SITESOURCE MEDICAL, LLC (NPI# 1932591419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932591419 |
Entity Type | Organization |
Organization Name | SITESOURCE MEDICAL, LLC |
Practice Address |
324 N Robinson Ave Oklahoma City OK 73102-6416 |
Mailing Address |
Po Box 18622 Oklahoma City OK 73154-0622 |
Practice Telephone | 4057480122 |
Mailing Telephone | 4057480122 |
Enumeration Date | 2015-02-20 |
Last Update Date | 2015-04-01 |
Authorized Official Name | KARIE BAILEY (OWNER) |
Authorized Official Telephone | 4057480122 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
324 N ROBINSON AVE |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73102-6416 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548895931 | Court Assistance Programs Inc. | Counselor | 600 N Dewey Avenue Suite 100, Oklahoma City, OK 73102 | 2020-03-06 |
1013434117 | Mark Jeffrey Allison I | Case Manager/Care Coordinator | 400 North Walker Avenue, Suite 190, Oklahoma City, OK 73102 | 2017-08-29 |
1770009052 | Christopher Minh Nguyen | Clinical Neuropsychologist | 601 Robert S Kerr Ave Apt 108, Oklahoma City, OK 73102 | 2017-08-17 |
1700263928 | Micaela Lupov | Physician Assistant | 101 N Robinson Ave Ste 200, Oklahoma City, OK 73102 | 2015-04-27 |
1639577885 | La Fuente Prosthetics | Prosthetic/Orthotic Supplier | 229 N.w. 9th Street, Oklahoma City, OK 73102 | 2014-12-19 |
1518378603 | Whitney Thorne | Surgery | 608 Nw 9th St Ste 2200, Oklahoma City, OK 73102 | 2014-05-12 |
1356680078 | Dustin W Choate | Counselor | 101 Park Ave Ste 1300, Oklahoma City, OK 73102 | 2013-02-01 |
1174889778 | Sailesh Arulkumar | Anesthesiology | 535 Nw 9th St Ste 305, Oklahoma City, OK 73102 | 2012-04-09 |
1790092328 | Stephanie Brill | Counselor | 415 Nw 5th Street, Oklahoma City, OK 73102 | 2010-09-02 |
1205157120 | Mohammad Omar Ramadan | Urology | Ssm Health Medical Group Urology, 608 Nw 9th St., Suite 5000, Oklahoma City, OK 73102 | 2010-06-15 |
Find all providers in zip 73102 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932560760 | Robert Darryl Fisher | Family Medicine | 2203 E Wilshire Blvd, Oklahoma City, OK 73111-8604 | 2016-03-07 |
1659441228 | Terrance Patrick Mcdermott | Family Medicine | 2536 Sw 29th Street, Mcdermott Clinic, Oklahoma City, OK 73119 | 2006-11-09 |
1265916522 | Devika Patel | Family Medicine | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2018-09-21 |
1255425377 | William M. Mcafee | Family Medicine | 3400 S Douglas Blvd, Suite 200, Oklahoma City, OK 73150-1014 | 2006-10-03 |
1154373488 | Larhonda Kay Sims | Family Medicine | 3330 Nw 56th St, Ste 500, Oklahoma City, OK 73112-4479 | 2006-05-16 |
1275518367 | Valerie B Manning Do Pllc | Family Medicine | 3330 Nw 56th St, Suite 305, Oklahoma City, OK 73112-4479 | 2005-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699025973 | Great Salt Plains Health Center, Inc. | Family Medicine | 619 Front Street, Medford, OK 73759-1209 | 2012-09-14 |
1447543798 | House Call Physicians, Inc | Family Medicine | 3456 Nw 172nd Ter, Edmond, OK 73012-7098 | 2011-05-19 |
1639406325 | Leslie Ann Masters | Family Medicine | 8172 S Lewis Ave Ste D, Tulsa, OK 74137-1248 | 2009-11-17 |
1487817375 | Brad Alan Liston | Family Medicine | 1908 N 14th St Ste 204, Ponca City, OK 74601-2039 | 2008-07-09 |
1962537902 | Gary Erle Johnston | Family Medicine | 53468 Mineral Springs Rd, Hodgen, OK 74939-3064 | 2007-02-22 |
1861436677 | Thomas Ray Crow | Family Medicine | 9170 Us Hwy 70, Waurika, OK 73573 | 2006-06-15 |
1699761981 | Larry Dean Sumner | Family Medicine | 204 Woodlawn Ave, Tahlequah, OK 74464-3318 | 2005-09-22 |
1942810197 | Kristin Holetzky | Family Medicine | 224 S Chestnut Ave, Moore, OK 73160-5223 | 2020-08-03 |
1538672001 | Jeri L Ellis Md, Mph, PC | Family Medicine | 420 N Kickapoo Ave, Shawnee, OK 74801-6643 | 2017-11-07 |
1578917217 | Brett Tyler Grobman | Family Medicine | 301 N 1st St, Altus, OK 73523-5004 | 2016-04-19 |
Find all providers with the same taxonomy |
City | OKLAHOMA CITY |
Zip Code | 73102 |
Please comment or provide details below to improve the information on SITESOURCE MEDICAL, LLC.
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.