HOMESTEAD ALLERGY LLC (NPI# 1962892224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962892224 |
| Entity Type | Organization |
| Organization Name | HOMESTEAD ALLERGY LLC |
| Other Organization Name | HOMESTEAD ALLERGY |
| Practice Address |
222 N Main St Bristow OK 74010-2408 |
| Mailing Address |
Po Box 839 Bristow OK 74010-0839 |
| Practice Telephone | 9183676533 |
| Practice Fax Number | 9183676544 |
| Mailing Telephone | 9183676533 |
| Mailing Fax Number | 9183676544 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |
| Authorized Official Name | RICHARD W SCHAFER (OWNER) |
| Authorized Official Telephone | 9189601751 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
OH | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Homestead Allergy | Doing Business As Name - Organization |
| Street Address |
222 N MAIN ST |
| City | BRISTOW |
| State | OK |
| Zip Code | 74010-2408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164411526 | Richard Wright Schafer | Family Medicine | 222 N Main St, 300 N Main St, Bristow, OK 74010-2408 | 2005-10-18 |
| 1750718730 | Homestead Medical Clinic Plc | Family Medicine | 222 N Main St, Bristow, OK 74010-2408 | 2013-10-04 |
| 1730158247 | Bessie L Barnes | Nurse Practitioner | 222 N Main St, Bristow, OK 74010-2408 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417291139 | Jeffrey Alan Zander | Pharmacist | 201 E. 7th Ave., Bristow, OK 74010 | 2012-11-19 |
| 1649477811 | Jaimie Ruth Tollison | Occupational Therapist | 122 W. 4th St., Bristow, OK 74010 | 2007-06-29 |
| 1730385378 | Rachel Bruner | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 27901 W Hwy 16, Bristow, OK 74010 | 2007-06-21 |
| 1053529552 | Melissa Estelle Mcbride | Physical Therapist | 122 W 4th St, Bristow, OK 74010 | 2007-05-18 |
| 1346375623 | Rebecca L Jones | Social Worker | 3614 W 109th St S, Sapulpa, OK 74010 | 2007-02-23 |
| 1760520555 | Physicians Pathology Inc | Pathology | 17936 S 273rd W Ave, Bristow, OK 74010 | 2007-02-02 |
| 1023178332 | Daniel D Fields | Family Medicine | 700 West 7th Street, Suite 6, Bristow, OK 74010 | 2006-12-11 |
| 1780601328 | Bristow Dental Designs | Dentist | 121 N Main, Bristow, OK 74010 | 2006-07-17 |
| 1750368783 | Frank Deuel Chapman | Family Medicine | 17 Meadowhill, Bristow, OK 74010 | 2005-12-30 |
| 1508864471 | Rainbow Management LLC | Skilled Nursing Facility | 111 E. Washington Ave, Bristow, OK 74010 | 2005-07-13 |
| Find all providers in zip 74010 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033420138 | Us Morningstar LLC | Allergy & Immunology | 102 W Eufaula St, Suite G, Norman, OK 73069-5619 | 2010-06-24 |
| 1801926647 | Muskogee Allergy Clinic | Allergy & Immunology | 3316 West Okmulgee Street, Muskogee, OK 74401 | 2007-03-07 |
| 1104856749 | Paul Powen Cheng | Allergy & Immunology | 723 W Randolph Ave, Ste 6, Enid, OK 73701-3826 | 2006-07-03 |
| 1154302354 | Timothy J Nickel | Allergy & Immunology | 9311 S Mingo Rd, Tulsa, OK 74133-5702 | 2005-11-07 |
| 1003217548 | Allergy and Asthma Experts, Pllc | Allergy & Immunology | 1810 E Memorial Rd, Oklahoma City, OK 73131-1250 | 2014-09-15 |
| 1982827390 | Allergy & Asthma Clinic of Green Country | Allergy & Immunology | 224 Se Debell Ave, Bartlesville, OK 74006-2305 | 2007-04-11 |
| 1538270954 | Allergy Clinic of Tulsa, Inc. | Allergy & Immunology | 9311 S Mingo Rd, Tulsa, OK 74133-5702 | 2006-08-31 |
| 1306808928 | Martha M Tarpay | Allergy & Immunology | 4200 W Memorial Rd, Suite 206, Oklahoma City, OK 73120-9350 | 2006-04-06 |
| 1518926112 | Edward Elias Murphy IIi | Allergy & Immunology | 535 Nw 9th St, Suite 300, Oklahoma City, OK 73102-1070 | 2006-03-22 |
| 1679532170 | Suzanne Renee Olive | Allergy & Immunology | 1725 E 19th St, Ste 200, Tulsa, OK 74104-5415 | 2006-03-22 |
| Find all providers with the same taxonomy | ||||
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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.