MEDSTAFFPC (NPI# 1053732875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053732875 |
| Entity Type | Organization |
| Organization Name | MEDSTAFFPC |
| Practice Address |
311 E Ray Fine Blvd Unit #3 Roland OK 74954-5366 |
| Mailing Address |
4500 S 129th East Ave Ste 191 Tulsa OK 74134-5891 |
| Practice Telephone | 9184272224 |
| Practice Fax Number | 5397772536 |
| Mailing Telephone | 9187797400 |
| Mailing Fax Number | 9187797425 |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2013-12-20 |
| Authorized Official Name | PHILIP KURTZ (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9187797431 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134537848 | Medstaffpc | Family Medicine | 28 East Main St, Ste 100, Edmond, OK 73083 | 2014-07-25 |
| 1588088157 | Medstaffpc | Family Medicine | 12633 Olive Blvd, St Louis, MO 63141-6313 | 2014-02-18 |
| 1356772065 | Medstaffpc | Family Medicine | 3040 Junior Order Home Rd, Lexington, NC 27292 | 2013-12-05 |
| 1467883447 | Medstaffpc | Family Medicine | 15615 E 590 Rd, Inola, OK 74036-3222 | 2013-12-02 |
| 1780015768 | Medstaffpc | Family Medicine | 5160 S Yale Ave, Tulsa, OK 74135-7405 | 2013-12-02 |
| 1730519059 | Medstaffpc | Family Medicine | 119 1/2 Bryan St, Dayton, TX 77535-2661 | 2013-11-22 |
| 1023447190 | Medstaffpc | Family Medicine | 2360 Armour Rd, Kansas City, MO 64116-3261 | 2013-11-08 |
| 1851729461 | Medstaffpc | Family Medicine | 1114 Davis St, Ste 126, Pasadena, TX 77506-4805 | 2013-10-16 |
| 1457785693 | Medstaffpc | Family Medicine | 12800 S Memorial Dr, Bixby, OK 74008-2576 | 2013-08-23 |
| 1801210893 | Medstaffpc | Family Medicine | 3201 W Peoria Ave, Ste D707, Phoenix, AZ 85029-4608 | 2014-02-11 |
| Street Address |
311 E RAY FINE BLVD UNIT #3 |
| City | ROLAND |
| State | OK |
| Zip Code | 74954-5366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154655280 | Advanced Eye Care, Pllc | Optometrist | 311 E Ray Fine Blvd, Suite 5, Roland, OK 74954-5160 | 2009-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164969887 | Trinka Blankenship | Case Manager/Care Coordinator | 509 Dewey St, Poteau, OK 74954 | 2017-01-20 |
| 1972959625 | Karen Lynn Williams | Nurse Practitioner | 508 W. Ray Fine Blvd, Roland, OK 74954 | 2016-05-12 |
| 1285068791 | St. Madron Medical Clinic | Specialist | 205 E. Ray Fine Blvd St. 6, Roland, OK 74954 | 2013-09-03 |
| 1316178155 | Kimberley Ann Brunk | Optometrist | 1022 East Ray Fine Boulevard Suite 5, Roland, OK 74954 | 2009-07-28 |
| 1891939765 | Gary L Axley | Acupuncturist | 303 E. Ray Fine Blvd, Ste 3, Roland, OK 74954 | 2009-04-23 |
| 1598944944 | Seubold Family Chiropractic Inc | Chiropractor | 311 4 E Ray Fine Blvd, Suite4, Roland, OK 74954 | 2007-11-01 |
| 1689799793 | Cynthia Carol Almond | Preventive Medicine | 309 East Ray Fine Blvd, Roland, OK 74954 | 2007-03-20 |
| 1457498644 | Robert Kale | Anesthesiology | 100 East Ray Fine Blvd., Suite Q, Roland, OK 74954 | 2007-01-30 |
| 1255491494 | Lequita J. Joyce Inc | Counselor | 100 East Ray Fine Blvd, Roland, OK 74954 | 2006-12-11 |
| 1174604268 | Morgan A Seubold | Chiropractor | 1022 E Ray Fine Blvd, Ste 4, Roland, OK 74954 | 2006-10-17 |
| Find all providers in zip 74954 | ||||
| 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 |
|---|---|---|---|---|
| 1356898936 | New You Health and Spa LLC | Family Medicine | 100 Woodland Hills Blvd, Roland, OK 74954-5213 | 2016-09-01 |
| 1659978385 | Elangwe Enterprises | Family Medicine | 508 W Ray Fine Blvd, Roland, OK 74954-5262 | 2020-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1346841673 | Nugenex Plus Aprn-cnp Pllc | Family Medicine | 13425 Deer Spring Dr, Piedmont, OK 73078-3001 | 2020-11-03 |
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1548868573 | Kayla Lynn Birchfield | Family Medicine | 220 W Jackson St, Crescent, OK 73028-8908 | 2020-10-12 |
| 1164039632 | Axiom Medical Solutions, LLC | Family Medicine | 14132 Se 134th St, Oklahoma City, OK 73165-7669 | 2020-09-28 |
| 1174139554 | Crestcare Family Medicine,pllc | Family Medicine | 817 S Elm Pl Ste 104, Broken Arrow, OK 74012-5369 | 2020-09-21 |
| 1346855640 | Charger Health Group Pllc | Family Medicine | 511 N Aspen Ave, Broken Arrow, OK 74012-2220 | 2020-09-14 |
| 1952916645 | Brandi Suzanne Shell | Family Medicine | 26471 E 141st St S, Coweta, OK 74429-5517 | 2020-09-10 |
| 1730793696 | Osumc Professional Services LLC | Family Medicine | 112 W 5th Street, Okmulgee, OK 74447-0000 | 2020-09-08 |
| 1104437219 | L and M Investments LLC | Family Medicine | 6001 Nw 139th St, Oklahoma City, OK 73142-1919 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
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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.