MRS. BONNIE LOU STITES (NPI# 1124051222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124051222 |
Entity Type | Individual |
Full Name | MRS. BONNIE LOU STITES |
Credential | ARDMS |
Practice Address |
Rr 2 Box 180b Sallisaw OK 74955-8901 |
Practice Telephone | 9187740004 |
Mailing Telephone | 9187740004 |
Enumeration Date | 2006-07-09 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
107390 | Technologists, Technicians & Other Technical Service Providers |
Street Address |
RR 2 BOX 180B |
City | SALLISAW |
State | OK |
Zip Code | 74955-8901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063057297 | Audrey A. Martin | Technician | 463508 East 1044 Road, Sallisaw, OK 74955 | 2019-11-12 |
1013472356 | Christopher Alan Bush | Registered Nurse | 301 Jt Stites, Sallisaw, OK 74955 | 2019-01-31 |
1174098941 | Sequoyah County Drug Company Pllc | Pharmacy | 1632 S Kerr Blvd, Sallisaw, OK 74955 | 2018-10-09 |
1720570609 | Stephanie Choate | Registered Nurse | 2703 E Phillips Ave, Sallisaw, OK 74955 | 2018-06-05 |
1972964666 | Sallisaw Family Medicine, L.L.C. | Family Medicine | 104 South Oak St, Sallisaw, OK 74955 | 2016-03-09 |
1407258544 | Mika Goff | Counselor | 301 So. Jt Stites, Sallisaw, OK 74955 | 2014-09-19 |
1013348200 | Alton Matlock | Counselor | 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 | 2013-12-12 |
1881931509 | Wildhorse Family Practice & Urgent Care | Clinic/Center | 1024 W Cherokee, Sallisaw, OK 74955 | 2013-01-15 |
1083966576 | Kayla Plank | Counselor | 204 E Choctaw, Sallisaw, OK 74955 | 2012-10-08 |
1427307503 | Brandi Jean Henry | Counselor | 205 S. J.t. Stites, Sallisaw, OK 74955 | 2012-09-05 |
Find all providers in zip 74955 |
Taxonomy Code | 2471S1302X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Sonography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447793138 | Jamie Laster | Radiologic Technologist | 2413 Saint Andrews Ct, Muskogee, OK 74403-1682 | 2016-11-29 |
1487828141 | Anticipation Ultrasound Studio LLC | Radiologic Technologist | 5055 S 78th East Ave, Tulsa, OK 74145-6002 | 2008-04-14 |
1386820033 | Rose Inc | Radiologic Technologist | 8142 S 68th East Ave, Tulsa, OK 74133-4177 | 2008-01-11 |
1346445244 | Steven Jay Bernhardt | Radiologic Technologist | 3428 Old Georgetowne Rd, Edmond, OK 73013-0803 | 2007-06-19 |
1881146736 | Sara Riley | Radiologic Technologist | 2121 W Main St, Norman, OK 73069-6459 | 2016-10-26 |
1053765024 | Mary Alice Rule | Radiologic Technologist | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2016-04-15 |
1942606694 | Lynda Elizabeth Head | Radiologic Technologist | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2014-11-07 |
1225129398 | Courtney Allison Mercer | Radiologic Technologist | 1007 S Peoria Ave, Tulsa, OK 74120-4495 | 2006-09-27 |
Please comment or provide details below to improve the information on MRS. BONNIE LOU STITES.
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.