DR. MOIRA AMBROSE REDCORN (NPI# 1902069206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902069206 |
| Entity Type | Individual |
| Full Name | DR. MOIRA AMBROSE REDCORN |
| Credential | D.O. |
| Practice Address |
105365 S. Highway 102 Mcloud OK 74851 |
| Mailing Address |
Po Box 1059 Mcloud OK 74851-1059 |
| Practice Telephone | 4059642081 |
| Mailing Telephone | 4059642081 |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2015-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4838 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
105365 S. HIGHWAY 102 |
| City | MCLOUD |
| State | OK |
| Zip Code | 74851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770039489 | Victoria Morris | Counselor | 13251 S. Mcloud Rd., Mcloud, OK 74851 | 2016-09-01 |
| 1922417674 | Brenda Davis | Registered Nurse | 105365 South Hwy 102, Mcloud, OK 74851 | 2014-08-07 |
| 1710390323 | Mcloud Dental Center P.l.l.c. | Dentist | 806 South 8th Street, Mcloud, OK 74851 | 2014-06-11 |
| 1508116542 | Kathryn Dean Jones | Pharmacist | 105365 South Highway 102, Mcloud, OK 74851 | 2012-09-18 |
| 1407128572 | Kickapoo Health Center | Counselor | 105365 S.highway 102, Mcloud, OK 74851 | 2012-02-03 |
| 1326349549 | Lisa A Lauderdale | Pharmacist | 409 North Hwy 102, Mcloud, OK 74851 | 2010-11-04 |
| 1265733539 | Mark I Gomez | Counselor | 105365 Highway102, Mcloud, OK 74851 | 2010-11-03 |
| 1396055679 | Cynthia Seger | Dietitian, Registered | 407 N. Highway 102, Mcloud, OK 74851 | 2010-10-20 |
| 1649595869 | Keith Allen Mehner | Dentist | 403 West Broadway Avenue, Mcloud, OK 74851 | 2010-03-30 |
| 1326203480 | Tyler Wellhausen | Pharmacist | 409 N Hwy 102, Mcloud, OK 74851 | 2008-07-28 |
| Find all providers in zip 74851 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164062253 | Tabor Behavioral Health LLC | Psychiatry & Neurology | 2615 Ridgeway St, Ardmore, OK 73401-2901 | 2020-01-07 |
| 1134783863 | Sarah Thi Tran | Psychiatry & Neurology | 4444 E 41st St Ste B, Tulsa, OK 74135-2527 | 2019-04-29 |
| 1356828305 | Dr. Peteryne D. Miller, M.d. LLC | Psychiatry & Neurology | 4870 S Lewis Ave Ste 205, Tulsa, OK 74105-5153 | 2018-07-23 |
| 1457852659 | Mindful Psychiatry, PC | Psychiatry & Neurology | 5014 E 101st St Ste 200, Tulsa, OK 74137-5803 | 2018-02-22 |
| 1700385481 | Reeder Psychiatry Pllc | Psychiatry & Neurology | 2515 Nw 16th St, Oklahoma City, OK 73107-4839 | 2018-02-07 |
| 1245752617 | Irfan Ahmed | Psychiatry & Neurology | 900 E. Main St., Norman, OK 73070 | 2017-07-07 |
| 1568997401 | Erin Walling | Psychiatry & Neurology | 920 Stanton L Young Blvd Ste 3440, Oklahoma City, OK 73104-5036 | 2017-04-28 |
| 1992259501 | Tranquil Psychiatry Clinic,llc | Psychiatry & Neurology | 333 Nw 5th St, Apt. No. 1010, Oklahoma City, OK 73102-3080 | 2016-08-11 |
| 1053762807 | Daniel Pappas | Psychiatry & Neurology | 15225 Fairview Farm Rd., Edmond, OK 73013 | 2016-06-23 |
| 1679937197 | Geetika M Verma Md Plcc | Psychiatry & Neurology | 5100 N Brookline Ave Bldg Suite360, Oklahoma City, OK 73112-3623 | 2016-04-11 |
| 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.