MTB MANAGEMENT, LLC (NPI# 1073940862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073940862 |
| Entity Type | Organization |
| Organization Name | MTB MANAGEMENT, LLC |
| Practice Address |
1032 S Douglas Blvd Midwest City OK 73130-5209 |
| Mailing Address |
Po Box 53182 Oklahoma City OK 73152-3182 |
| Practice Telephone | 4056052292 |
| Practice Fax Number | 4056052266 |
| Mailing Telephone | 4056052292 |
| Mailing Fax Number | 4056052266 |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2013-10-11 |
| Authorized Official Name | MARKUS BRUNER (CEM) |
| Authorized Official Telephone | 4056052292 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
1032 S DOUGLAS BLVD |
| City | MIDWEST CITY |
| State | OK |
| Zip Code | 73130-5209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285671008 | Royce A Hinkle Jr. | Family Medicine | 1032 S Douglas Blvd, Midwest City, OK 73130-5209 | 2006-06-01 |
| 1801207089 | Kelli Lyn Moore | Behavioral Analyst | 1032 S Douglas Blvd, Midwest City, OK 73130-5209 | 2014-05-09 |
| 1073937991 | Responsive Individual & Family Services | Case Management | 1032 S Douglas Blvd, Midwest City, OK 73130-5209 | 2014-02-12 |
| 1063836302 | Melissa Ann Baptiste | Behavioral Analyst | 1032 S Douglas Blvd, Midwest City, OK 73130-5209 | 2014-02-06 |
| 1568893675 | William Broiles | Behavioral Analyst | 1032 S Douglas Blvd, Midwest City, OK 73130-5209 | 2013-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059909 | Richard Williams | Behavior Technician | 1121 S. Douglas Boulevard, Suite A, Midwest City, OK 73130 | 2020-09-28 |
| 1730794264 | Cassidy Myers | Behavioral Analyst | 1121 South Douglas Boulevard, Suite A, Midwest City, OK 73130 | 2020-09-11 |
| 1831609320 | Progressive Home Health Inc | Home Health | 9070 Harmony Dr Ste C, Midwest City, OK 73130 | 2017-10-10 |
| 1306290903 | Maria Soledad Dabney | Counselor | 9101 Stonegate, Oklahoma City, OK 73130 | 2016-04-20 |
| 1922452804 | Endodontics and Implant Associates,pllc | Dentist | 1621 Midtown Place, Suite B, Midwest City, OK 73130 | 2016-04-18 |
| 1639574130 | Healthcare Express, LLP | Clinic/Center | 1701 S. Douglas Blvd., Midwest City, OK 73130 | 2014-10-27 |
| 1891045274 | Michelle Lynn Goolsby | Behavioral Analyst | 10822 Blue Sky Drive, Midwest City, OK 73130 | 2012-09-13 |
| 1497026173 | Deberry Interprise | Community/Behavioral Health | 9233 North East10th Street, Midwest City, OK 73130 | 2012-01-26 |
| 1245531789 | Nichelle Stewart | Counselor | 10520 Quail Run Road, Midwest City, OK 73130 | 2010-11-16 |
| 1477877835 | Jan Bierne, Inc. | Counselor | 2912 S. Douglas Blvd, Suite A, Midwest City, OK 73130 | 2010-03-15 |
| Find all providers in zip 73130 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134671951 | Shepherd's Recovery and Counseling Services | Case Management | 7117 E Reno Ave, Midwest City, OK 73110-4444 | 2016-10-27 |
| 1588037709 | Beverly Hines | Case Management | 1617 Melinda Ln, Midwest City, OK 73130-1123 | 2015-11-10 |
| 1093124208 | Andrew Fiedler | Case Management | 714 Esther Ave, Midwest City, OK 73130-2327 | 2014-08-13 |
| 1730709072 | Tasha D Dubose | Case Management | 7901 Ne 10th St Ste A106, Midwest City, OK 73110-3600 | 2020-04-16 |
| 1538566369 | Donald Richardson | Case Management | 7901 Ne 10th St, Midwest City, OK 73110-3600 | 2014-11-21 |
| 1073937991 | Responsive Individual & Family Services | Case Management | 1032 S Douglas Blvd, Midwest City, OK 73130-5209 | 2014-02-12 |
| 1265855498 | Anna Gronneberg | Case Management | 351 N Air Depot Blvd, Suite M, Midwest City, OK 73110-1700 | 2014-01-23 |
| 1821433350 | Family Forward, Inc. | Case Management | 7901 Ne 10th St, A209, Midwest City, OK 73110-3600 | 2013-05-10 |
| 1164780193 | The Sequoyah Group | Case Management | 2912 S Douglas Blvd, Midwest City, OK 73130-7179 | 2012-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618758 | Jonathan Nyanquoi Nyanyoun | Case Management | 12508 E 34th St, Tulsa, OK 74146-2218 | 2020-10-30 |
| 1437758323 | Free Your Mind Counseling | Case Management | 10802 Quail Plaza Dr Ste 208, Oklahoma City, OK 73120-3121 | 2020-10-21 |
| 1750997680 | Vanessa Flores | Case Management | 13177 Ne Tony Creek Rd, Elgin, OK 73538-2006 | 2020-09-16 |
| 1619588134 | Coral LLC | Case Management | 12352 Market Dr, Oklahoma City, OK 73114-8136 | 2020-08-10 |
| 1003430497 | Meals On Wheels of Metro Tulsa, Inc. | Case Management | 12620 E 31st St, Tulsa, OK 74146-2307 | 2020-06-02 |
| 1972137107 | Delayna Lynne Marion | Case Management | 109902 S 4570 Rd, Sallisaw, OK 74955-5086 | 2020-02-26 |
| 1649802679 | Amee Renae Brown | Case Management | 9225 E 570 Rd, Kansas, OK 74347-1620 | 2020-02-07 |
| 1780223453 | 20th District Drug Court | Case Management | 39 N Washington St Ste 219, Ardmore, OK 73401-7056 | 2019-12-30 |
| 1528629813 | Medefy Health LLC | Case Management | 8596 E 101st St Ste C, Tulsa, OK 74133-7037 | 2019-06-26 |
| 1033778287 | Sheena M Spies | Case Management | 816 W Oakland St, Broken Arrow, OK 74012-1662 | 2019-06-11 |
| Find all providers with the same taxonomy | ||||
| City | MIDWEST CITY |
| Zip Code | 73130 |
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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.