ANGELA SHAW (NPI# 1992886824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992886824 |
| Entity Type | Individual |
| Full Name | ANGELA SHAW |
| Practice Address |
1001 N Country Club Rd Ada OK 74820-2847 |
| Practice Telephone | 5804214570 |
| Practice Fax Number | 5804216283 |
| Mailing Telephone | 5804214570 |
| Mailing Fax Number | 5804216283 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 6949 | OK | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | OK LICENSE | 6949 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518466077 | Angela Marie Shaw | Physician Assistant | 3550 N Lake Shore Dr Apt 510, Chicago, IL 60657-1920 | 2018-02-09 |
| 1851803209 | Angela Greenwald Shaw | Speech-Language Pathologist | 922 Myrtle Ave, Dixon, IL 61021-1430 | 2017-10-25 |
| 1023418894 | Angela Shaw | Dentist | 9961 East Valley Blvd., Suite E, El Monte, CA 91731-1053 | 2014-08-29 |
| 1881925923 | Angela Mae Shaw | Registered Nurse | 224 Harmon St Sw, North Canton, OH 44720-3063 | 2010-01-28 |
| 1639730013 | Angela M Shaw | Nurse Practitioner | 4757 S 7th St, Terre Haute, IN 47802-4559 | 2019-06-26 |
| 1104304864 | Angela F Shaw | Licensed Vocational Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2018-08-03 |
| 1033567649 | Angela Shaw | Social Worker | 250 North Ave, Athens, GA 30601-2244 | 2016-05-25 |
| 1033531991 | Angela Shaw | Counselor | 635 N Main St, Wichita, KS 67203-3602 | 2014-01-13 |
| 1316372071 | Angela L Shaw | Registered Nurse | 2233 W Parnall Rd, Jackson, MI 49201-9000 | 2013-09-12 |
| 1558612382 | Angela Marie Shaw | Pediatrics | 800 Rose St, Lexington, KY 40536-4009 | 2012-09-19 |
| Street Address |
1001 N COUNTRY CLUB RD |
| City | ADA |
| State | OK |
| Zip Code | 74820-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164408928 | Clint Forrest | Physician Assistant | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2005-12-22 |
| 1184940926 | Bobby Saunkeah | Registered Nurse | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2010-04-19 |
| 1689810376 | Linda Lewis | Counselor | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2008-12-30 |
| 1053557736 | Shannon Treat | Counselor | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2008-12-30 |
| 1558507244 | Joan Garvin | Counselor | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2008-12-30 |
| 1487899704 | Lesli Barrett | Physical Medicine & Rehabilitation | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2008-12-16 |
| 1770788408 | Lyn Page | Dentist | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2007-06-21 |
| 1164641825 | Jenny Simon | Physician Assistant | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2007-04-24 |
| 1992839211 | Melissa Gayle Vavricka-conaway | Dietitian, Registered | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2007-03-16 |
| 1578627824 | Troy Caldwell | Anesthesiology | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770655292 | Joni Thomas | Pharmacy Technician | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2006-11-14 |
| 1013088616 | Tanya Hatter | Pharmacy Technician | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2006-11-13 |
| 1871664318 | Tara Stick | Pharmacy Technician | 1007 N Country Club Rd, Ada, OK 74820-2847 | 2006-11-13 |
| 1922189810 | Laura Prince | Pharmacy Technician | 1007 N Country Club Rd, Ada, OK 74820-2847 | 2006-10-18 |
| 1528149440 | Glenene Ruth | Pharmacy Technician | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2006-10-18 |
| 1609956366 | Tami Davis | Pharmacy Technician | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2006-10-17 |
| 1922188515 | Angie Estep | Pharmacy Technician | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2006-10-17 |
| 1760563050 | Dolores Higdon | Pharmacy Technician | 1007 N Country Club Rd, Ada, OK 74820-2847 | 2006-10-17 |
| 1316027923 | Ronda Futischa | Pharmacy Technician | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2006-10-17 |
| 1285715573 | Sheila Matthews | Pharmacy Technician | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2006-10-17 |
| Find all providers in ADA | ||||
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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.