MR. GERALD D WARD (NPI# 1114094158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114094158 |
| Entity Type | Individual |
| Full Name | MR. GERALD D WARD |
| Credential | PA |
| Practice Address |
1001 N Country Club Rd Ada OK 74820-2847 |
| Mailing Address |
2218 Sycamore St Mcalester OK 74501-3243 |
| Practice Telephone | 5804363980 |
| Mailing Telephone | 9189169311 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA671 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972890465 | Gerald F Ward Jr. | Technician, Other | 8666 Huebner Rd, #200, San Antonio, TX 78240-1844 | 2011-07-05 |
| 1205009875 | Gerald Ward | Dentist | 5530 W 79th St, Burbank, IL 60459-1302 | 2008-04-03 |
| Street Address |
1001 N COUNTRY CLUB RD |
| City | ADA |
| State | OK |
| Zip Code | 74820-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164408928 | Clint Forrest | Physician Assistant | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2005-12-22 |
| 1184940926 | Bobby Saunkeah | Registered Nurse | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2010-04-19 |
| 1689810376 | Linda Lewis | Counselor | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2008-12-30 |
| 1053557736 | Shannon Treat | Counselor | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2008-12-30 |
| 1558507244 | Joan Garvin | Counselor | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2008-12-30 |
| 1487899704 | Lesli Barrett | Physical Medicine & Rehabilitation | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2008-12-16 |
| 1770788408 | Lyn Page | Dentist | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2007-06-21 |
| 1164641825 | Jenny Simon | Physician Assistant | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2007-04-24 |
| 1992839211 | Melissa Gayle Vavricka-conaway | Dietitian, Registered | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2007-03-16 |
| 1578627824 | Troy Caldwell | Anesthesiology | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
| 1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
| 1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
| 1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
| 1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
| 1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
| 1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
| 1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
| 1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| Find all providers in zip 74820 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477964799 | Julie Vander-starre | Physician Assistant | 6609 Rix St Se, Ada, MI 49301-9018 | 2014-05-09 |
| 1023587649 | Lauren Little Axe | Physician Assistant | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2018-11-14 |
| 1609313824 | Anna Brooke Vass | Physician Assistant | 721 Better Now Plz, Ada, OK 74820 | 2017-01-25 |
| 1023356342 | Ada Health First Inc | Physician Assistant | 1201 Arlington St, Suite F, Ada, OK 74820-4072 | 2013-01-21 |
| 1659618197 | Jon W Haney | Physician Assistant | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2013-01-03 |
| 1922303759 | Sarah Wischmeyer Niese | Physician Assistant | 520 W Lincoln Ave, Suite A, Ada, OH 45810-9466 | 2011-01-26 |
| 1730416025 | Megan M Shellenberger | Physician Assistant | 1921 Stonecipher Dr, Ada, OK 74820 | 2009-11-08 |
| 1922243567 | Desiree Hauenstein | Physician Assistant | 520 W Lincoln Ave, Suite A, Ada, OH 45810-9466 | 2008-12-11 |
| 1669676961 | Kasey Lee Brundidge | Physician Assistant | 1201 Arlington St, Ste F, Ada, OK 74820-4072 | 2007-06-12 |
| 1669523718 | Renae L Miller | Physician Assistant | Bridges Medical Center, 201 9th Street W., Ada, MN 56510 | 2007-01-16 |
| Find all providers in ADA | ||||
Please comment or provide details below to improve the information on MR. GERALD D WARD.
| 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.