DR. OMER RAYMOND NUNLEY JR. (NPI# 1962425983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962425983 |
| Entity Type | Individual |
| Full Name | DR. OMER RAYMOND NUNLEY JR. |
| Credential | MD |
| Practice Address |
133 N Fairland St Pryor OK 74361-4231 |
| Practice Telephone | 9188251957 |
| Practice Fax Number | 9188256930 |
| Mailing Telephone | 9188251957 |
| Mailing Fax Number | 9188256930 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2014-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 9809 | OK | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 9809 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100117040B | 05 |
| Street Address |
133 N FAIRLAND ST |
| City | PRYOR |
| State | OK |
| Zip Code | 74361-4231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629003801 | Delores Jane Voth | Nurse Practitioner | 133 N Fairland St, Pryor, OK 74361-4232 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740787928 | Ahs Pryor Hospital, LLC | Clinic/Center | 1301 Ne 1st St Ste 400, Pryor, OK 74361 | 2018-04-12 |
| 1073029310 | Amber Bowman | Registered Nurse | 109 N. Fairland, Pryor, OK 74361 | 2017-12-22 |
| 1922361096 | Crystal Noel Parrett | Counselor | 215 N. Fairland, Pryor, OK 74361 | 2012-06-22 |
| 1447516703 | Rocky Mountain Holdings LLC | Ambulance | 591 Airport Rd, Pryor, OK 74361 | 2012-04-11 |
| 1356673180 | Tressa Fern Rice | Speech-Language Pathologist | 510 S. Elliott St. Suite C, Mayes County Speech Therapy, Pryor, OK 74361 | 2010-02-04 |
| 1083945208 | Ladena Carol Moore | Counselor | 212 S E 1st, Pryor, OK 74361 | 2010-01-28 |
| 1164753323 | Anita K Sanders | Counselor | 212 Se 1st, Pryor, OK 74361 | 2010-01-27 |
| 1619203775 | Sandra Kay Runnells | Psychologist | 109 South Fairland, Suite 101, Pryor, OK 74361 | 2009-10-26 |
| 1972838969 | Ramona L Whitehurst | Advanced Practice Midwife | 1400 Willow Road, Pryor, OK 74361 | 2009-10-08 |
| 1396971297 | Shauna Leann Jackson | Speech-Language Pathologist | 510 S. Elliott, Suite C, Pryor, OK 74361 | 2009-06-05 |
| Find all providers in zip 74361 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235302555 | S Bar D, Inc. | Family Medicine | 109 N Fairland St Ste 109, Pryor, OK 74361-4225 | 2008-04-08 |
| 1245244359 | Mary Wade Martin | Family Medicine | 211 S Mill St, Pryor, OK 74361-5221 | 2006-07-27 |
| 1699216549 | Joshua A Redmond | Family Medicine | 1301 Ne 1st St, Pryor, OK 74361-8850 | 2017-03-11 |
| 1316293020 | Mayes County Hmpn, LLC | Family Medicine | 1301 Ne 1st St, Suite 400, Pryor, OK 74361-8850 | 2012-07-31 |
| 1124399233 | Mayes County Hmpn, LLC | Family Medicine | 1301 Ne 1st St, Pryor, OK 74361-8850 | 2012-01-20 |
| 1831382472 | Joy Family Medicine | Family Medicine | 109 N Fairland St, Suite 105, Pryor, OK 74361-4203 | 2007-08-27 |
| 1699830935 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 562 S Elliott St, Pryor, OK 74361-6411 | 2006-12-27 |
| 1821153164 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 562 S Elliott St, Pryor, OK 74361-6411 | 2006-12-27 |
| 1245394865 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 562 S Elliott St, Pryor, OK 74361-6411 | 2006-12-20 |
| 1649343427 | Christopher J Delong | Family Medicine | 111 N Bailey St, Pryor, OK 74361-4201 | 2006-11-17 |
| Find all providers in PRYOR | ||||
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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.