ERIC RUSSELL STREATER (NPI# 1174780027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174780027 |
Entity Type | Individual |
Full Name | ERIC RUSSELL STREATER |
Practice Address |
4913 W Reno Ave Oklahoma City OK 73127-6339 |
Practice Telephone | 4059484900 |
Practice Fax Number | 4059484936 |
Mailing Telephone | 4059484900 |
Mailing Fax Number | 4059484936 |
Enumeration Date | 2008-05-19 |
Last Update Date | 2008-05-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers |
Street Address |
4913 W RENO AVE |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73127-6339 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609874668 | Karen Suzanne Kyte | Physician Assistant | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2005-07-13 |
1164023297 | Brianne Carter | Dental Hygienist | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2020-11-04 |
1396346854 | Annie Bejoy Thomas | Pharmacist | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2020-11-02 |
1578160586 | Audrey Allen | Pharmacist | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2020-10-02 |
1689290694 | Brandy Ponder | Nurse Practitioner | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2020-06-25 |
1295369247 | William Kelly Mckeever | Registered Nurse | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2020-02-28 |
1386278273 | Tamara K Clark | Community Health Worker | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2020-02-28 |
1144873449 | Justin Ozias Mclemore | Radiologic Technologist | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2019-07-17 |
1578115846 | Angelina Marie Hill | Dentist | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2019-07-16 |
1679132302 | Sharon Kay Marcotte | Peer Specialist | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2019-06-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598176711 | We Care LLC | Respite Care | 5400 Nw 23rd Street, Suite 100, Oklahoma City, OK 73127 | 2014-05-09 |
1437494655 | Dr. Yong H. Kim, Psyd, Professional Limited Company | Psychologist | 8101 Nw 10th, Oklahoma City, OK 73127 | 2012-11-28 |
1952652836 | Kevin Kent Shelton Sr. | Behavioral Analyst | 2120 East Harlow Place, Oklahoma City, OK 73127 | 2012-10-02 |
1548537962 | Recovercare LLC | Durable Medical Equipment & Medical Supplies | 6620 Melrose Ln., Oklahoma City, OK 73127 | 2011-11-30 |
1326370065 | Karen Lou Gault | Counselor | 7201 N. W. 10th, Okc, OK 73127 | 2010-02-05 |
1679708762 | Aerocare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 6125 W Reno Ave Ste 100, Oklahoma City, OK 73127 | 2009-05-19 |
1306068432 | Emerald Square Assisted Living, LLC | Assisted Living Facility | 701 North Council Road, Oklahoma City, OK 73127 | 2007-05-02 |
1447377585 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 6101 West Reno, Suite 800, Oklahoma City, OK 73127 | 2007-03-23 |
1811021165 | Carmellia Marie Hamilton | Registered Nurse | 4913 W. Reno, Oklahoma City, OK 73127 | 2007-03-16 |
1447345178 | Tim Guinn | Pharmacist | 4911 N.w. 23rd Street, Oklahoma City, OK 73127 | 2006-10-04 |
Find all providers in zip 73127 |
Taxonomy Code | 246RP1900X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Pathology |
Specialization | Phlebotomy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174000152 | Ashli Marie Cubit | Technician, Pathology | 6201 N Post Oak Rd, Oklahoma City, OK 73105-6427 | 2018-07-23 |
1336688324 | Keyanah Rishea Montgomery | Technician, Pathology | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2017-02-23 |
1760759393 | Janess Lafaye Lime | Technician, Pathology | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2011-11-28 |
1447542535 | Penny Michelle Bidelspach | Technician, Pathology | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2011-05-06 |
1811297732 | Darlecia Ann Sanders | Technician, Pathology | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2010-10-26 |
1538310768 | Patricia Weldon | Technician, Pathology | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2008-10-07 |
1740447606 | Vicki Grace Yackeyonny | Technician, Pathology | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2008-05-19 |
1366609216 | Jamie Miles | Technician, Pathology | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2008-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700492881 | Victoria Maria Cronin | Technician, Pathology | 5374 Navea Rd Unit B, Fort Sill, OK 73503-3345 | 2020-09-23 |
1366719239 | Joshua Lee Hendrickson | Technician, Pathology | 3301 N 1st Ave, Apt 2h, Durant, OK 74701-2545 | 2011-11-21 |
1639493943 | Todd L Thompson Sr. | Technician, Pathology | 503 N Blaine Ave, Chandler, OK 74834-1208 | 2010-03-16 |
1144345935 | Jennifer Nicole Frizzell | Technician, Pathology | 1602 Hardwood Grove St, Tecumseh, OK 74873-1618 | 2007-03-20 |
1164079307 | David Albert Trevino Jr. | Technician, Pathology | 804 W Choctaw Ave, Chickasha, OK 73018-2310 | 2019-08-22 |
City | OKLAHOMA CITY |
Zip Code | 73127 |
Please comment or provide details below to improve the information on ERIC RUSSELL STREATER.
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.