MRS. CHAUNTEL JOYCE DITOMMASO (NPI# 1184098246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184098246 |
| Entity Type | Individual |
| Full Name | MRS. CHAUNTEL JOYCE DITOMMASO |
| Other Name | MS. CHAUNTEL JOYCE SHANNON |
| Credential | PA |
| Practice Address |
1201 E Jackson St Hugo OK 74743-4229 |
| Mailing Address |
1060 Braydan Reno TX 75462-5902 |
| Practice Telephone | 5803266423 |
| Mailing Telephone | 4057954622 |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1201 E JACKSON ST |
| City | HUGO |
| State | OK |
| Zip Code | 74743-4229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922099860 | Teddy Ray Rowland | Family Medicine | 1201 E Jackson St, Hugo, OK 74743-4229 | 2005-10-31 |
| 1871096958 | Larry Leon Burns Jr. | Physician Assistant | 1201 E Jackson St, Hugo, OK 74743-4229 | 2018-03-14 |
| 1740643287 | Kathy Bryant | Nurse Practitioner | 1201 E Jackson St, Hugo, OK 74743-4229 | 2016-04-01 |
| 1538551379 | Meredith Rowland | Nurse Practitioner | 1201 E Jackson St, Hugo, OK 74743-4229 | 2015-03-03 |
| 1477957355 | Emily Dunlap | Nurse Practitioner | 1201 E Jackson St, Hugo, OK 74743-4229 | 2014-10-21 |
| 1760882252 | Larry Burns | Physician Assistant | 1201 E Jackson St, Hugo, OK 74743-4229 | 2014-09-03 |
| 1427466259 | Rowland Flatt Clinic | Clinic/Center | 1201 E Jackson St, Hugo, OK 74743-4229 | 2014-07-24 |
| 1639452642 | Rowland Flatt Clinic | Family Medicine | 1201 E Jackson St, Hugo, OK 74743-4229 | 2011-09-26 |
| 1235300575 | Rowland-ellis-flatt Hugo Rural Health Clinic | Clinical Medical Laboratory | 1201 E Jackson St, Hugo, OK 74743-4229 | 2008-03-14 |
| 1831313568 | Rowland Flatt Hugo Rural Health Clinic | Clinic/Center | 1201 E Jackson St, Hugo, OK 74743-4229 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053817775 | Emilia Sue Lopez | Registered Nurse | 2008 East 2110 Road, Hugo, OK 74743 | 2018-04-02 |
| 1144739657 | Healing Hearts Counseling & Consulting, L.L.C. | Clinic/Center | 1212 East Kirk, Hugo, OK 74743 | 2017-09-27 |
| 1457801177 | Kelli Lemke | Nurse Practitioner | 204 E. Jackson St., Hugo, OK 74743 | 2016-10-05 |
| 1780040147 | Shabreka Dorshell Coleman | Student in an Organized Health Care Education/Training Program | 1475 North 4220 Road, Grant, OK 74743 | 2016-01-14 |
| 1063898161 | Jaclyn Deann Rouse | Optometrist | 410 North M Street, Hugo, OK 74743 | 2015-07-31 |
| 1548519648 | Tori L Fowler | Counselor | 112 W. Jackson, Hugo, OK 74743 | 2012-09-05 |
| 1174802219 | Malinda Burnett | Counselor | 1100 David Roebuck Lane, Hugo, OK 74743 | 2011-08-08 |
| 1942591490 | Joshua Asher Tims | Clinic/Center | 1213 E. Jackson St, Hugo, OK 74743 | 2011-05-02 |
| 1598998320 | Kimberly Dawn Jones | Social Worker | 1717 1/2 West Jackson, Hugo, OK 74743 | 2009-08-27 |
| 1689812547 | Adeline Youngblood | Counselor | 612 E Jackson, Hugo, OK 74743 | 2009-01-30 |
| Find all providers in zip 74743 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871096958 | Larry Leon Burns Jr. | Physician Assistant | 1201 E Jackson St, Hugo, OK 74743-4229 | 2018-03-14 |
| 1225538663 | Carissa Lynn Valeri | Physician Assistant | 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 | 2018-02-12 |
| 1396100194 | Cassidy West | Physician Assistant | 410 N M St, Hugo, OK 74743-1820 | 2015-12-21 |
| 1760882252 | Larry Burns | Physician Assistant | 1201 E Jackson St, Hugo, OK 74743-4229 | 2014-09-03 |
| 1386680346 | Karla Rae Juvonen | Physician Assistant | 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 | 2006-06-20 |
| 1568453405 | Albert Elmer Mclemore | Physician Assistant | 1201 E Jackson St, Hugo, OK 74743-4229 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326496 | Courtland Henderson | Physician Assistant | 2614 Wagon Trl, Enid, OK 73703-1630 | 2020-11-03 |
| 1013517168 | Madeleine Hill | Physician Assistant | 5304 N Hudson Ave, Oklahoma City, OK 73118-6232 | 2020-10-28 |
| 1851990097 | Lauren Heim | Physician Assistant | 7324 Bucks Xing, Edmond, OK 73034-3520 | 2020-10-19 |
| 1003414673 | Stephanie Ann Stephens | Physician Assistant | 5021 Eric Dr, Oklahoma City, OK 73135-4129 | 2020-10-15 |
| 1508464355 | Lauren Danielle Ukleya | Physician Assistant | 1315 Chisholm Trail Pkwy Ste A, Duncan, OK 73533-1544 | 2020-10-14 |
| 1598362964 | Madison Kitchens | Physician Assistant | 471688 Ok-51, Stilwell, OK 74960 | 2020-10-07 |
| 1689271041 | Maissa Baker Mitwalli | Physician Assistant | 700 S Desert Palm Ave, Broken Arrow, OK 74012-8815 | 2020-10-07 |
| 1730705229 | Jenna Specht | Physician Assistant | 2501 N 14th St, Ponca City, OK 74601-1734 | 2020-06-19 |
| 1477176147 | April Dawn Sullivan | Physician Assistant | 1111 Walnut Dr, Ardmore, OK 73401-2354 | 2020-05-28 |
| 1497384754 | Leah Cannady Hester | Physician Assistant | 3145 Midland Valley St, Norman, OK 73069-6970 | 2020-04-07 |
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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.