MAURICE UPSHAW JR. (NPI# 1992017420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992017420 |
| Entity Type | Individual |
| Full Name | MAURICE UPSHAW JR. |
| Practice Address |
3035 Nw 63rd St Ste 201n Oklahoma City OK 73116-3606 |
| Mailing Address |
4641 Woodland Blvd Apt 217 Oklahoma City OK 73105-6830 |
| Practice Telephone | 4058428801 |
| Mailing Telephone | 4058243358 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
3035 NW 63RD ST STE 201N |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73116-3606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1861058877 | Dental Depot of 63rd & Nw Expressway, Pllc | Clinic/Center | 4025 Nw 63rd Street, Oklahoma City, OK 73116 | 2019-05-15 |
| 1073001756 | Oklahoma Clinical Management LLC | Prevention Professional | 4301 Nw 63rd St Ste 107, Oklahoma City, OK 73116 | 2018-04-27 |
| 1235658261 | Heinen Physical Therapy, PC | Clinic/Center | 7710 N May Ave, Oklahoma City, OK 73116 | 2017-09-11 |
| 1235657842 | Jacque S Komers | Counselor | 6501 N Broadway Ext Suite 180, Oklahoma City, OK 73116 | 2017-09-04 |
| 1164943874 | Jo Ann Cole-johnson | Counselor | 6505 N. Shawnee Ave, Oklahoma, OK 73116 | 2017-07-03 |
| 1548790793 | Zachary Wayne Skates | Case Manager/Care Coordinator | North 6501 Broadway Extention Highway #180, Oklahoma City, OK 73116 | 2017-06-19 |
| 1548622673 | Jessica Defiore | Case Manager/Care Coordinator | 6501 N Broadway Extension, Oklahoma City, OK 73116 | 2016-03-28 |
| 1093173247 | Patrice Ann Cook | Specialist/Technologist, Other | 7700 N. Hudson Ave, Suite Number 9, Oklahoma City, OK 73116 | 2016-02-03 |
| 1467880708 | Abrina Marie Kneeland | Occupational Therapy Assistant | 6525 N. Meridian #311, Therapists Unlimited Division of Career Staff, Oklahoma City, OK 73116 | 2013-10-24 |
| Find all providers in zip 73116 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932634789 | Suboxone Solutions LLC | Specialist | 10813 N Macarthur Blvd Ste W, Oklahoma City, OK 73162-6904 | 2017-04-28 |
| 1245656461 | Chris Kunkel | Specialist | 2900 Purdue Dr, Oklahoma City, OK 73128-5808 | 2014-03-12 |
| 1235554338 | Megan Peters | Specialist | 8521 N Eastern Ave, Oklahoma City, OK 73131-4031 | 2014-02-26 |
| 1821332438 | Tsa Eshelle King | Specialist | 1330 N Classen Blvd Ste 307, Oklahoma City, OK 73106-6834 | 2012-11-20 |
| 1841542859 | Tempest Johann Johnson | Specialist | 1210 Sw 77th Ter, Oklahoma City, OK 73139-2439 | 2012-10-15 |
| 1861753956 | Rickey Lee Great | Specialist | 834 Ne 36th St, Oklahoma City, OK 73105-7206 | 2012-06-05 |
| 1154689487 | Connie L Burch | Specialist | 3112 Nw Expressway Apt 115, Oklahoma City, OK 73112-4016 | 2012-04-24 |
| 1437433125 | Virginia Parrish | Specialist | 222 E Sheridan Ave, Oklahoma City, OK 73104-4233 | 2011-09-29 |
| 1356650675 | Richard C. Greyson, M.d., A Professional Corporation | Specialist | 1110 N Classen Blvd Ste 301, Oklahoma City, OK 73106-6842 | 2010-10-04 |
| 1417189721 | Stephanie Hunt | Specialist | 4120 N Portland Ave, Oklahoma City, OK 73112-6311 | 2009-08-20 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73116 |
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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.