TONYA RAE JURY (NPI# 1154764850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154764850 |
| Entity Type | Individual |
| Full Name | TONYA RAE JURY |
| Credential | IDC |
| Practice Address |
3001 S Douglas Blvd Oklahoma City OK 73150-1003 |
| Practice Telephone | 4055826654 |
| Mailing Telephone | 4055826654 |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2015-03-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
3001 S DOUGLAS BLVD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73150-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649502550 | Karen A. Owen | Psychologist | 3001 S Douglas Blvd, Oklahoma City, OK 73150-1003 | 2010-02-02 |
| 1386188704 | Lisa Gagne | Registered Nurse | 3001 S Douglas Blvd, Building 1094, Oklahoma City, OK 73150-1003 | 2016-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386069227 | Joan Lynn Miller | Nurse Practitioner | Tinker Air Force Base, 72nd Medical Group Building 1094, Air Depot Blvd, Fpo, AA 73150 | 2014-03-02 |
| 1942281027 | Larry Todd Olsen | Orthopaedic Surgery | 3400 S Douglas Blvd, 302, Oklahoma City, OK 73150 | 2005-11-07 |
| 1437141793 | Paul L Preslar | Family Medicine | 3400 S Douglas Blvd Ste 200, Oklahoma City, OK 73150 | 2005-08-22 |
| 1871862334 | Ssm Healthcare of Ok, Inc | Family Medicine | 3400 S Douglas Blvd, Oklahoma City, OK 73150 | 2011-12-29 |
| 1235129099 | Richard D Hanes | Physician Assistant | 1000 Kingfisher Hospital Drive, Kingfisher, OK 73150-0059 | 2005-10-24 |
| 1437774874 | Saints Medical Group, LLC | Physical Medicine & Rehabilitation | 3400 S Douglas Blvd Ste 306, Oklahoma City, OK 73150-1001 | 2020-06-11 |
| 1457972366 | Saint Medical Group, LLC | Pediatrics | 3400 S Douglas Blvd Ste 307a, Oklahoma City, OK 73150-1001 | 2020-05-01 |
| 1295363620 | Saint Medical Group, LLC | Family Medicine | 3400 S Douglas Blvd Ste 307, Oklahoma City, OK 73150-1001 | 2020-03-31 |
| 1891245882 | Ssm Health Care of Oklahoma, Inc | Family Medicine | 3400 S Douglas Blvd, Suite 301, Oklahoma City, OK 73150-1001 | 2016-10-13 |
| 1811442197 | Ssm Health Care of Oklahoma, Inc | Pharmacy | 3400 S Douglas Blvd, Suite 100, Oklahoma City, OK 73150-1001 | 2016-08-17 |
| Find all providers in zip 73150 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982848040 | Matthew L. Breske | Military Health Care Provider | 7791 Mercury Rd, Faireconron Four, Oklahoma City, OK 73145-8712 | 2009-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427026947 | Troy Glenn Grizzle | Military Health Care Provider | 7791 Mercury Rd, Tinker Afb, OK 73145-8713 | 2006-03-09 |
| 1912974007 | Jennifer Caldwell | Military Health Care Provider | 7641 Mercury Rd, Tinker Afb, OK 73145-8707 | 2006-03-07 |
| 1831584762 | Emmanuel Busingye-nkwizire | Military Health Care Provider | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2015-03-28 |
| 1710254552 | Seth Anthony Terrana | Military Health Care Provider | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2011-11-22 |
| City | OKLAHOMA CITY |
| Zip Code | 73150 |
Please comment or provide details below to improve the information on TONYA RAE JURY.
| 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.