MERCY HOSPITAL TISHOMINGO, INC (NPI# 1972809002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972809002 |
| Entity Type | Organization |
| Organization Name | MERCY HOSPITAL TISHOMINGO, INC |
| Practice Address |
1000 S Byrd St Tishomingo OK 73460-3265 |
| Practice Telephone | 5803712327 |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2018-10-16 |
| Authorized Official Name | TRACY ENLOE (CFO) |
| Authorized Official Telephone | 4057523161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY HOSPITAL TISHOMINGO, INC. | 1000 S Byrd St, Tishomingo, OK 73460-3265 |
| Street Address |
1000 S BYRD ST |
| City | TISHOMINGO |
| State | OK |
| Zip Code | 73460-3265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235108168 | Laura Anne Walgren | Physician Assistant | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2006-03-14 |
| 1376036616 | Elizabeth Morgan Haddock | Physician Assistant | 1000 S Byrd St, Tishomingo, OK 73460 | 2018-06-12 |
| 1154747384 | Lighthouse Behavioral Wellness Centers | Psychiatry & Neurology | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2014-03-12 |
| 1932404431 | Mercy Hospital Tishomingo, Inc. | Clinic/Center | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2011-01-14 |
| 1578868121 | Mercy Hospital Tishomingo, Inc. | Medicare Defined Swing Bed Unit | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2011-01-12 |
| 1356544399 | Acadiana Healthcare of Oklahoma, Inc. | General Acute Care Hospital | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2007-06-07 |
| 1588875504 | Johnston County Hospital LLC | Emergency Medicine | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2007-05-24 |
| 1659305274 | Samuel Jerry Tucker | Physician Assistant | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912380742 | Lori Pigg | Speech-Language Pathologist | 508 N. Neshoba, Tishomingo, OK 73460 | 2015-06-29 |
| 1407241748 | Brittany Walker | Case Management | 850 E. Highway 22, Tishomingo, OK 73460 | 2015-04-03 |
| 1427460641 | Elizabeth Mcdonald | Counselor | 512 East 24th, Tishomingo, OK 73460 | 2014-05-22 |
| 1619387131 | Sheri Slaughter | Counselor | 102 N. Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1336559848 | Heather Marlatt | Counselor | 102 North Neshoba, Tishomingo, OK 73460 | 2014-05-06 |
| 1811231939 | Wanda Luann Beesley Gray | Emergency Medical Technician, Paramedic | 3100 E St Hwy 78, Tishomingo, OK 73460 | 2012-11-15 |
| 1497014724 | Jessica Kay Johnston | Counselor | Outpatient Services-tishomingo; 817 E. 6th St., Strong Family Development, Tishomingo, OK 73460 | 2012-05-07 |
| 1487910949 | Rhonda Gayle Harrison | Counselor | 817 E. 6th St., Medical Family Therapy, Tishomingo, OK 73460 | 2012-04-09 |
| 1265704183 | Parks Family Dental | Preferred Provider Organization | 1520 E. Main Street, Tishomingo, OK 73460 | 2012-02-08 |
| 1770852295 | Gina Marice Frazier | Social Worker | Outpatient Services- Tishomingo, 817 E. 6th St., Tishomingo, OK 73460 | 2011-12-29 |
| Find all providers in zip 73460 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588875504 | Johnston County Hospital LLC | Emergency Medicine | 1000 S Byrd St, Tishomingo, OK 73460-3265 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323891 | Derek C Hill | Emergency Medicine | 901 N Porter Avenue, Norman, OK 73071-6404 | 2020-07-17 |
| 1295359248 | Optimum Complete Care, Pllc | Emergency Medicine | 5200 E. Interstate 240 Service Rd., Oklahoma City, OK 73135 | 2020-06-05 |
| 1427693399 | Johnnie Lee Gilpen Jr. | Emergency Medicine | 7997 Alfadale St, Union City, OK 73090-6615 | 2019-11-14 |
| 1164920252 | True North Health Navigation LLC | Emergency Medicine | 2525 Nw Expressway St Ste 102, Oklahoma City, OK 73112-7200 | 2018-01-24 |
| 1376052381 | Catherine Loeffler | Emergency Medicine | 1609 Breckenridge Dr, Edmond, OK 73013-7667 | 2017-09-21 |
| 1295256162 | Andrew Phillips | Emergency Medicine | 901 N Porter Ave Ofc, Norman, OK 73071-6404 | 2017-06-30 |
| 1801329958 | Alicia Claire Hubbell | Emergency Medicine | Integris Canadian Valley Hospital, 1201 Health Center Parkway, Yukon, OK 73099-6381 | 2017-04-06 |
| 1477002277 | Marianne Bacharach, Md, Pllc | Emergency Medicine | 1905 Nw 56th Ter, Oklahoma City, OK 73118-1409 | 2016-09-22 |
| 1457715799 | John Carl Sacra | Emergency Medicine | 7911 S. Hudson Pl, Tulsa, OK 74136 | 2016-04-13 |
| 1811359607 | Healthcare Stat of Anadarko Inc | Emergency Medicine | 1503 S Mission St, Suite A, Anadarko, OK 73005-5815 | 2016-03-22 |
| Find all providers with the same taxonomy | ||||
| City | TISHOMINGO |
| Zip Code | 73460 |
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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.