SAMUEL ELDER (NPI# 1104281435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104281435 |
| Entity Type | Individual |
| Full Name | SAMUEL ELDER |
| Credential | PA-C |
| Practice Address |
3300 Healthplex Pkwy Norman OK 73072-9749 |
| Mailing Address |
2900 S Telephone Rd Moore OK 73160-2968 |
| Practice Telephone | 4055151500 |
| Mailing Telephone | 4052377500 |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2016-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2560 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356200 | Samuel Mitchell Elder | Counselor | 250 Dewey Ave, Spartanburg, SC 29303-3009 | 2019-06-26 |
| Street Address |
3300 HEALTHPLEX PKWY |
| City | NORMAN |
| State | OK |
| Zip Code | 73072-9749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245211846 | Rebecca Graham | Obstetrics & Gynecology | 3300 Healthplex Pkwy, Norman, OK 73072 | 2005-11-10 |
| 1134742158 | Osu Center for Health Sciences | Clinic/Center | 3300 Healthplex Pkwy, Norman, OK 73072-9749 | 2020-05-26 |
| 1043841893 | Cody Werneburg | Dietetic Technician, Registered | 3300 Healthplex Pkwy, Norman, OK 73072-9749 | 2020-01-30 |
| 1013552793 | Allison Khanh-vi Nguyen | Physician Assistant | 3300 Healthplex Pkwy, Norman, OK 73072-9749 | 2019-11-17 |
| 1821572330 | Crystal Moore | Registered Nurse | 3300 Healthplex Pkwy, Norman, OK 73072-9749 | 2018-09-20 |
| 1427566009 | Ashley Martin | Registered Nurse | 3300 Healthplex Pkwy, Norman, OK 73072-9749 | 2018-01-17 |
| 1619484045 | Lauren Pratt | Physician Assistant | 3300 Healthplex Pkwy, Norman, OK 73072-9749 | 2018-01-08 |
| 1275071417 | Carolyn H Mitchell | Registered Nurse | 3300 Healthplex Pkwy, Norman, OK 73072-9749 | 2017-02-08 |
| 1326586637 | Brooke Briggs | Registered Nurse | 3300 Healthplex Pkwy, Norman, OK 73072-9749 | 2017-02-07 |
| 1225575822 | Sean Anthony Olsen | Physician Assistant | 3300 Healthplex Pkwy, Norman, OK 73072-9749 | 2017-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326684630 | Summer Crawford | Nurse Practitioner | 2080 Ok-9, Norman, OK 73072 | 2019-11-21 |
| 1962054882 | Jayme Provine | Registered Nurse | 3300 Healthplex Parkway, Lactation Dept, Norman, OK 73072 | 2019-07-11 |
| 1811556186 | Elizabeth Moore | Behavioral Analyst | 2240 36th Ave Nw, Suite 100, Norman, OK 73072 | 2019-06-11 |
| 1861950735 | Michelle Kathleen Spehr | Nurse Practitioner | 3231 Healthplex Dr., Norman, OK 73072 | 2019-03-08 |
| 1801384953 | Serena Browning | Registered Nurse | 3913 Ripple Ave, Norman, OK 73072 | 2018-04-24 |
| 1508363771 | Dental Depot of 36th & Tecumseh, Pllc | Dentist | 3401 W. Tecumseh Rd., Norman, OK 73072 | 2018-04-12 |
| 1396274809 | Balance Hormone Center | Physician Assistant | 3351 W. Rock Creek Rd Ste 100, Norman, OK 73072 | 2017-06-08 |
| 1174060792 | Rebekah Karnes | Nurse Practitioner | 2120 Mckown Dr Ste B, Norman, OK 73072 | 2017-01-20 |
| 1881139319 | Heritage Dental Group LLC | Dentist | 3600 W Tecumseh Rd, Norman, OK 73072 | 2016-12-19 |
| 1043699150 | Alan Jay Washington | Social Worker | 3200 Marshall Ave. Outpatient Services-norman, Suite 220 Strong Family Development, Norman, OK 73072 | 2015-05-21 |
| Find all providers in zip 73072 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316420086 | Lauren Anto | Physician Assistant | 2824 Classen Blvd Ste 100, Norman, OK 73071-4059 | 2018-09-10 |
| 1033174032 | Laura Beth Horstkoetter | Physician Assistant | 334 12th Ave Se St 110, Norman, OK 73071-5070 | 2006-04-20 |
| 1922498161 | Robert William Kellington II | Physician Assistant | 901 N Porter Ave, Norman, OK 73071-6404 | 2015-01-26 |
| 1861732992 | Classen Family Practice LLC | Physician Assistant | 2824 Classen Blvd, Norman, OK 73071-4059 | 2013-02-27 |
| 1174878433 | Clint D Howell | Physician Assistant | 1125 N Porter Ave Ste 301, Norman, OK 73071-6443 | 2012-07-23 |
| 1164728366 | Erin Baxter | Physician Assistant | 3400 W Tecumseh Rd, Suite 100, Norman, OK 73072-1810 | 2011-02-04 |
| 1831429257 | Tracy Toft | Physician Assistant | 700 24th Ave Nw, Norman, OK 73069-6232 | 2010-01-07 |
| 1003084781 | Cathleen Elizabeth Lebeau | Physician Assistant | 3400 W Tecumseh Rd, Norman, OK 73072-1810 | 2008-02-14 |
| 1538344122 | Tina M Stinson | Physician Assistant | 808 Wall St, Norman, OK 73069-6302 | 2008-01-02 |
| 1003955170 | Jamie Tenille Edminsten | Physician Assistant | 3650 W Rock Creek Rd, Norman, OK 73072-2202 | 2007-02-05 |
| Find all providers in NORMAN | ||||
Please comment or provide details below to improve the information on SAMUEL ELDER.
| 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.