MCBRIDE CLINIC INC (NPI# 1053319889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053319889 |
| Entity Type | Organization |
| Organization Name | MCBRIDE CLINIC INC |
| Practice Address |
1110 N Lee Ave Oklahoma City OK 73103-2612 |
| Mailing Address |
Po Box 268981 Oklahoma City OK 73126-8981 |
| Practice Telephone | 4052309000 |
| Mailing Telephone | 4052309000 |
| Mailing Fax Number | 4052309175 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2011-01-07 |
| Authorized Official Name | MARK GALLIART (CEO) |
| Authorized Official Telephone | 4052309000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1110 N LEE AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73103-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306840327 | Kendall Leigh Phillips | Physician Assistant | 1110 N Lee Ave, Oklahoma City, OK 73103-2612 | 2005-06-08 |
| 1871959239 | Andrew Blake Smith | Physician Assistant | 1110 N Lee Ave, Oklahoma City, OK 73103-2612 | 2016-01-14 |
| 1891925046 | Kathryn Lynne Wood | Physical Therapist | 1110 N Lee Ave, Oklahoma City, OK 73103-2612 | 2009-07-22 |
| 1629024161 | St. Anthony Midtown Ambulatory Surgery Center | Clinic/Center | 1110 N Lee Ave, Oklahoma City, OK 73103-2612 | 2006-05-26 |
| 1942260013 | Philip Sherwood Shurley | Physician Assistant | 1110 N Lee Ave, Mcbride Clinic, Inc., Oklahoma City, OK 73103-2612 | 2006-03-24 |
| 1578562864 | John Patrick Evans | Orthopaedic Surgery | 1110 N Lee Ave, Oklahoma City, OK 73103-2612 | 2005-07-19 |
| 1518966142 | Scott Loray Rose | Physician Assistant | 1110 N Lee Ave, Oklahoma City, OK 73103-2612 | 2005-07-15 |
| 1952309155 | Larry Grant Willis | Internal Medicine | 1110 N Lee Ave, Oklahoma City, OK 73103-2612 | 2005-07-12 |
| 1649278987 | Robert Fryer Hynd | Internal Medicine | 1110 N Lee Ave, Oklahoma City, OK 73103-2612 | 2005-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568946846 | Medical Center Pain Clinic, LLC | Pain Medicine | 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103 | 2018-09-21 |
| 1801321369 | Jessica Reed | Community Health Worker | 432 Nw11th St, Oklahoma City, OK 73103 | 2017-04-21 |
| 1982070975 | Retinal Care Diagnostics LLC | Ophthalmology | 1111 N Lee Ave Ste 210, Oklahoma City, OK 73103 | 2015-08-13 |
| 1316329063 | Nurturing Positive Solutions | Marriage & Family Therapist | 307 N. W. 21st Street, Oklahoma City, OK 73103 | 2015-06-18 |
| 1871916700 | Good Shepherd Ministries | Clinic/Center | 222 Nw 12th Street, Oklahoma City, OK 73103 | 2014-01-29 |
| 1275973448 | Christine Donnette Jeffers | Case Manager/Care Coordinator | 433 Nw 25 #10, Oklahoma, OK 73103 | 2013-07-02 |
| 1629327358 | Kelly Rose Whelan | Social Worker | 416 Nw 23rd St, Oklahoma City, OK 73103 | 2012-09-10 |
| 1801160585 | Susan Elizabeth Bigbie | Registered Nurse | 1214 N Hudson, Oklahoma City, OK 73103 | 2012-02-28 |
| 1548533441 | Doris Gayle Poteet | Licensed Practical Nurse | 1214 N. Hudson, Oklahoma, OK 73103 | 2012-02-23 |
| 1538440698 | Wendi J Rollins | Case Manager/Care Coordinator | 600 Nw 23, Suite 108, Oklahoma City, OK 73103 | 2011-09-02 |
| Find all providers in zip 73103 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891323143 | Austin James Cantrell | Orthopaedic Surgery | 800 Stanton L Young Blvd # 3400, Oklahoma City, OK 73104-5018 | 2020-03-31 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| 1952764169 | Doc LLC | Orthopaedic Surgery | 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 | 2016-04-04 |
| 1740531698 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 13401 N. Western. Ave., Ste. 301, Oklahoma City, OK 73134 | 2012-10-01 |
| 1558623934 | Brian Alan Chenoweth | Orthopaedic Surgery | 825 Ne 10th St # 1c, Oklahoma City, OK 73104-5417 | 2012-06-12 |
| 1295000560 | Keivan Abtahi | Orthopaedic Surgery | 3433 Nw 56th St Ste 950, Oklahoma City, OK 73112 | 2012-03-19 |
| 1639455975 | Ralph Edward Payne Jr. | Orthopaedic Surgery | 12604 Maple Ridge Rd., Oklahoma City, OK 73120 | 2011-11-01 |
| 1972807667 | Ghazi M. Rayan, Md, Inc. | Orthopaedic Surgery | 3366 Nw Expressway Ste 700, Oklahoma City, OK 73112-4439 | 2011-01-10 |
| 1225292444 | Ryan Lee Nelson | Orthopaedic Surgery | 9800 Broadway Ext Ste 203, Oklahoma City, OK 73114-6304 | 2008-07-16 |
| 1205096369 | Kevin T Grosshans | Orthopaedic Surgery | 920 Stanton L Young Blvd # 1380, Oklahoma City, OK 73104-5020 | 2008-06-12 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73103 |
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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.