DISCOVERY WELLNESS LLC


Address: 17625 Lead Ln, Edmond, OK 73012-6959
Phone: 4052101662

DISCOVERY WELLNESS LLC (NPI# 1932578762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932578762
Entity Type Organization
Organization Name DISCOVERY WELLNESS LLC
Practice Address 17625 Lead Ln
Edmond
OK 73012-6959
Practice Telephone 4052101662
Mailing Telephone 4052101662
Enumeration Date 2015-09-23
Last Update Date 2016-02-24
Authorized Official Name ANDREW BLAKEMAN (OPERATIONS MANAGER)
Authorized Official Telephone 4052101662
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK DEA MC2226620 01
OK OKLAHOMA NURSING LISCENSE 78861 01
OK 200294910A 05

Office Location

Street Address 17625 LEAD LN
City EDMOND
State OK
Zip Code 73012-6959

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962013912 Ashley Lambert Counselor 19501 N Pennsylvia, Apt 210, Edmond, OK 73012 2020-08-13
1699316083 First Rate Eye Care Pllc Optometrist 1140 Nw 192nd St., Suite A, Edmond, OK 73012 2019-10-07
1659869881 Brent Byers Registered Nurse 3040 Nw 179th Ct, Edmond, OK 73012 2018-04-24
1386173672 John A Hale Respiratory Therapist, Certified 19100 Meadows Crossing Drive, Edmond, OK 73012 2017-06-08
1740715598 Ryan Hays Counselor 620 Nw 178 St., Apt. 4c, Edmond, OK 73012 2017-04-28
1245691336 Jessica Collins Behavioral Analyst 18217 Sandhurst Ct, Edmond, OK 73012 2016-03-16
1538545801 Cynthia Ann Thompson Case Manager/Care Coordinator 1732 Kelly, Edmond, OK 73012 2015-08-10
1538564224 Function Physical Therapy, LLC Physical Therapist 16502 N Pennsylvania Ave, Suite C, Edmond, OK 73012 2014-10-24
1003227414 Deer Creek Family Healthcare and Wellness Clinic LLC Clinic/Center 19401 N. Portland, Edmond, OK 73012 2014-05-20
1316383649 Ralphs Family Pharmacy Inc Durable Medical Equipment & Medical Supplies 1101 Nw178th Street, Suite A, Edmond, OK 73012 2013-05-14
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851990097 Lauren Heim Physician Assistant 7324 Bucks Xing, Edmond, OK 73034-3520 2020-10-19
1679132823 Amy Nguyen Physician Assistant 3800 Four Winns Strait, Edmond, OK 73013-8742 2019-06-11
1295393965 Emily Maria Carro Physician Assistant 716 Fox Bend Trl, Edmond, OK 73034-7355 2019-05-29
1679041800 Global Health Assists, LLC Physician Assistant 2011 W Danforth Rd # 222, Edmond, OK 73003-4685 2018-11-06
1972083921 Pooja Bhakta Physician Assistant Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 2018-08-20
1124521851 Roeza Pllc Physician Assistant 15100 Traditions Blvd Ste 2, Edmond, OK 73013-1183 2018-03-08
1285141028 Jordan B. Matli Physician Assistant 18505 Auburn Meadows Dr, Edmond, OK 73012-0612 2018-01-02
1972016756 Precision Surgical Care, Pllc Physician Assistant 1050 E 2nd St #296, Edmond, OK 73034-5313 2017-11-15
1518498906 Charles Michael Braden Physician Assistant 3108 Jamin Paul Circle, Edmond, OK 73013-8025 2017-03-27
1790106227 Jennifer Lueb Physician Assistant 18416 Abierto Dr, Edmond, OK 73012-9618 2013-12-31
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Competitor

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City EDMOND
Zip Code 73012

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Dataset Information

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.

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