DR. DUSTIN GANT WARD (NPI# 1922048479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922048479 |
| Entity Type | Individual |
| Full Name | DR. DUSTIN GANT WARD |
| Credential | PH.D. |
| Practice Address |
1044 Sw 4th St Moore OK 73160-2405 |
| Practice Telephone | 4057356333 |
| Practice Fax Number | 4057356629 |
| Mailing Telephone | 4057356333 |
| Mailing Fax Number | 4057356629 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2015-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
1011 | OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200075530 C | 05 | |
| OK | 200075530 B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548544067 | Dustin John Ward | Counselor | 515 W Willetta St, Phoenix, AZ 85003-1203 | 2011-10-03 |
| 1366751620 | Dustin Ward | Counselor | 33785 Canyon Ranch Rd, Wildomar, CA 92595-8492 | 2010-10-04 |
| 1912445503 | Dustin Ward | Counselor | 10 Ferry St Ste 319, Concord, NH 03301-5081 | 2017-02-03 |
| 1356526693 | Dustin Robert Ward | Anesthesiology | 9645 Grove Cir N Ste 200, Maple Grove, MN 55369 | 2008-01-06 |
| Street Address |
1044 SW 4TH ST |
| City | MOORE |
| State | OK |
| Zip Code | 73160-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972097228 | Allison Vrieze | Psychologist | 1044 Sw 4th St, Moore, OK 73160-2405 | 2018-06-20 |
| 1114463072 | Dave Sanford Kerby | Psychologist | 1044 Sw 4th St, Moore, OK 73160-2405 | 2017-01-16 |
| 1518319276 | Moore Autism Center, P.C. | Psychologist | 1044 Sw 4th St, Moore, OK 73160-2405 | 2016-07-06 |
| 1144600594 | Lindsey Bardwell | Psychologist | 1044 Sw 4th St, Moore, OK 73160-2405 | 2015-06-01 |
| 1124426671 | Justin Hull Ory | Clinical Neuropsychologist | 1044 Sw 4th St, Moore, OK 73160-2405 | 2014-12-16 |
| 1962844894 | Ilse Deyanira Carrizales | Psychologist | 1044 Sw 4th St, Moore, OK 73160-2405 | 2013-07-19 |
| 1487900858 | Mary C Underhill | Psychologist | 1044 Sw 4th St, Moore, OK 73160-2405 | 2012-08-03 |
| 1922377225 | Sarah P Whitewater | Counselor | 1044 Sw 4th St, Moore, OK 73160 | 2011-12-16 |
| 1134452600 | Anna M Homen | Psychologist | 1044 Sw 4th St, Moore, OK 73160-2405 | 2009-09-15 |
| 1083881189 | Miracle Nicole Goetz | Psychologist | 1044 Sw 4th St, Moore, OK 73160-2405 | 2008-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104132141 | Rachel Beth Kirkpatrick Smiley | Psychologist | 604 S Classen Ave, Ste. A, Moore, OK 73160-5401 | 2010-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267965 | Oklahoma Counseling Professionals | Psychologist | 2123 Sw 119th St Ste B, Oklahoma City, OK 73170-3440 | 2019-10-23 |
| 1366090680 | Jason K. White, Ph.d., LLC | Psychologist | 807 S. Pine St., Stillwater, OK 74074 | 2019-08-29 |
| 1386096659 | Thomas Collins | Psychologist | 333 W Michael Dr, Midwest City, OK 73110-3319 | 2016-07-11 |
| 1164887170 | Suzan B. Simmons, Ph.d,,pllc | Psychologist | 1916 Lake Rd, Ponca City, OK 74604-4800 | 2015-12-17 |
| 1760882807 | Janet Marie Mcmahan | Psychologist | 53479 Cut Off Rd, Talihina, OK 74571-2371 | 2014-08-26 |
| 1790196202 | Peter Rausch | Psychologist | 735 N. Foreman St., Vinita, OK 74301 | 2014-05-19 |
| 1235556911 | Christopher Bowles | Psychologist | 1613 King Dr, Apartment 721, Bartlesville, OK 74006-4939 | 2014-03-19 |
| 1497187215 | Diane Yvonne Genther | Psychologist | 100 N University Dr., 402, Uco Student Counseling, Nigh University Center, Edmond, OK 73034-5209 | 2013-08-02 |
| 1861839367 | Candace Dawn Marzett | Psychologist | 2213 N Zenith Ave, Tulsa, OK 74127-2234 | 2013-05-24 |
| 1700126588 | Margaret Lee Zingman | Psychologist | 204 W 8th St, Chandler, OK 74834-2604 | 2013-02-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. DUSTIN GANT WARD.
| 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.