TEAM CLINIC MANAGEMENT PARTNERS LLC (NPI# 1164033452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164033452 |
| Entity Type | Organization |
| Organization Name | TEAM CLINIC MANAGEMENT PARTNERS LLC |
| Practice Address |
2700 W Florence St Broken Arrow OK 74011-1722 |
| Mailing Address |
Po Box 248922 Oklahoma City OK 73124-8922 |
| Practice Telephone | 4055464130 |
| Mailing Telephone | 4055464130 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | TREVOR A NUTT (CEO) |
| Authorized Official Telephone | 4055464130 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609476654 | Team Clinic Management Partners LLC | Clinic/Center | 372 N Cobb, Caney, OK 74533 | 2020-10-29 |
| 1881292191 | Team Clinic Management Partners LLC | Clinic/Center | 3100 W New Orleans St, Broken Arrow, OK 74011-1468 | 2020-10-09 |
| 1972115392 | Team Clinic Management Partners LLC | Clinic/Center | 225 E Omaha St, Broken Arrow, OK 74012-1761 | 2020-08-18 |
| 1093327413 | Team Clinic Management Partners LLC | Clinic/Center | 301 W New Orleans St, Broken Arrow, OK 74011-2206 | 2020-08-18 |
| 1962013110 | Team Clinic Management Partners LLC | Clinic/Center | 4300 E Gary Street, Broken Arrow, OK 74014 | 2020-08-12 |
| 1750992038 | Team Clinic Management Partners LLC | Clinic/Center | 251 E Omaha St, Broken Arrow, OK 74012-1761 | 2020-08-11 |
| 1689285975 | Team Clinic Management Partners LLC | Clinic/Center | 301 E Tucson St, Broken Arrow, OK 74011-7235 | 2020-08-11 |
| 1417568700 | Team Clinic Management Partners LLC | Clinic/Center | 1351 E Albany St, Broken Arrow, OK 74012-8995 | 2020-08-11 |
| 1164033569 | Team Clinic Management Partners LLC | Clinic/Center | 6800 E Quincy Pl, Broken Arrow, OK 74014-4523 | 2020-08-11 |
| 1295346609 | Team Clinic Management Partners LLC | Clinic/Center | 7200 E Quincy Pl, Broken Arrow, OK 74014-4522 | 2020-08-11 |
| Street Address |
2700 W FLORENCE ST |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74011-1722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306398458 | Kaylin Parks | Speech-Language Pathologist | 2700 W Florence St, Broken Arrow, OK 74011-1722 | 2016-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336663699 | Cpii, LLC | Pharmacy | 811 W. New Orleans, Ste 101, Broken Arrow, OK 74011 | 2017-07-28 |
| 1053833608 | Cpii, LLC | Pharmacy | 811 W. New Orleans, Suite 101, Broken Arrow, OK 74011 | 2017-07-14 |
| 1184079709 | Melissa David | Lactation Consultant, Non-RN | 417 West San Diego St., Broken Arrow, OK 74011 | 2016-05-02 |
| 1154789576 | Rebecca Young | Registered Nurse | 7801 S Oak Pl, Broken Arrow, OK 74011 | 2016-01-29 |
| 1942524061 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 751 W Tuscan St, 121st, Broken Arrow, OK 74011 | 2010-03-18 |
| 1174764336 | Linda J. Russell | Counselor | 2446 W New Orleans St, Broken Arrow, OK 74011 | 2009-03-18 |
| 1851409080 | Kim Lee Mcneal | Dentist | 3764 South Elm Place, Broken Arrow, OK 74011 | 2006-08-28 |
| 1669433249 | Matthew E Ozment | Optometrist | 2500 West New Orleans, Broken Arrow, OK 74011 | 2006-03-31 |
| 1912275140 | Courtney Brooke Willcoxon | Pharmacist | 4704 S Elm Pl, Broken Arrow, OK 74011 | 2011-12-02 |
| 1558322883 | Gerald Seefeldt | Family Medicine | 66 Cedar Ridge Rd, Broken Arrow, OK 74011-1101 | 2006-03-28 |
| Find all providers in zip 74011 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292191 | Team Clinic Management Partners LLC | Clinic/Center | 3100 W New Orleans St, Broken Arrow, OK 74011-1468 | 2020-10-09 |
| 1972115392 | Team Clinic Management Partners LLC | Clinic/Center | 225 E Omaha St, Broken Arrow, OK 74012-1761 | 2020-08-18 |
| 1093327413 | Team Clinic Management Partners LLC | Clinic/Center | 301 W New Orleans St, Broken Arrow, OK 74011-2206 | 2020-08-18 |
| 1962013110 | Team Clinic Management Partners LLC | Clinic/Center | 4300 E Gary Street, Broken Arrow, OK 74014 | 2020-08-12 |
| 1750992038 | Team Clinic Management Partners LLC | Clinic/Center | 251 E Omaha St, Broken Arrow, OK 74012-1761 | 2020-08-11 |
| 1689285975 | Team Clinic Management Partners LLC | Clinic/Center | 301 E Tucson St, Broken Arrow, OK 74011-7235 | 2020-08-11 |
| 1417568700 | Team Clinic Management Partners LLC | Clinic/Center | 1351 E Albany St, Broken Arrow, OK 74012-8995 | 2020-08-11 |
| 1164033569 | Team Clinic Management Partners LLC | Clinic/Center | 6800 E Quincy Pl, Broken Arrow, OK 74014-4523 | 2020-08-11 |
| 1295346609 | Team Clinic Management Partners LLC | Clinic/Center | 7200 E Quincy Pl, Broken Arrow, OK 74014-4522 | 2020-08-11 |
| 1386262335 | Team Clinic Management Partners LLC | Clinic/Center | 405 E Richmond St, Broken Arrow, OK 74012-5642 | 2020-07-07 |
| Find all providers in BROKEN ARROW | ||||
| City | BROKEN ARROW |
| Zip Code | 74011 |
Please comment or provide details below to improve the information on TEAM CLINIC MANAGEMENT PARTNERS LLC.
| 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.