JOHN CARROLL CASADY JR. (NPI# 1891202552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891202552 |
| Entity Type | Individual |
| Full Name | JOHN CARROLL CASADY JR. |
| Credential | APRN-CNP |
| Practice Address |
304 Fairlane Ave Sulphur OK 73086-6861 |
| Mailing Address |
Po Box 1713 Ada OK 74821-1713 |
| Practice Telephone | 5806222144 |
| Mailing Telephone | 5806565169 |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
64315 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
304 FAIRLANE AVE |
| City | SULPHUR |
| State | OK |
| Zip Code | 73086-6861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124286059 | State of Oklahoma | Pharmacy | 304 Fairlane Ave, Sulphur, OK 73086-6861 | 2008-05-28 |
| 1083257372 | Clarizza Carroll | Clinical Nurse Specialist | 304 Fairlane Ave, Sulphur, OK 73086-6861 | 2019-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124680079 | Arbuckle Chiropractic LLC | Chiropractor | 1500 W. 1st St, Sulphur, OK 73086 | 2019-07-01 |
| 1205959046 | Teresa Truelock | Contractor | 606 Circle Top Dr., Sulphur, OK 73086 | 2007-04-09 |
| 1215021894 | Diane Michele Rowe | Pharmacist | 815 W. Broadway, Sulphur, OK 73086 | 2006-10-03 |
| 1538260872 | Shaun E Swartz II | Pharmacy Technician | 1603 West 14th, Sulphur, OK 73086 | 2006-09-26 |
| 1154428696 | David R Pittman | Pharmacist | 815 West Broadway, Sulphur, OK 73086 | 2006-09-19 |
| 1730541673 | Arbuckle Memorial Hospital | Clinic/Center | 2011 W Broadway Ave, Sulphur, OK 73086 | 2016-03-21 |
| 1073957049 | Brandon S Drabek | Family Medicine | 2011 W Broadway Ave, Sulphur, OK 73086 | 2013-04-22 |
| 1699858134 | Sooner Pharmacy | Pharmacist | 815 West Broadway, Sulphur, OK 73086 | 2006-10-20 |
| 1811058589 | Evan Lee Bragg | Optometrist | 1010 West 3rd St, Sulphur, OK 73086-0499 | 2006-12-13 |
| 1265719850 | Wendie Renea Butts | Counselor | 3183 W 14th St, Sulphur, OK 73086-1117 | 2011-11-09 |
| Find all providers in zip 73086 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890367 | Emily Soileau Wyninger | Nurse Practitioner | 2432 Saint Joseph St, Sulphur, LA 70663-6154 | 2020-08-07 |
| 1508476383 | Lexie Reed | Nurse Practitioner | 959 Bankens Rd, Sulphur, LA 70663-0013 | 2020-08-05 |
| 1861020307 | Charlotte E Toney | Nurse Practitioner | 2465 Evangeline Oak Dr, Sulphur, LA 70665-8394 | 2020-03-30 |
| 1093349110 | Dean Joseph Chesson | Nurse Practitioner | 133 Summerwood Dr, Sulphur, LA 70663-4117 | 2020-02-27 |
| 1669012423 | Tiffany Kathleen Gibbs | Nurse Practitioner | 2492 S Cities Service Hwy Ste 1, Sulphur, LA 70665-6497 | 2020-01-09 |
| 1588182489 | Chance Michael Arceneaux | Nurse Practitioner | 2492 South Cities Service Hwy Suite 1, Sulphur, LA 70665 | 2017-08-31 |
| 1083134670 | Leah Lowe | Nurse Practitioner | 1019 Mathew St., Sulphur, LA 70663 | 2017-06-23 |
| 1770944985 | Angela Jones | Nurse Practitioner | 3120 E Burton St, Sulphur, LA 70663-1772 | 2016-03-15 |
| 1972964740 | Kemsohia Brandon | Nurse Practitioner | 484 S Post Oak Rd, Sulphur, LA 70663-3628 | 2016-03-08 |
| 1902215460 | Jeffrie Lyn Duberville | Nurse Practitioner | 1765 Lawton Dr, Sulphur, LA 70665-8611 | 2014-08-10 |
| Find all providers in SULPHUR | ||||
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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.