71ST MEDICAL GROUP (NPI# 1932187838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932187838 |
| Entity Type | Organization |
| Organization Name | 71ST MEDICAL GROUP |
| Practice Address |
527 Gott Rd Enid OK 73705-5103 |
| Practice Telephone | 5802137907 |
| Mailing Telephone | 5802137907 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2014-02-26 |
| Authorized Official Name | THERESA MARIE MITCHELL (AIR FORCE UBO ANALYST) |
| Authorized Official Telephone | 7036817613 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers | ||
| N | 261QM1101X |
Clinic/Center Specialization: Military and U.S. Coast Guard Ambulatory Procedure |
Ambulatory Health Care Facilities | ||
| Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | NCPDP | 3722267 | 01 |
| Street Address |
527 GOTT RD |
| City | ENID |
| State | OK |
| Zip Code | 73705-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043200793 | David Barnard | Family Medicine | 527 Gott Rd, Enid, OK 73705-5103 | 2005-10-25 |
| 1184225138 | Danielle Young | Social Worker | 527 Gott Rd, Enid, OK 73705-5103 | 2020-11-05 |
| 1598301277 | Anh N Ison | Pharmacist | 527 Gott Rd, Enid, OK 73705-5103 | 2019-11-18 |
| 1336792340 | Liam Connall Noone | Military Health Care Provider | 527 Gott Rd, Enid, OK 73705-5103 | 2019-07-18 |
| 1225598980 | Andrew Jonathan Carey | Military Health Care Provider | 527 Gott Rd, Enid, OK 73705-5103 | 2019-03-20 |
| 1801306188 | Scott Lynn Chance | Pharmacist | 527 Gott Rd, Enid, OK 73705-5103 | 2017-10-02 |
| 1114458957 | Chang Liu Lipinski | Family Medicine | 527 Gott Rd, Enid, OK 73705-5103 | 2017-03-23 |
| 1417349697 | Usaf | Military Hospital | 527 Gott Rd, Enid, OK 73705-5103 | 2015-02-25 |
| 1962818336 | 71 Mdg Mdss Sgsr | Military/U.S. Coast Guard Pharmacy | 527 Gott Rd, Enid, OK 73705-5103 | 2014-07-07 |
| 1689080418 | Alison Allen | Pediatrics | 527 Gott Rd, Enid, OK 73705-5103 | 2014-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699074013 | Christopher Lee Endres | Military Health Care Provider | 527 Gott Road, Vance Clinic, Vance Afb, OK 73705 | 2011-03-24 |
| 1578128070 | Jason Ruggieri | Psychologist | 527 Gott Road, Bldg 816, Enid, OK 73705-5103 | 2019-05-09 |
| 1831556455 | Jennifer Anne Barclay | Pediatrics | 527 Gott Rd Bldg 810, Enid, OK 73705-5103 | 2016-01-27 |
| 1669991758 | Omer S Sanabria | Dentist | 71st Mdg, 527 Gott Rd., Bldg 810, Enid, OK 73705-5105 | 2017-09-11 |
| 1164661096 | Traci Lynn Johnson | Licensed Vocational Nurse | 71 Mdg, 527 Gott Rd, Vance Afb, OK 73705-5105 | 2009-02-17 |
| 1255395174 | Christopher Makoto Tsueda | Family Medicine | 71 Medical Group, 527 Gott Road, Vance Afb, OK 73705-5105 | 2006-04-17 |
| 1447393889 | William F. Blackerby | Clinical Neuropsychologist | 71 Medical Group, 527 Gott Road Vance Afb, Enid, OK 73705-5105 | 2007-02-15 |
| 1306820915 | Ronald Stuart Johnson | Psychologist | 320 Young Rd, 71 Mdos/sgoml Building 248, Enid, OK 73705-5506 | 2005-12-06 |
| 1851659809 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | 242 Fields St Bldg 415, Enid, OK 73705-5700 | 2012-04-27 |
| Taxonomy Code | 261QM1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military/U.S. Coast Guard Outpatient |
| The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912377649 | Reynolds Army Community Hospital | Clinic/Center | 3161 Hoskins Rd, Fort Sill, OK 73503-4462 | 2015-10-07 |
| 1740650464 | Reynolds Army Community Hospital | Clinic/Center | 3445 Koehler Loop, Fort Sill, OK 73503-6008 | 2015-10-07 |
| 1932480068 | Reynolds Army Community Hospital | Clinic/Center | 2640 Miner Rd, Fort Sill, OK 73503 | 2011-09-02 |
| 1427208008 | Reynolds Army Community Hospital | Clinic/Center | 2913 Craig Road, Fort Sill, OK 73503 | 2008-09-19 |
| 1760688220 | Reynolds Army Community Hospital | Clinic/Center | 2862 Craig Road, Fort Sill, OK 73503 | 2007-06-22 |
| 1881890358 | Reynolds Army Community Hospital | Clinic/Center | 605 Randolph Road, Fort Sill, OK 73503 | 2007-06-22 |
| 1699971143 | Reynolds Army Community Hospital | Clinic/Center | 6037 Bessinger Street, Fort Sill, OK 73503 | 2007-06-22 |
| 1821318668 | Reynolds Army Community Hospital | Clinic/Center | 5404 Sw Lee Blvd, Frontier Medical Home-sill, Lawton, OK 73505-9695 | 2010-06-03 |
| 1083810550 | Reynolds Army Community Hospital | Clinic/Center | 4301 Mow Way Road, Fort Sill, OK 73503 | 2007-06-22 |
| 1124234364 | Reynolds Army Community Hospital | Clinic/Center | 4301 Mow Way Road, Sgt Bleak Troop Medical Clinic, Fort Sill, OK 73503 | 2007-05-15 |
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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.