TARA MIRANDA LEWIS (NPI# 1962682104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962682104 |
| Entity Type | Individual |
| Full Name | TARA MIRANDA LEWIS |
| Other Name | TARA MIRANDA WADE |
| Credential | P.A.-C |
| Practice Address |
108 S 5th St Ringling OK 73456-6124 |
| Mailing Address |
Po Box 96 Ringling OK 73456-0096 |
| Practice Telephone | 5806622316 |
| Mailing Telephone | 5806622316 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2017-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1659 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366089252 | Tara Christeen Lewis | Student in an Organized Health Care Education/Training Program | 5901 N Lidgerwood St Ste 115, Spokane, WA 99208-1122 | 2019-12-10 |
| 1982135349 | Tara Clare Lewis | Emergency Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2017-03-27 |
| 1437553898 | Tara Lewis | Nurse Practitioner | 2020 Santa Monica Blvd, Suite Number 600, Santa Monica, CA 90404-2023 | 2014-10-14 |
| 1902045206 | Tara Lewis | Nurse Anesthetist, Certified Registered | 81 Ball Park Rd, Harlan, KY 40831-1701 | 2009-02-10 |
| 1427107531 | Tara Marie Lewis | Nurse Practitioner | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2007-01-09 |
| 1407899701 | Tara L. Lewis | Physical Therapist | 11855 Ulysses St Ne, Blaine, MN 55434-3947 | 2006-06-14 |
| Street Address |
108 S 5TH ST |
| City | RINGLING |
| State | OK |
| Zip Code | 73456-6124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942737374 | Kimberly Davis | Nurse Practitioner | 108 S 5th St, Ringling, OK 73456 | 2017-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740357011 | Mercy Health Network of The Southern Region, Inc. | Internal Medicine | 103 W Main, Ringling, OK 73456 | 2006-11-29 |
| 1164479408 | Gregory Raymond Favorite | Physician Assistant | 103 W Main Street, Ringling, OK 73456 | 2006-05-30 |
| 1598848541 | Moore Drug Store Inc | Durable Medical Equipment & Medical Supplies | 101 W Main, Ringling, OK 73456 | 2006-10-23 |
| 1700323870 | Duncan Regional Hospital Inc | Clinic/Center | 108 S. 5th Street, Ringling, OK 73456-0096 | 2017-01-26 |
| 1427076074 | Jefferson County Healthcare Authority | Clinic/Center | 502 South 6th Street, Ringling, OK 73456-0096 | 2006-07-18 |
| 1811226152 | William Steve Rapier | Counselor | 320 S 4th, Ringling, OK 73456-0364 | 2009-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700323870 | Duncan Regional Hospital Inc | Clinic/Center | 108 S. 5th Street, Ringling, OK 73456-0096 | 2017-01-26 |
| 1740357011 | Mercy Health Network of The Southern Region, Inc. | Internal Medicine | 103 W Main, Ringling, OK 73456 | 2006-11-29 |
| 1427076074 | Jefferson County Healthcare Authority | Clinic/Center | 502 South 6th Street, Ringling, OK 73456-0096 | 2006-07-18 |
| 1164479408 | Gregory Raymond Favorite | Physician Assistant | 103 W Main Street, Ringling, OK 73456 | 2006-05-30 |
| 1942737374 | Kimberly Davis | Nurse Practitioner | 108 S 5th St, Ringling, OK 73456 | 2017-05-16 |
| 1811226152 | William Steve Rapier | Counselor | 320 S 4th, Ringling, OK 73456-0364 | 2009-12-16 |
| 1598848541 | Moore Drug Store Inc | Durable Medical Equipment & Medical Supplies | 101 W Main, Ringling, OK 73456 | 2006-10-23 |
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164479408 | Gregory Raymond Favorite | Physician Assistant | 103 W Main Street, Ringling, OK 73456 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326496 | Courtland Henderson | Physician Assistant | 2614 Wagon Trl, Enid, OK 73703-1630 | 2020-11-03 |
| 1013517168 | Madeleine Hill | Physician Assistant | 5304 N Hudson Ave, Oklahoma City, OK 73118-6232 | 2020-10-28 |
| 1851990097 | Lauren Heim | Physician Assistant | 7324 Bucks Xing, Edmond, OK 73034-3520 | 2020-10-19 |
| 1003414673 | Stephanie Ann Stephens | Physician Assistant | 5021 Eric Dr, Oklahoma City, OK 73135-4129 | 2020-10-15 |
| 1508464355 | Lauren Danielle Ukleya | Physician Assistant | 1315 Chisholm Trail Pkwy Ste A, Duncan, OK 73533-1544 | 2020-10-14 |
| 1598362964 | Madison Kitchens | Physician Assistant | 471688 Ok-51, Stilwell, OK 74960 | 2020-10-07 |
| 1689271041 | Maissa Baker Mitwalli | Physician Assistant | 700 S Desert Palm Ave, Broken Arrow, OK 74012-8815 | 2020-10-07 |
| 1730705229 | Jenna Specht | Physician Assistant | 2501 N 14th St, Ponca City, OK 74601-1734 | 2020-06-19 |
| 1477176147 | April Dawn Sullivan | Physician Assistant | 1111 Walnut Dr, Ardmore, OK 73401-2354 | 2020-05-28 |
| 1497384754 | Leah Cannady Hester | Physician Assistant | 3145 Midland Valley St, Norman, OK 73069-6970 | 2020-04-07 |
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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.