WENDY DENISE MADISON (NPI# 1891166864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891166864 |
| Entity Type | Individual |
| Full Name | WENDY DENISE MADISON |
| Other Name | WENDY SMITH |
| Credential | CNP |
| Practice Address |
119 W Main St Hominy OK 74035-1031 |
| Practice Telephone | 9188854640 |
| Practice Fax Number | 9188854644 |
| Mailing Telephone | 9188854640 |
| Mailing Fax Number | 9188854644 |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2017-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
84648 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICARE PTAN | 449026YRHZ | 01 |
| OK | 200614820 A | 05 |
| Street Address |
119 W MAIN ST |
| City | HOMINY |
| State | OK |
| Zip Code | 74035-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629052311 | Donald L Sutmiller | Emergency Medicine | 119 W Main St, Hominy, OK 74035-1031 | 2005-12-06 |
| 1306356183 | Stephanie Ann Hope | Nurse Practitioner | 119 W Main St, Hominy, OK 74035-1031 | 2017-10-05 |
| 1104199470 | Kisha Marie Farrell | Nurse Practitioner | 119 W Main St, Hominy, OK 74035-1031 | 2012-02-17 |
| 1376855445 | Brandi Nicole Thompson | Dentist | 119 W Main St, Hominy, OK 74035-1031 | 2010-07-06 |
| 1629308390 | Glenda D Boyle | Social Worker | 119 W Main St, Hominy, OK 74035-1031 | 2009-12-31 |
| 1609040864 | Fairfax Medical Facilities Inc | Family Medicine | 119 W Main St, Hominy, OK 74035 | 2008-04-18 |
| 1710177738 | Charles S Oleary | Physician Assistant | 119 W Main St, Hominy, OK 74035-1031 | 2007-07-26 |
| 1487623294 | Charles P Crowell IIi | Family Medicine | 119 W Main St, Hominy, OK 74035-1031 | 2006-03-15 |
| 1477539559 | Michael James Fox | Dentist | 119 W Main St, Hominy, OK 74035-1031 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427120823 | Donald R Woolery | Optometrist | 117 S Wood St, Hominy, OK 74035 | 2006-11-14 |
| 1447203930 | Denzil Larry Carney | Pharmacist | 104 W Main St, Hominy, OK 74035 | 2006-05-18 |
| 1588150528 | D and L Strategies, LLC | Pharmacy | 104 W Main St, Hominy, OK 74035-1032 | 2018-07-02 |
| 1174901961 | R & D Strategies | Durable Medical Equipment & Medical Supplies | 104 W Main St, Hominy, OK 74035-1032 | 2015-05-12 |
| 1124417738 | David Derby | Pharmacist | 104 W Main St, Hominy, OK 74035-1032 | 2015-01-20 |
| 1356426647 | Hominy Rexall Inc | Pharmacy | 104 W Main St, Hominy, OK 74035-1032 | 2006-10-26 |
| 1477666808 | John Eric Snider | Pharmacist | 104 W Main St, Hominy, OK 74035-1032 | 2006-08-17 |
| 1003997628 | Hominy Community Medical Trust Authority | Ambulance | 505 N. Eastern, Hominy, OK 74035-1034 | 2006-10-18 |
| 1629603907 | Sandra Lynn Balentine | Case Manager/Care Coordinator | 605 E Main St, Hominy, OK 74035-1519 | 2020-03-07 |
| 1326496183 | Andrea Beach | Physician Assistant | 129 Conner Rd, Hominy, OK 74035-2100 | 2016-06-01 |
| Find all providers in zip 74035 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492618 | Jessica Kearney | Nurse Practitioner | 8116 Nw 161st Ter, Edmond, OK 73013-5510 | 2020-09-17 |
| 1346852191 | Oludari Olutokunbo Olajide | Nurse Practitioner | 10700 N Council Rd Apt 3, Oklahoma City, OK 73162-4366 | 2020-08-21 |
| 1124638192 | Amanda Rushing | Nurse Practitioner | 705 E Atlanta Ave, Davis, OK 73030-2982 | 2020-08-05 |
| 1104435999 | Julie Marie Kelly | Nurse Practitioner | 1615 S Eucalyptus Ave Ste 210, Broken Arrow, OK 74012-5993 | 2020-07-28 |
| 1750999413 | Staci Y Williams | Nurse Practitioner | 5606 Sw Lee Blvd Ste 203, Lawton, OK 73505-9651 | 2020-07-20 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1144847542 | Premier Healthcare, Aprn-cnp | Nurse Practitioner | 12208 South Western Avenue, Suite B, Oklahoma City, OK 73170 | 2020-07-01 |
| 1578184560 | Heather Elaine Fry | Nurse Practitioner | 1908 E Gore Blvd Ste A, Lawton, OK 73501-6129 | 2020-04-30 |
| 1972137511 | Danielle Nicole Hurd | Nurse Practitioner | 1532 N Boston Pl, Tulsa, OK 74106-4104 | 2020-02-22 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
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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.