FOUNDATION BARIATRIC HOSPITAL OF OKLAHOMA (NPI# 1972646503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972646503 |
| Entity Type | Organization |
| Organization Name | FOUNDATION BARIATRIC HOSPITAL OF OKLAHOMA |
| Practice Address |
1800 Renaissance Blvd Edmond OK 73013-3023 |
| Mailing Address |
Po Box 20553 Oklahoma City OK 73156-0553 |
| Practice Telephone | 4053592481 |
| Practice Fax Number | 4053592487 |
| Mailing Telephone | 4053592481 |
| Mailing Fax Number | 4053592487 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAMES RILEY KELLER (DIRECTOR, BEHAVIORAL HEALTH) |
| Authorized Official Telephone | 4053592481 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
854 | OK | Behavioral Health & Social Service Providers |
| Street Address |
1800 RENAISSANCE BLVD |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-3023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770587636 | Toby D Broussard | Surgery | 1800 Renaissance Blvd, 2nd Floor, Edmond, OK 73013-3023 | 2005-06-09 |
| 1083273932 | Jennifer Wu | Registered Nurse | 1800 Renaissance Blvd, Edmond, OK 73013-3023 | 2019-06-12 |
| 1003354689 | Memorial Hospital of Texas County Authority | Orthopaedic Surgery | 1800 Renaissance Blvd, Second Floor Tower, Suite 210, Edmond, OK 73013-3023 | 2017-02-03 |
| 1184179988 | Zeiders Orthopedics Pllc | Orthopaedic Surgery | 1800 Renaissance Blvd, Suite 210, Edmond, OK 73013-3023 | 2016-08-22 |
| 1437492436 | Melisa Weaver Aprn - Cnp Pllc | Nurse Practitioner | 1800 Renaissance Blvd, Suite 200, Edmond, OK 73013-3023 | 2013-03-28 |
| 1881935922 | Sheridan Anesthesia Services of Oklahoma, Inc | Anesthesiology | 1800 Renaissance Blvd, Edmond, OK 73013-3023 | 2013-03-14 |
| 1740578103 | Dianne Genene Tupper | Registered Nurse | 1800 Renaissance Blvd, Edmond, OK 73013-3023 | 2011-07-19 |
| 1225260565 | Jim R. Keller, Ph.d., Specialists In Psychological Counseling & Consul | Psychologist | 1800 Renaissance Blvd, 2nd Floor, Edmond, OK 73013-3023 | 2009-08-20 |
| 1982838876 | Jennifer Marie Cooper | Specialist/Technologist | 1800 Renaissance Blvd, Edmond, OK 73013-3023 | 2009-05-07 |
| 1821231929 | Tupper Orthopedics Pllc | Orthopaedic Surgery | 1800 Renaissance Blvd, Suite 200, Edmond, OK 73013-3023 | 2009-04-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497187215 | Diane Yvonne Genther | Psychologist | 100 N University Dr., 402, Uco Student Counseling, Nigh University Center, Edmond, OK 73034-5209 | 2013-08-02 |
| 1952647406 | Billy Van Ray | Psychologist | 2925 Berkley Dr, Edmond, OK 73034-4153 | 2013-01-02 |
| 1922036037 | Gloria L So-lloyd | Psychologist | 849 E 33rd St, Edmond, OK 73013-5407 | 2006-06-29 |
| 1427395904 | Katherine Jean Ray | Psychologist | 2925 Berkley Dr, Edmond, OK 73034-4153 | 2013-01-03 |
| 1225260565 | Jim R. Keller, Ph.d., Specialists In Psychological Counseling & Consul | Psychologist | 1800 Renaissance Blvd, 2nd Floor, Edmond, OK 73013-3023 | 2009-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267965 | Oklahoma Counseling Professionals | Psychologist | 2123 Sw 119th St Ste B, Oklahoma City, OK 73170-3440 | 2019-10-23 |
| 1366090680 | Jason K. White, Ph.d., LLC | Psychologist | 807 S. Pine St., Stillwater, OK 74074 | 2019-08-29 |
| 1386096659 | Thomas Collins | Psychologist | 333 W Michael Dr, Midwest City, OK 73110-3319 | 2016-07-11 |
| 1164887170 | Suzan B. Simmons, Ph.d,,pllc | Psychologist | 1916 Lake Rd, Ponca City, OK 74604-4800 | 2015-12-17 |
| 1760882807 | Janet Marie Mcmahan | Psychologist | 53479 Cut Off Rd, Talihina, OK 74571-2371 | 2014-08-26 |
| 1790196202 | Peter Rausch | Psychologist | 735 N. Foreman St., Vinita, OK 74301 | 2014-05-19 |
| 1235556911 | Christopher Bowles | Psychologist | 1613 King Dr, Apartment 721, Bartlesville, OK 74006-4939 | 2014-03-19 |
| 1861839367 | Candace Dawn Marzett | Psychologist | 2213 N Zenith Ave, Tulsa, OK 74127-2234 | 2013-05-24 |
| 1700126588 | Margaret Lee Zingman | Psychologist | 204 W 8th St, Chandler, OK 74834-2604 | 2013-02-15 |
| 1346594546 | Julie Koch | Psychologist | 418 Willard Hall, Stillwater, OK 74078-1001 | 2012-11-09 |
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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.