STEPHEN C KLAASSEN (NPI# 1013536325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013536325 |
| Entity Type | Individual |
| Full Name | STEPHEN C KLAASSEN |
| Practice Address |
913 S Umbrella Cir Broken Arrow OK 74012-4555 |
| Practice Telephone | 9189786269 |
| Mailing Telephone | 9189786269 |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
913 S UMBRELLA CIR |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-4555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376159731 | Omar Fakhr | Student in an Organized Health Care Education/Training Program | 4213 W Greeley St, Broken Arrow, OK 74012-0612 | 2020-09-21 |
| 1932720737 | Brent Hickman | Student in an Organized Health Care Education/Training Program | 30242 E 69th Pl S, Broken Arrow, OK 74014-5481 | 2020-05-03 |
| 1588285969 | Kelson Shaun Goins | Student in an Organized Health Care Education/Training Program | 3000 S Nyssa Ave, Broken Arrow, OK 74012-7678 | 2020-04-27 |
| 1750926960 | Kaitlyn Edmondson | Student in an Organized Health Care Education/Training Program | 4109 S Redwood Ave, Broken Arrow, OK 74011-1475 | 2019-11-12 |
| 1750841029 | Jacob Austin Ruzicka | Student in an Organized Health Care Education/Training Program | 7 River Ridge Rd, Broken Arrow, OK 74014-4502 | 2019-03-22 |
| 1184165557 | Andrea Kinkeade | Student in an Organized Health Care Education/Training Program | 521 E Fort Worth Dr, Broken Arrow, OK 74012-4314 | 2017-03-17 |
| 1124479324 | Amanda Nicole Knittel | Student in an Organized Health Care Education/Training Program | 1105 N 31st St, Broken Arrow, OK 74014-1886 | 2016-06-29 |
| 1841629797 | Olajumoke Beulah Adigun | Student in an Organized Health Care Education/Training Program | 1820 W Gulfport St, Broken Arrow, OK 74011-4238 | 2013-11-01 |
| 1487944104 | Lauren Kimberly Conway | Student in an Organized Health Care Education/Training Program | 2021 E Concord St, Broken Arrow, OK 74012-9637 | 2011-04-14 |
| 1639665482 | Carrol Smith | Student in an Organized Health Care Education/Training Program | 8937 S Garnett Rd, Broken Arrow, OK 74012-6018 | 2018-07-05 |
| Find all providers in BROKEN ARROW | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
Please comment or provide details below to improve the information on STEPHEN C KLAASSEN.
| 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.