EDWARD WAYNE ALLENSWORTH (NPI# 1881712552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881712552 |
| Entity Type | Individual |
| Full Name | EDWARD WAYNE ALLENSWORTH |
| Credential | M.D. |
| Practice Address |
735 N Foreman St Vinita OK 74301-1422 |
| Mailing Address |
111 Westwood Ave Vinita OK 74301-2706 |
| Practice Telephone | 9182560212 |
| Mailing Telephone | 9182567551 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2013-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
7756 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
735 N FOREMAN ST |
| City | VINITA |
| State | OK |
| Zip Code | 74301-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871557355 | Linda Kay Youngberg | Emergency Medicine | 735 N Foreman St, Vinita, OK 74301-1422 | 2006-04-13 |
| 1801319652 | Jennifer D Barnes | Social Worker | 735 N Foreman St, Vinita, OK 74301-1422 | 2017-07-24 |
| 1578013579 | Saint Francis Hospital Vinita, Inc | Psychiatric Unit | 735 N Foreman St, Vinita, OK 74301-1422 | 2016-10-13 |
| 1467902460 | Saint Francis Hospital Vinita, Inc | Medicare Defined Swing Bed Unit | 735 N Foreman St, Vinita, OK 74301-1422 | 2016-10-13 |
| 1700334232 | Saint Francis Hospital Vinita, Inc | General Acute Care Hospital | 735 N Foreman St, Vinita, OK 74301-1422 | 2016-09-13 |
| 1326341520 | Trena Irene Jarrett | Physical Therapy Assistant | 735 N Foreman St, Vinita, OK 74301-1422 | 2010-12-09 |
| 1073833315 | Sheryl Gillespie | Physical Therapy Assistant | 735 N Foreman St, Vinita, OK 74301-1422 | 2010-06-09 |
| 1902044480 | Northeast Oklahoma Clinical Partners, Inc. | Clinic/Center | 735 N Foreman St, Vinita, OK 74301-1422 | 2009-01-22 |
| 1609013044 | Margaret Jean Madere | Occupational Therapy Assistant | 735 N Foreman St, Vinita, OK 74301-1422 | 2009-01-07 |
| 1255496154 | Charles Ray Jennings | Physician Assistant | 735 N Foreman St, Vinita, OK 74301-1422 | 2006-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740786 | Jennifer Lynn Black | Registered Nurse | 24919 S 4420 Road, Vinita, OK 74301 | 2020-11-03 |
| 1720686272 | Chancie Marie Cooper | Case Manager/Care Coordinator | 444 737 Hwy 28, Vinita, OK 74301 | 2020-10-15 |
| 1265082515 | Ruth Irving | Technician | 843 North Miller, Vinita, OK 74301 | 2019-09-18 |
| 1952897449 | Sarah Renee Gilmore | Behavior Technician | 526 N. Brewer, Vinita, OK 74301 | 2018-07-08 |
| 1134664683 | Sheila Mason | Nurse Practitioner | Department of Veterans Affairs Clinic, 269 South 7th Street, Vinita, OK 74301 | 2016-12-19 |
| 1881145274 | Saint Francis Hospital Vinita, Inc | Clinic/Center | 711 North Brewer Street, Vinita, OK 74301 | 2016-10-20 |
| 1699147249 | Beth Powell | Peer Specialist | 405 East Excelsior Ave, Vinita, OK 74301 | 2015-10-22 |
| 1790196202 | Peter Rausch | Psychologist | 735 N. Foreman St., Vinita, OK 74301 | 2014-05-19 |
| 1548605041 | Anita Joy Cantrell | Counselor | 1520 North Industrial Ave, Vinita, OK 74301 | 2013-05-10 |
| 1033469606 | Matt Lance Oldacre | Pharmacist | 525 S. Wilson, Vinita, OK 74301 | 2012-09-11 |
| Find all providers in zip 74301 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932560760 | Robert Darryl Fisher | Family Medicine | 2203 E Wilshire Blvd, Oklahoma City, OK 73111-8604 | 2016-03-07 |
| 1932591419 | Sitesource Medical, LLC | Family Medicine | 324 N Robinson Ave, Oklahoma City, OK 73102-6416 | 2015-02-20 |
| 1699025973 | Great Salt Plains Health Center, Inc. | Family Medicine | 619 Front Street, Medford, OK 73759-1209 | 2012-09-14 |
| 1447543798 | House Call Physicians, Inc | Family Medicine | 3456 Nw 172nd Ter, Edmond, OK 73012-7098 | 2011-05-19 |
| 1639406325 | Leslie Ann Masters | Family Medicine | 8172 S Lewis Ave Ste D, Tulsa, OK 74137-1248 | 2009-11-17 |
| 1487817375 | Brad Alan Liston | Family Medicine | 1908 N 14th St Ste 204, Ponca City, OK 74601-2039 | 2008-07-09 |
| 1962537902 | Gary Erle Johnston | Family Medicine | 53468 Mineral Springs Rd, Hodgen, OK 74939-3064 | 2007-02-22 |
| 1659441228 | Terrance Patrick Mcdermott | Family Medicine | 2536 Sw 29th Street, Mcdermott Clinic, Oklahoma City, OK 73119 | 2006-11-09 |
| 1861436677 | Thomas Ray Crow | Family Medicine | 9170 Us Hwy 70, Waurika, OK 73573 | 2006-06-15 |
| 1699761981 | Larry Dean Sumner | Family Medicine | 204 Woodlawn Ave, Tahlequah, OK 74464-3318 | 2005-09-22 |
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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.