DR. TONY GLEN WALLEN


Address: 1921 Stonecipher Dr, Ada, OK 74820-3439
Phone: 5804363980

DR. TONY GLEN WALLEN (NPI# 1932720349) 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) 1932720349
Entity Type Individual
Full Name DR. TONY GLEN WALLEN
Credential DO
Practice Address 1921 Stonecipher Dr
Ada
OK 74820-3439
Practice Telephone 5804363980
Practice Fax Number 5804212970
Mailing Telephone 5804363980
Mailing Fax Number 5804212970
Enumeration Date 2020-04-27
Last Update Date 2020-04-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1921 STONECIPHER DR
City ADA
State OK
Zip Code 74820-3439

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528050291 Carol Lynn Rhoads Nurse Anesthetist, Certified Registered 1921 Stonecipher Dr, Chickasaw Nation Health System, Ada, OK 74820-3439 2005-08-18
1295336683 Tina S Johnston Nurse Anesthetist, Certified Registered 1921 Stonecipher Dr, Ada, OK 74820-3439 2020-11-03
1972125706 Ana Nguyen Phan Student in an Organized Health Care Education/Training Program 1921 Stonecipher Dr, Ada, OK 74820-3439 2020-05-14
1053931840 Eric Vincent Harris Student in an Organized Health Care Education/Training Program 1921 Stonecipher Dr, Ada, OK 74820-3439 2020-04-21
1417581109 Amy Stepp Licensed Practical Nurse 1921 Stonecipher Dr, Ada, OK 74820-3439 2020-03-03
1477185445 Kimberly D Wilson Licensed Practical Nurse 1921 Stonecipher Dr, Ada, OK 74820-3439 2020-02-07
1275174435 Abby Lynn Crow Audiologist 1921 Stonecipher Dr, Ada, OK 74820-3439 2019-09-30
1821648809 Mercedes Milligan Counselor 1921 Stonecipher Dr, Ada, OK 74820-3439 2019-09-12
1447808852 Shandi Lynn Martin Counselor 1921 Stonecipher Dr, Ada, OK 74820-3439 2019-08-28
1720632771 Dylan Davis Smith Student in an Organized Health Care Education/Training Program 1921 Stonecipher Dr, Ada, OK 74820-3439 2019-07-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578103727 Curry Orthopedics and Sports Medicine Pllc Orthopaedic Surgery 919 Colony Drive, Ada, OK 74820 2020-01-15
1215574603 Miranda Denise Bowman Counselor 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 2019-12-04
1326509654 Patricia June Harjo Case Manager/Care Coordinator Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 2019-03-28
1649737172 Rylee Nikole Leblanc Case Manager/Care Coordinator 1119 S High School St, Ada, OK 74820 2019-02-20
1891251328 David Kinback Rehabilitation Counselor 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 2019-02-20
1922571009 Central Oklahoma Family Medical Center, Inc. Pharmacy 905 Colony Dr, Ada, OK 74820 2019-01-10
1063988673 Central Oklahoma Family Medical Center, Inc Clinic/Center 905 Colony Drive Bldg, Ada, OK 74820 2018-10-22
1265907885 Apex Surgery Center, LLC Surgery 2001 Cradduck Road, Ada, OK 74820 2018-10-10
1689150898 Sabrina Simmons Social Worker 2516 Oakhurst Dr Apt E, Ada, OK 74820 2018-07-11
1700370467 Brianna Leigh Youngwolfe Nurse Practitioner 2020 Arlington St Ste 6, Ada, OK 74820 2018-06-17
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609408426 Mitchell Robert Bond Student in an Organized Health Care Education/Training Program 7944 Heather Knls Se, Ada, MI 49301-9203 2020-02-10
1013407105 Mohammad-asad Buksh Ilahi Student in an Organized Health Care Education/Training Program 7768 Thornapple Club Dr Se, Ada, MI 49301-9428 2018-05-14
1538676879 Harman Kaur Student in an Organized Health Care Education/Training Program 4520 Quail Ridge Ct Ne, Ada, MI 49301-8506 2018-01-09
1265949549 Lauren Clark Student in an Organized Health Care Education/Training Program 9801 Fulton St E, Ada, MI 49301-8915 2018-01-08
1578987541 Logan Faye Anderson Student in an Organized Health Care Education/Training Program 7422 County Road 1480, Ada, OK 74820-0531 2014-02-12
1972125706 Ana Nguyen Phan Student in an Organized Health Care Education/Training Program 1921 Stonecipher Dr, Ada, OK 74820-3439 2020-05-14
1053931840 Eric Vincent Harris Student in an Organized Health Care Education/Training Program 1921 Stonecipher Dr, Ada, OK 74820-3439 2020-04-21
1720632771 Dylan Davis Smith Student in an Organized Health Care Education/Training Program 1921 Stonecipher Dr, Ada, OK 74820-3439 2019-07-29
1619537784 Ying Tang Student in an Organized Health Care Education/Training Program 1921 Stonecipher Dr, Ada, OK 74820-3439 2019-06-19
1891352274 Alexander Jacob Risenhoover Student in an Organized Health Care Education/Training Program 1921 Stonecipher Dr, Ada, OK 74820-3439 2019-05-21
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Competitor

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City ADA
Zip Code 74820

Improve Information

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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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