1047 E Main St, Suite #2, Cushing, OK 74023-2839 | 2011-11-04 |
| 1013292267 | Procare Healing Centers, LLP | Durable Medical Equipment & Medical Supplies | 1208 N Council Rd, Oklahoma City, OK 73127-4987 | 2011-10-19 |
| 1225320898 | Comanche County Hospital Authority | Durable Medical Equipment & Medical Supplies | 2710 W Gore Blvd, Lawton, OK 73505-6319 | 2011-05-13 |
| 1760715585 | Alternacare Inc | Durable Medical Equipment & Medical Supplies | 1100 W Cherokee Ave, Sallisaw, OK 74955-4025 | 2009-09-11 |
| 1518199876 | Indian Territory Home Health Inc | Durable Medical Equipment & Medical Supplies | 2112 W Broadway Ave, Suite B, Sulphur, OK 73086-4200 | 2009-08-19 |
| 1992936090 | Medical West Respiratory Central, LLC | Durable Medical Equipment & Medical Supplies | 608 West 18th Street, Edmond, OK 73013 | 2009-08-06 |
| 1679708762 | Aerocare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 6125 W Reno Ave Ste 100, Oklahoma City, OK 73127 | 2009-05-19 |
| 1619118544 | Braden Partners Lp | Durable Medical Equipment & Medical Supplies | 7709 E 42nd Place, Ste 126, Tulsa, OK 74145-4727 | 2009-03-24 |
| Find all providers with the same taxonomy | ||||
| City | BARTLESVILLE |
| Zip Code | 74006 |
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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.