DR. MAXIMO LEBUMFACIL FERNAN JR. (NPI# 1134172083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134172083 |
| Entity Type | Individual |
| Full Name | DR. MAXIMO LEBUMFACIL FERNAN JR. |
| Credential | MD |
| Practice Address |
350 S 40th St Muskogee OK 74401-4915 |
| Practice Telephone | 9186830753 |
| Practice Fax Number | 8663977556 |
| Mailing Telephone | 9186830753 |
| Mailing Fax Number | 8663977556 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2015-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
19702 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100260010A | 05 |
| Street Address |
350 S 40TH ST |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-4915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225015027 | Roger Alan Nevling | Physician Assistant | 350 S 40th St, Muskogee, OK 74401-4915 | 2005-12-22 |
| 1003446451 | Ifeoma Nneka Mozie | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2020-01-23 |
| 1326678186 | Nelly Njaramba | Clinical Nurse Specialist | 350 S 40th St, Muskogee, OK 74401-4915 | 2020-01-21 |
| 1710525019 | Mercy Ifeoma Ugwu | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2019-12-17 |
| 1760020606 | Tess Visitacion De Jesus | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2019-12-10 |
| 1386291037 | Marlo Annette Barnes-davis | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2019-08-19 |
| 1114490968 | Robert Lee Jones Jr. | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2019-01-04 |
| 1366914434 | Jennifer Lynn Adoh | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2018-12-29 |
| 1295248581 | Shellye Simmons | Registered Nurse | 350 S 40th St, Muskogee, OK 74401-4915 | 2017-11-09 |
| 1326575788 | Terri Lynn Rickerson | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2017-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366562779 | Talat Tawaklna | Internal Medicine | 333 S 38th St, Suite B, Muskogee, OK 74401-4937 | 2007-03-30 |
| 1881771780 | Muskogee Pulmonary Clinic Inc | Internal Medicine | 615 S 32nd St, Muskogee, OK 74401-5012 | 2006-11-01 |
| 1245336957 | Neal Allan Mask | Internal Medicine | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2006-09-16 |
| 1215978432 | Robert Eugene Waidmann | Internal Medicine | 350 S 40th St, Muskogee, OK 74401-4915 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598149 | Pulmonary Care Innovations Pllc | Internal Medicine | 2832 E 101st St, Tulsa, OK 74137-5601 | 2018-12-03 |
| 1184145393 | A&r Management Services, Inc. | Internal Medicine | 2621 E 38th St, Tulsa, OK 74105-8206 | 2017-06-28 |
| 1417319096 | Abed Madanieh | Internal Medicine | 800 Stanton L Young Blvd # 8400, Oklahoma City, OK 73104-5018 | 2016-03-23 |
| 1689966103 | Anthony Xavier Troitino | Internal Medicine | 3366 Nw Expressway Ste 650, Oklahoma City, OK 73112-4490 | 2011-05-03 |
| 1164654117 | Viral K Doshi | Internal Medicine | 13313 N Meridian Ave Ste D, Oklahoma City, OK 73120-8316 | 2009-08-10 |
| 1538393384 | Richard Waldo Nicholson | Internal Medicine | Rr 1 Box 1799, Checotah, OK 74426-9794 | 2009-05-07 |
| 1164688255 | Sleep Practice Management LLC | Internal Medicine | 305 N Bryant Ave, Edmond, OK 73034-6276 | 2008-07-29 |
| 1821219098 | Robert Keith Wilson | Internal Medicine | 2753 S. Utica Ave, Tulsa, OK 74114 | 2007-05-02 |
| 1023239431 | Wachita Kidney and Hypertension Specialists Pllc | Internal Medicine | 4417 W Gore Blvd Ste 3, Lawton, OK 73505-5978 | 2007-05-01 |
| 1518007632 | Saif Ullah Farooq | Internal Medicine | 4221 S Western Ave Ste 4005, Oklahoma City, OK 73109-3436 | 2007-02-07 |
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| 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.