JULIAN EDWARD BRANCH (NPI# 1164999595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164999595 |
| Entity Type | Individual |
| Full Name | JULIAN EDWARD BRANCH |
| Practice Address |
1012 Mollie Rausch Ln Edmond OK 73003-2536 |
| Practice Telephone | 4058247538 |
| Mailing Telephone | 4058247538 |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
1012 MOLLIE RAUSCH LN |
| City | EDMOND |
| State | OK |
| Zip Code | 73003-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945202 | Korbin Hally | Dentist | 2600 Tayler Street, Edmond, OK 73003 | 2020-06-04 |
| 1003448325 | Diagnostic Resources, LLC | Physical Medicine & Rehabilitation | 1641 Saratoga Way, Edmond, OK 73003 | 2020-02-05 |
| 1861904021 | Rhonda Diane Pennington | Occupational Therapist | 515 S Santa Fe Ave Ste 103, Edmond, OK 73003 | 2017-10-27 |
| 1588173744 | Hpc Holdings LLC | Clinic/Center | 813 W Covell Rd, Edmond, OK 73003 | 2017-09-20 |
| 1194243568 | Nightengale Chiropractic, LLC | Chiropractor | 2616 Covell Village Dr Ste. 120, Edmond, OK 73003 | 2017-09-06 |
| 1104274927 | Bonsu Osei Asibey | Case Manager/Care Coordinator | 1301 Craig Blvd, Edmond, OK 73003 | 2016-06-02 |
| 1215390810 | Prince Yebo | Case Manager/Care Coordinator | 1817 Redland Dr, Edmond, OK 73003 | 2016-03-31 |
| 1548621691 | Charles Loftis | Physical Therapist | 1321 Fretz Drive, 100, Edmond, OK 73003 | 2016-03-17 |
| 1487013801 | Courage Counseling Center | Community/Behavioral Health | 1400 S. Fretz Ave, Suite 1400, Edmond, OK 73003 | 2016-02-12 |
| 1669889887 | Shannon Gogel | Occupational Therapy Assistant | 1309 Val Genes Rd, Edmond, OK 73003 | 2014-07-21 |
| Find all providers in zip 73003 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091548 | Ryan Vanmeter | Peer Specialist | 1965 Ladera Ln, Edmond, OK 73034-9787 | 2020-10-22 |
| 1679184717 | Sacy Stegall | Peer Specialist | 2902 Amanda Dr, Edmond, OK 73034-8971 | 2020-08-12 |
| 1225656309 | Preston Rody | Peer Specialist | 17861 Prairie Sky Way, Edmond, OK 73012-6628 | 2020-07-06 |
| 1730704156 | Ace Parchami | Peer Specialist | 4128 Nw 155th St, Edmond, OK 73013-9139 | 2020-06-11 |
| 1912568460 | Amber Peitzmeier | Peer Specialist | 16009 Katie Ridge Dr, Edmond, OK 73013-1498 | 2019-06-25 |
| 1326601683 | Raymond N Baker | Peer Specialist | 2309 Tuscan Ln, Edmond, OK 73034-6985 | 2019-04-22 |
| 1851859185 | Tessa Ranae Linn | Peer Specialist | 21918 Douglas Ave, Edmond, OK 73012-3218 | 2019-03-05 |
| 1063977395 | Kyle Ray Hankins | Peer Specialist | 313 E Edwards St, Edmond, OK 73034-4528 | 2019-01-31 |
| 1275006975 | Brady Reynolds | Peer Specialist | 1301 Shalamar Rd, Edmond, OK 73013-6026 | 2019-01-04 |
| 1548731789 | Michael Lacy | Peer Specialist | 4104 Shiloh Valley Rd, Edmond, OK 73034-6912 | 2018-12-16 |
| Find all providers in EDMOND | ||||
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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.