MIRAWORX OF OKC 1 LLC (NPI# 1053641803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053641803 |
Entity Type | Organization |
Organization Name | MIRAWORX OF OKC 1 LLC |
Practice Address |
10400 Vineyard Blvd Apt A Oklahoma City OK 73120-3830 |
Practice Telephone | 4052301102 |
Mailing Telephone | 4052301102 |
Enumeration Date | 2009-12-29 |
Last Update Date | 2009-12-29 |
Authorized Official Name | MRS. CAROLYN CUMMINS DAVIES (CONSULTANT) |
Authorized Official Telephone | 9182867347 |
Authorized Official Credential | CPA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
10400 VINEYARD BLVD APT A |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73120-3830 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
Find all providers in zip 73120 |
Taxonomy Code | 207QA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Addiction Medicine |
A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467495226 | Kelly Medical, PC | Family Medicine | 13921 N Meridian Ave Ste 100, Oklahoma City, OK 73134-1106 | 2006-06-13 |
1184269706 | Consulting Medical, Pllc | Family Medicine | 13654 S Western Ave, Oklahoma City, OK 73170-7004 | 2019-11-07 |
1972851467 | Ingram Co | Family Medicine | 6525 N Meridian Ave, Oklahoma City, OK 73116-1420 | 2012-08-15 |
1801032297 | Lynn Dean Baggett | Family Medicine | 3033 N Walnut Ave, Oklahoma City, OK 73105-2832 | 2009-01-06 |
1497971733 | Paul Davis Johnson | Family Medicine | 7100 S I 35 Service Rd, Suite # 7, Oklahoma City, OK 73149-2740 | 2007-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962031369 | Prompt Care Clinic LLC | Family Medicine | 4008 Nw Cache Rd, Lawton, OK 73505-3634 | 2020-04-07 |
1982141362 | Allison Eldridge | Family Medicine | 7477 E 46th Pl, Tulsa, OK 74145-6305 | 2017-01-24 |
1649715608 | Vizown, LLC | Family Medicine | 24962 Okay Rd, Tecumseh, OK 74873-6504 | 2016-12-30 |
City | OKLAHOMA CITY |
Zip Code | 73120 |
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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.