LONG JACKET PLLC (NPI# 1881187805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881187805 |
| Entity Type | Organization |
| Organization Name | LONG JACKET PLLC |
| Other Organization Name | ERIN SLOAN MD |
| Practice Address |
1710 W 3rd St Ste 102 Elk City OK 73644-5160 |
| Mailing Address |
Po Box 1408 Elk City OK 73648-1408 |
| Practice Telephone | 5802439122 |
| Practice Fax Number | 5802255423 |
| Mailing Telephone | 5802439122 |
| Mailing Fax Number | 5802255423 |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |
| Authorized Official Name | ERIN SLOAN (PHYSICIAN OWNER) |
| Authorized Official Telephone | 5802439122 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 31501 | OK | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Erin Sloan MD | Doing Business As Name - Organization |
| Street Address |
1710 W 3RD ST STE 102 |
| City | ELK CITY |
| State | OK |
| Zip Code | 73644-5160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932588811 | Erin Marie Sloan | Family Medicine | 1710 W 3rd St Ste 102, Elk City, OK 73644 | 2015-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700259918 | Marco Chavez | Peer Specialist | 2032 W. 7th Place, Elk City, OK 73644 | 2015-11-10 |
| 1649521568 | Michael Robinson Medical Clinic, LLC | Family Medicine | 1900 W. 2nd St, Suite A, Elk City, OK 73644 | 2012-10-02 |
| 1780913129 | Kathi Lee Henderson | Clinical Nurse Specialist | 1513 N Randall Ave, Elk City, OK 73644 | 2009-12-14 |
| 1700018330 | Tiffany Dawn Dupree | Obstetrics & Gynecology | 1800 West 1st, Suite 101, Elk City, OK 73644 | 2009-08-16 |
| 1538331483 | Farrina Steel | Community Health Worker | 3080 W. 3rd Street, Elk City, OK 73644 | 2008-04-01 |
| 1851586622 | Billy Charles Spurlock | Chiropractor | 1521 W 3rd St, Elk City, OK 73644 | 2007-09-13 |
| 1073736096 | Bruce Daniel Storm Jr. | Dentist | 300 N Garrett, Elk City, OK 73644 | 2007-04-10 |
| 1578681698 | Tiffany Shook | Case Manager/Care Coordinator | 306 Maverick Lane, Elk City, OK 73644 | 2007-03-27 |
| 1720152614 | Diversified Family Services Inc | Community/Behavioral Health | 1021 E Hwy 66, Elk City, OK 73644 | 2006-11-20 |
| 1396833083 | David William Bank | Family Medicine | 1221 Colorado, Elk City, OK 73644 | 2006-10-10 |
| Find all providers in zip 73644 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932588811 | Erin Marie Sloan | Family Medicine | 1710 W 3rd St Ste 102, Elk City, OK 73644 | 2015-05-25 |
| 1649521568 | Michael Robinson Medical Clinic, LLC | Family Medicine | 1900 W. 2nd St, Suite A, Elk City, OK 73644 | 2012-10-02 |
| 1164503611 | Scott A Williams D O P C | Family Medicine | 1901 W 3rd St, Suite A, Elk City, OK 73644-5205 | 2006-10-18 |
| 1396833083 | David William Bank | Family Medicine | 1221 Colorado, Elk City, OK 73644 | 2006-10-10 |
| 1003878042 | James William Bass IIi | Family Medicine | 1800 W. 1st St., Suite 102, Elk City, OK 73644-2339 | 2006-04-05 |
| 1912909672 | Scott A Williams | Family Medicine | 411 W 3rd St, Elk City, OK 73644-5201 | 2005-08-12 |
| 1467976654 | Blick Medical LLC | Family Medicine | 1710 W 3rd St Ste 100, Elk City, OK 73644-5160 | 2017-07-28 |
| 1225310105 | Oklahoma Medhealth Inc | Family Medicine | 2406 Bell Ave, Elk City, OK 73644-2262 | 2011-09-15 |
| 1013170752 | Whinery Family Medicine Pllc | Family Medicine | 1710 W 3rd St, Suite 103, Elk City, OK 73644-5159 | 2008-07-02 |
| 1336361773 | Royal Bradley Whinery | Family Medicine | 1710 W 3rd St, Suite 103, Elk City, OK 73644-5159 | 2007-05-03 |
| Find all providers in ELK CITY | ||||
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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.