CHARITY J GOBEN


Address: 401 S 3rd St, Attn: Integris Bass Occupation Medicine, Enid, OK 73701-5737
Phone: 5805481112

CHARITY J GOBEN (NPI# 1114926243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114926243
Entity Type Individual
Full Name CHARITY J GOBEN
Other Name CHARITY JADE BLOOM
Credential PA-C
Practice Address 401 S 3rd St
Attn: Integris Bass Occupation Medicine
Enid
OK 73701-5737
Mailing Address 5300 N Independence Ave
280
Oklahoma City
OK 73112-5556
Practice Telephone 5805481112
Practice Fax Number 5805481538
Mailing Telephone 5805481112
Mailing Fax Number 5805481538
Enumeration Date 2005-07-20
Last Update Date 2018-02-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 1426 OK Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK RAILROAD MEDICARE P00827942 01
OK 200188040A 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
401 S 3rd St, Attn: Integris Bass Occupation Medicine, Enid, OK 737015737 5805481112 5805481538

Office Location

Street Address 401 S 3RD ST
ATTN: INTEGRIS BASS OCCUPATION MEDICINE
City ENID
State OK
Zip Code 73701-5737

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083223325 Taylor Beth Conaway Occupational Therapist 401 S 3rd St, Enid, OK 73701-5737 2020-07-22
1477118669 Elizabeth Ellis Physical Therapist 401 S 3rd St, Enid, OK 73701-5737 2019-05-03
1700349230 Morgan Leigh Gonzales Speech-Language Pathologist 401 S 3rd St, Enid, OK 73701-5737 2019-04-11
1851874341 Jennifer Kay Williams Physical Therapy Assistant 401 S 3rd St, Enid, OK 73701-5737 2018-09-11
1932681681 Schelby Nicole Robinson Occupational Therapy Assistant 401 S 3rd St, Enid, OK 73701-5737 2018-08-29
1427542612 Vincent D Lauderdale Physical Medicine & Rehabilitation 401 S 3rd St, Enid, OK 73701-5737 2018-06-20
1003300203 Robin Lyn Burchel Physical Therapist 401 S 3rd St, Enid, OK 73701-5737 2018-06-20
1669842498 Ashley R Allen Nurse Practitioner 401 S 3rd St, Enid, OK 73701-5737 2015-10-06
1679957609 Shaun Rebecca Mccormick Nurse Practitioner 401 S 3rd St, Enid, OK 73701-5737 2015-07-20
1548644388 Linda Yauk Dietitian, Registered 401 S 3rd St, Enid, OK 73701-5737 2015-07-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407318595 Sheila Watkins Speech-Language Pathologist 401 S. 3rd St, Physical Therapy, Enid, OK 73701 2019-04-05
1225548993 Mirannda Lea Shourek Case Manager/Care Coordinator 3225 E Randolph, Apt 5a, Enid, OK 73701 2017-10-06
1962942045 Nicole Elisibeth Hood Social Worker 605 W. Oxford St, Enid, OK 73701 2017-03-08
1689027237 Amanda Partridge Physician Assistant 231 S. 30th St., Enid, OK 73701 2016-07-19
1134576952 Keli Lanee Caffey Counselor 317 W. Cherokee Suite B, Enid, OK 73701 2016-05-22
1447670559 Tamica Webster Counselor 1137 Hillside Dr, Enid, OK 73701 2014-04-16
1881024024 Misty Ward Registered Nurse 600 S. Monroe, Enid, OK 73701 2013-11-26
1164856944 Pharmcareok of Enid, Inc. Pharmacy 1119a E Owen Garriott Rd, Enid, OK 73701 2013-08-28
1922383421 Bobby Doyle Taylor Pharmacist 902 West Garriott, Enid, OK 73701 2011-10-15
1194009324 Stacia Paul Counselor 121 W. Maple, Enid, OK 73701 2011-10-06
Find all providers in zip 73701

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194326496 Courtland Henderson Physician Assistant 2614 Wagon Trl, Enid, OK 73703-1630 2020-11-03
1306352422 Nicholas A Mietus Physician Assistant 330 S 5th St Ste 400, Enid, OK 73701-5863 2017-12-27
1588106488 Carmen Sander Cumpston Physician Assistant 3201 N Van Buren St Ste 400, Enid, OK 73703-1800 2016-11-08
1689027237 Amanda Partridge Physician Assistant 231 S. 30th St., Enid, OK 73701 2016-07-19
1780793554 Elena G Cutter Physician Assistant 3201 N Van Buren St Ste 350, Enid, OK 73703-1814 2006-08-29
1881611358 Enid Emergency Physicians, LLP Physician Assistant 305 S Fifth Street, Enid, OK 73701-5832 2006-07-17
1710974506 Matthew W. Thoms Physician Assistant 707 S Monroe St, Enid, OK 73701-7286 2005-10-05
1700885845 Christie J Peeper Physician Assistant 915 E Garriott Rd, Suite D, Enid, OK 73701-6156 2005-07-20
1356347629 Louie Campbell Physician Assistant 1805 W Garriott Rd, Enid, OK 73703-5526 2005-06-22
1033764360 Kelsey Danielle Landon Physician Assistant 825 E Owen K Garriott Rd, Enid, OK 73701-5928 2019-08-04
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Competitor

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City ENID
Zip Code 73701

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Dataset Information

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.

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