SAMUEL ISAAC BETHEA (NPI# 1992193676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992193676 |
| Entity Type | Individual |
| Full Name | SAMUEL ISAAC BETHEA |
| Credential | PA-C |
| Practice Address |
1110 W Will Rogers Blvd Claremore OK 74017 |
| Mailing Address |
2488 E 81st St Ste 290 Tulsa OK 74137-4265 |
| Practice Telephone | 9183610600 |
| Practice Fax Number | 9184949355 |
| Mailing Telephone | 9189273737 |
| Mailing Fax Number | 9189273193 |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2020-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2431 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200570050A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2488 E 81st St Ste 290, Tulsa, OK 741374265 | 9184942665 | 9189273201 |
| Street Address |
1110 W WILL ROGERS BLVD |
| City | CLAREMORE |
| State | OK |
| Zip Code | 74017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518967561 | Steven R Hardage | Family Medicine | 1110 W Will Rogers Blvd, Claremore, OK 74017 | 2005-07-29 |
| 1588196471 | Tulsa Mri LLC | Radiology | 1110 W Will Rogers Blvd, Claremore, OK 74017-5421 | 2017-03-30 |
| 1790014199 | Rachel Purdum | Specialist/Technologist | 1110 W Will Rogers Blvd, Claremore, OK 74017-5421 | 2009-12-14 |
| 1285897363 | Erin Ryan Newsome | Physical Therapist | 1110 W Will Rogers Blvd, Claremore, OK 74017-5421 | 2008-07-08 |
| 1174733000 | Clara Denise Vance | Physical Therapist | 1110 W Will Rogers Blvd, Claremore, OK 74017-5421 | 2007-05-22 |
| 1174686414 | Debra Susan Mccollum | Occupational Therapist | 1110 W Will Rogers Blvd, Claremore, OK 74017-5567 | 2006-12-18 |
| 1164501789 | Eva Laurinda Romaine | Physical Therapist | 1110 W Will Rogers Blvd, Claremore, OK 74017-5567 | 2006-11-03 |
| 1619076684 | Summit Physical Therapy and Rehab Inc | Physical Therapist | 1110 W Will Rogers Blvd, Claremore, OK 74017-5421 | 2006-09-22 |
| 1710964499 | Bret A Mcguire | Physical Therapist | 1110 W Will Rogers Blvd, Claremore, OK 74017-5421 | 2005-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763127 | Randye Knott | Physical Therapist | 99224 S. Brady St. Suite 109, Claremore, OK 74017 | 2020-06-08 |
| 1538794854 | Katie Ann Osburn | Peer Specialist | 12005 E 490 Rd, Claremore, OK 74017 | 2020-03-06 |
| 1174185144 | Jamie Lynn Bell | Dentist | 1222 N. Florence Ave, Claremore, OK 74017 | 2019-07-01 |
| 1508326877 | Cheri L Doyle | Social Worker | Foundation Behavioral Health, 1218 N Florence Ave Suite 1218b, Claremore, OK 74017 | 2019-03-22 |
| 1487144374 | Kimberly Gale Henry | Case Manager/Care Coordinator | 16305 E Grand Meadow Dr., Claremore, OK 74017 | 2018-05-16 |
| 1912449836 | Katie Jentry Greenwell | Case Manager/Care Coordinator | 423 N. Seminole, Claremore, OK 74017 | 2016-11-09 |
| 1598219347 | Spring Dental Claremore | Dentist | 504 S. Lynn Riggs Blvd., Ste #100, Claremore, OK 74017 | 2016-08-10 |
| 1811366701 | Alonna Adair-triplett | Registered Nurse | 101 S. Moore, Claremore, OK 74017 | 2015-09-21 |
| 1992135719 | Jordan Nicole Martin | Behavioral Analyst | 24797 Oklahoma 66, Claremore, OK 74017 | 2013-11-14 |
| 1992059398 | Wood Manor, Inc. | Alzheimer Center (Dementia Center) | 2800 N. Hickory, Claremore, OK 74017 | 2012-11-07 |
| Find all providers in zip 74017 | ||||
| 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 |
|---|---|---|---|---|
| 1467919886 | Elizabeth Lee | Physician Assistant | 9443 E Aspenwood Dr, Claremore, OK 74019-0832 | 2019-02-21 |
| 1073836235 | Curtis Ceasar Martinez | Physician Assistant | 201 E Will Rogers Blvd, Claremore, OK 74017-7452 | 2010-03-02 |
| 1154392702 | Tamme Marie Saffa | Physician Assistant | 17599 S Hwy 88, Glmhc, Claremore, OK 74017-0801 | 2006-01-31 |
| 1396739264 | Lee Ann Habben | Physician Assistant | 2990 N Sioux Ave, Claremore, OK 74017-3700 | 2005-09-07 |
| 1003271974 | Oklahoma Em-i Medical Services PC | Physician Assistant | 1202 N Muskogee Pl, Claremore, OK 74017-3058 | 2015-12-21 |
| 1265839195 | Hhs Medical Services PC | Physician Assistant | 1202 N Muskogee Pl, Claremore, OK 74017-3058 | 2014-11-20 |
| 1790108132 | Kadilyn Hourigan | Physician Assistant | 2990 N Sioux Ave, Claremore, OK 74017-3700 | 2014-01-21 |
| 1730478298 | James Russell Utt | Physician Assistant | 1501 N Florence Ave, Ste 350, Claremore, OK 74017-3179 | 2011-04-05 |
| 1073848065 | Johnna Packer | Physician Assistant | 17599 S Highway 88, Stabilization Center, Claremore, OK 74018-0801 | 2009-10-08 |
| 1407914252 | Pauline Cia Dolton | Physician Assistant | 1910 S Falcon Ave, Claremore, OK 74019 | 2006-12-05 |
| Find all providers in CLAREMORE | ||||
Please comment or provide details below to improve the information on SAMUEL ISAAC BETHEA.
| 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.