MISSION PHYSICIAN SERVICES OF CALIFORNIA, LLC (NPI# 1033429436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033429436 |
| Entity Type | Organization |
| Organization Name | MISSION PHYSICIAN SERVICES OF CALIFORNIA, LLC |
| Practice Address |
3220 S Peoria Ave Ste 101 Tulsa OK 74105-2006 |
| Practice Telephone | 9187704441 |
| Practice Fax Number | 9187129880 |
| Mailing Telephone | 9187704441 |
| Mailing Fax Number | 9187129880 |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-12-27 |
| Authorized Official Name | MR. KEVIN M. WEBB (PRESIDENT) |
| Authorized Official Telephone | 9187704441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
3220 S PEORIA AVE STE 101 |
| City | TULSA |
| State | OK |
| Zip Code | 74105-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255641650 | Mission Physician Services of Hawaii, LLC | General Practice | 3220 S Peoria Ave Ste 101, Tulsa, OK 74105-2006 | 2010-10-19 |
| 1952611378 | Mission Physician Services of Oklahoma, LLC | General Practice | 3220 S Peoria Ave Ste 101, Tulsa, OK 74105-2006 | 2010-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208817 | Op Pharmacy LLC | Pharmacy | 2865 E. Skelly Dr., Ste 225, Tulsa, OK 74105 | 2020-09-08 |
| 1114560554 | Secure Interpretation, LLC | Neurological Surgery | 5561 South Lewis Ave, Tulsa, OK 74105 | 2019-10-17 |
| 1629547286 | Kealey Jordan Oliver | Occupational Therapist | 3223 E. 31st Steet, Tulsa, OK 74105 | 2018-11-13 |
| 1265915631 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3516 S Peoria Ave, Tulsa, OK 74105 | 2018-09-12 |
| 1235635277 | Brenda Kay Sanders | Speech-Language Pathologist | 4911 S Detroit Ave, Tulsa, OK 74105 | 2018-03-30 |
| 1417400771 | Caroline Hunter Heineck | Speech-Language Pathologist | 3223 E. 31st St., Tulsa, OK 74105 | 2016-08-03 |
| 1437509544 | Reliance Care Health Services LLP | Home Health | 5810 S. Peoria Avenue, Tulsa, OK 74105 | 2016-06-20 |
| 1578921748 | Latisha Henderson | Case Manager/Care Coordinator | 3015 E. Skelly Drive, Suite 103, Tulsa, OK 74105 | 2016-02-03 |
| 1326424573 | Evelyn J Fennell | Nurse's Aide | 1143 E 57th Place, Tulsa, OK 74105 | 2015-08-10 |
| 1255717757 | Rebecca Ann Hughes | Dentist | 3150 E 41st St Ste 131, Tulsa, OK 74105 | 2015-08-06 |
| Find all providers in zip 74105 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992347355 | Next Level Primary Care, Pllc | Family Medicine | 8905 E 34th St, Tulsa, OK 74145-3403 | 2019-10-16 |
| 1740751445 | Ernest Kaara Maina | Family Medicine | 3606 M.l.k. Jr Blvd, Tulsa, OK 74106 | 2018-12-07 |
| 1801373659 | Hygiea Healthcare Solutions, Inc. | Family Medicine | 7220 E 41st St, Tulsa, OK 74145-4504 | 2018-07-24 |
| 1760970875 | Antidote Medical Partners LLC | Family Medicine | 9220 S Toledo Ct Ste B, Tulsa, OK 74137-2745 | 2018-04-24 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1992224349 | Elite Family Medicine LLC | Family Medicine | 3336 E 32nd St Ste 205, Tulsa, OK 74135-4454 | 2017-09-18 |
| 1881114874 | Care Driven Senior Care, Pllc | Family Medicine | 5821 E 46th St, Tulsa, OK 74135-6830 | 2017-06-21 |
| 1346779816 | Herman Gonzalez | Family Medicine | 1919 S Wheeling Ave, Lower Level, Bernsen Medical Plaza Suite 100, Tulsa, OK 74104-5420 | 2017-06-08 |
| 1003343831 | Robert Capehart | Family Medicine | 1110 E 18th St, Tulsa, OK 74120-7409 | 2017-05-11 |
| Find all providers in TULSA | ||||
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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.