UCR MEDICAL, INC (NPI# 1164718961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164718961 |
| Entity Type | Organization |
| Organization Name | UCR MEDICAL, INC |
| Practice Address |
309 E Ray Fine Blvd Roland OK 74954-5160 |
| Practice Telephone | 9185036257 |
| Practice Fax Number | 9185036259 |
| Mailing Telephone | 9185036257 |
| Mailing Fax Number | 9185036259 |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-22 |
| Authorized Official Name | DR. FREDERICK J FUOCO (PRESIDENT) |
| Authorized Official Telephone | 9858690271 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Street Address |
309 E RAY FINE BLVD |
| City | ROLAND |
| State | OK |
| Zip Code | 74954-5160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053730903 | Roland Primary Care Clinic LLC | General Practice | 309 E Ray Fine Blvd, Roland, OK 74954-5160 | 2014-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164969887 | Trinka Blankenship | Case Manager/Care Coordinator | 509 Dewey St, Poteau, OK 74954 | 2017-01-20 |
| 1972959625 | Karen Lynn Williams | Nurse Practitioner | 508 W. Ray Fine Blvd, Roland, OK 74954 | 2016-05-12 |
| 1285068791 | St. Madron Medical Clinic | Specialist | 205 E. Ray Fine Blvd St. 6, Roland, OK 74954 | 2013-09-03 |
| 1316178155 | Kimberley Ann Brunk | Optometrist | 1022 East Ray Fine Boulevard Suite 5, Roland, OK 74954 | 2009-07-28 |
| 1891939765 | Gary L Axley | Acupuncturist | 303 E. Ray Fine Blvd, Ste 3, Roland, OK 74954 | 2009-04-23 |
| 1598944944 | Seubold Family Chiropractic Inc | Chiropractor | 311 4 E Ray Fine Blvd, Suite4, Roland, OK 74954 | 2007-11-01 |
| 1689799793 | Cynthia Carol Almond | Preventive Medicine | 309 East Ray Fine Blvd, Roland, OK 74954 | 2007-03-20 |
| 1457498644 | Robert Kale | Anesthesiology | 100 East Ray Fine Blvd., Suite Q, Roland, OK 74954 | 2007-01-30 |
| 1255491494 | Lequita J. Joyce Inc | Counselor | 100 East Ray Fine Blvd, Roland, OK 74954 | 2006-12-11 |
| 1174604268 | Morgan A Seubold | Chiropractor | 1022 E Ray Fine Blvd, Ste 4, Roland, OK 74954 | 2006-10-17 |
| Find all providers in zip 74954 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
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| 1629254651 | Angesl Health Care Clinic | Clinic/Center | 230 E 5th St, Pawhuska, OK 74056-5204 | 2008-01-22 |
| 1124042809 | Footcare & More LLC | Clinic/Center | 606 Kihekah Ave, Pawhuska, OK 74056-4225 | 2006-07-27 |
| 1124628656 | Cherry Street Pain Clinic LLC | Clinic/Center | 1810 E 15th St Ste B, Tulsa, OK 74104-4611 | 2020-10-26 |
| 1396357679 | Regenmedok | Clinic/Center | 1150 E Lansing St, Broken Arrow, OK 74012-2429 | 2020-08-19 |
| 1356815708 | Metro Tulsa Pain Management | Clinic/Center | 6547 E 71st St, Tulsa, OK 74133-2755 | 2019-01-18 |
| 1790283752 | Affinity Health LLC | Clinic/Center | 301 N Broadway St, Poteau, OK 74953-3355 | 2018-01-24 |
| 1871039396 | Northern Oklahoma Addiction Clinic | Clinic/Center | 304 Boulder St, Pawnee, OK 74058-4028 | 2017-01-08 |
| 1366875999 | Midtown Medical Neuropathy, LLC | Clinic/Center | 3311 S Yale Ave, Suite 210, Tulsa, OK 74135-8036 | 2013-08-19 |
| Find all providers with the same taxonomy | ||||
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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.