OKLA REHAB PULMONARY SPECIALIST (NPI# 1114179090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114179090 |
| Entity Type | Organization |
| Organization Name | OKLA REHAB PULMONARY SPECIALIST |
| Practice Address |
10 Plaza South Tahlequah OK 74464 |
| Mailing Address |
6767 S Yale Ave Ste B Tulsa OK 74136-3302 |
| Practice Telephone | 9184889992 |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-11-24 |
| Authorized Official Name | DR. BOBBY DANIEL (PRESIDENT) |
| Authorized Official Telephone | 9184889992 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | OKLAHOMA REHAB SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
OK1843 | OK | Ambulatory Health Care Facilities |
| Street Address |
10 PLAZA SOUTH |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881864403 | Cherryl E. Lawson | Respiratory Therapist, Registered | 10 Plaza South, Tahlequah, OK 74464-4751 | 2008-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124654504 | Ashley Graham, Otr/l LLC | Clinic/Center | 2506 Diffee Dr, Tahlequah, OK 74464-5721 | 2020-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043643042 | Apex Rehabilitation Okc LLC | Clinic/Center | 3120 W Britton Rd Ste 205, Oklahoma City, OK 73120-2038 | 2013-08-13 |
| 1184795171 | Central Pulmonary Rehab, LLC | Clinic/Center | 7429 N May Ave, Oklahoma City, OK 73116-3201 | 2006-11-13 |
| 1487768602 | Harvard Rehab Services, Inc. | Clinic/Center | 1305 E Taft St, 200, Sapulpa, OK 74066-6033 | 2006-08-17 |
| 1881708196 | Harvard Rehabilitation Services of Tulsa, Inc. | Clinic/Center | 11041 S Memorial Dr, Tulsa, OK 74133-7357 | 2006-08-17 |
| 1427091198 | Trinity Rehabilitation Group | Clinic/Center | 6048 S. Sheridan, Suite E, Tulsa, OK 74145-9212 | 2006-06-13 |
| 1447258074 | Vascular Enhancement Center LLC | Clinic/Center | 8523 E 11th St, Suite A, Tulsa, OK 74112-7963 | 2005-07-08 |
| 1083065452 | Integris Health | Clinic/Center | 2111 Riverwalk Dr, Moore, OK 73160-2700 | 2016-06-28 |
| 1326117888 | Oklahoma Rehab Services, Inc. | Clinic/Center | 4833 S Sheridan Rd, Suite 414, Tulsa, OK 74145-5750 | 2006-11-07 |
| 1821004631 | Excel Therapy Specialists, LLC | Clinic/Center | 2232 W Houston St, Broken Arrow, OK 74012-3529 | 2006-08-01 |
Please comment or provide details below to improve the information on OKLA REHAB PULMONARY SPECIALIST.
| 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.