MERCY HEALTH NETWORK OF THE SOUTHERN REGION, INC. (NPI# 1891862868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891862868 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH NETWORK OF THE SOUTHERN REGION, INC. |
| Other Organization Name | MERCY HEALTH WILSON |
| Practice Address |
1152 Us Highway 70a Wilson OK 73463-1482 |
| Mailing Address |
4401 W Memorial Rd Suite #141, Attention Becky Oklahoma City OK 73134-1785 |
| Practice Telephone | 5806682882 |
| Practice Fax Number | 5806682772 |
| Mailing Telephone | 4059365800 |
| Mailing Fax Number | 4059365810 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BOBBY G. THOMPSON (PRESIDENT & CEO) |
| Authorized Official Telephone | 5802206611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mercy Health Wilson | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740357011 | Mercy Health Network of The Southern Region, Inc. | Internal Medicine | 103 W Main, Ringling, OK 73456 | 2006-11-29 |
| 1417024878 | Mercy Health Network of The Southern Region, Inc. | Family Medicine | 1221 G St Nw, Ardmore, OK 73401-1812 | 2006-11-29 |
| 1083781058 | Mercy Health Network of The Southern Region, Inc. | Family Medicine | 107 S 3rd St, Davis, OK 73030-2305 | 2006-11-29 |
| Street Address |
1152 US HIGHWAY 70A |
| City | WILSON |
| State | OK |
| Zip Code | 73463-1482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952353427 | Ynal Habj-bik | Family Medicine | 1152 Us Highway 70a, Wilson, Wilson, OK 73463-1482 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982713855 | Good Samaritan Hospice, Inc. | Hospice Care, Community Based | 410 Idlewood Circle, Wilson, OK 73463 | 2006-08-30 |
| 1992299895 | April M Sanders | Case Manager/Care Coordinator | 637 Ash St, Wilson, OK 73463-1280 | 2018-06-14 |
| 1518052281 | Equity Funding LLC | Skilled Nursing Facility | 867 Us Highway 70a, Wilson, OK 73463-1683 | 2006-10-04 |
| 1225245046 | Susan Renee Youngblood | Counselor | 867 Us Highway 70a, Wilson, OK 73463-1683 | 2007-05-17 |
| 1720285505 | Kimberly Dawn Powell | Counselor | 1749 Hewitt Rd, Wilson, OK 73463-1875 | 2007-06-27 |
| 1558448381 | Wilson Public School | Technician | 1860 Hewitt Rd, Wilson, OK 73463-1882 | 2006-11-01 |
| 1700893054 | Thomas Charles Ellis | Chiropractor | 122 Mulberry Ln, Wilson, OK 73463-6203 | 2006-08-01 |
| 1154541944 | Good Health Care Professionals, Inc. | Home Health | 182 Redwood St, Wilson, OK 73463-6555 | 2007-04-26 |
| 1184007213 | Jincy S Golden | Community/Behavioral Health | 622 Sandy Stone Rd, Wilson, OK 73463-6717 | 2015-07-07 |
| 1902339450 | Morgan Mackenzie Copeland | Case Manager/Care Coordinator | 1355 Angus Rd, Wilson, OK 73463-7022 | 2017-04-11 |
| Find all providers in zip 73463 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356682579 | John Louis Gentri | Internal Medicine | Long Leaf Neuro Medical Treatment Center, 4767 Ward Boulevard, Wilson, NC 27893 | 2013-03-13 |
| 1982860367 | David Kiragu | Internal Medicine | 3202 Nash Street N, Wilson, NC 27896-1232 | 2008-08-05 |
| 1457529703 | Jonathon G. Dewald, Md Pa | Internal Medicine | 2605 Forest Hills Rd Sw Ste B, Wilson, NC 27893-4448 | 2008-02-20 |
| 1386862688 | Wilson Internal Medicine Pa | Internal Medicine | 2402 Camden St Sw Ste B500, Wilson, NC 27893-8608 | 2007-04-23 |
| 1467566117 | Mark P Menolascino | Internal Medicine | 5235 Hhr Ranch Road, Wilson, WY 83014-0000 | 2006-08-19 |
| 1447364245 | Michael James Menolascino | Internal Medicine | 5245 Hhr Ranch Road, Wilson, WY 83014-9210 | 2006-08-18 |
| 1720033574 | Lindsey Elliot Deguehery | Internal Medicine | 1812 Glendale Dr Sw, Suite A, Wilson, NC 27893-4402 | 2006-05-23 |
| 1437116613 | Douglas C Brewer | Internal Medicine | 1704 Glendale Dr Sw, Suite B, Wilson, NC 27893-4415 | 2006-04-30 |
| 1598726812 | Thomas E Hooper | Internal Medicine | 2130 Forest Hills Rd W, Ste B, Wilson, NC 27893-3681 | 2006-03-28 |
| 1275508830 | Medhat F Sidaros | Internal Medicine | 2402 Camden St Sw, Suite B 500, Wilson, NC 27893-8608 | 2006-02-17 |
| Find all providers in WILSON | ||||
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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.