SHERYL EVONE GHAN (NPI# 1184675464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184675464 |
| Entity Type | Individual |
| Full Name | SHERYL EVONE GHAN |
| Credential | D.O. |
| Practice Address |
301 J T Stites Blvd Sallisaw OK 74955-9302 |
| Mailing Address |
5831 Euper Ln Fort Smith AR 72903-3239 |
| Practice Telephone | 9187759150 |
| Mailing Telephone | 4796296125 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-05-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 3197 | OK | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | E0744 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MCB-SALLISAW | 8ED012 | 01 | |
| OK | 1203197 | 05 | |
| AR | 129484001 | 05 |
| Street Address |
301 J T STITES BLVD |
| City | SALLISAW |
| State | OK |
| Zip Code | 74955-9302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690105 | Jeffrey S Sanders | Pharmacist | 301 J T Stites Blvd, Sallisaw, OK 74955-9302 | 2005-06-22 |
| 1396014965 | Timothy Aaron Cardenaz | Pharmacist | 301 J T Stites Blvd, Sallisaw, OK 74955-9302 | 2011-12-27 |
| 1831468198 | Leslie Ray Woodard | Pharmacist | 301 J T Stites Blvd, Sallisaw, OK 74955-9302 | 2011-12-15 |
| 1104080431 | Michael Aaron Sweeney | Dentist | 301 J T Stites Blvd, Sallisaw, OK 74955-9302 | 2008-07-16 |
| 1700040201 | Pamela Jorene West | Pharmacist | 301 J T Stites Blvd, Sallisaw, OK 74955-9302 | 2008-07-14 |
| 1841461324 | Tabitha Joanne Ford | Dietitian, Registered | 301 J T Stites Blvd, Sallisaw, OK 74955-9302 | 2008-03-12 |
| 1275743684 | Lisa D Ortiz | Internal Medicine | 301 J T Stites Blvd, Redbird Smith Health Center, Sallisaw, OK 74955-9302 | 2007-05-23 |
| 1356497812 | Richard Darren Stites | Counselor | 301 J T Stites Blvd, Sallisaw, OK 74955-9302 | 2007-01-26 |
| 1245386788 | Andrea Denice Dudley | Counselor | 301 J T Stites Blvd, Sallisaw, OK 74955-9302 | 2007-01-26 |
| 1629182167 | Northeastern State University College of Optometry | Eyewear Supplier (Equipment, not the service) | 301 J T Stites Blvd, Sallisaw, OK 74955-9302 | 2006-08-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057297 | Audrey A. Martin | Technician | 463508 East 1044 Road, Sallisaw, OK 74955 | 2019-11-12 |
| 1013472356 | Christopher Alan Bush | Registered Nurse | 301 Jt Stites, Sallisaw, OK 74955 | 2019-01-31 |
| 1174098941 | Sequoyah County Drug Company Pllc | Pharmacy | 1632 S Kerr Blvd, Sallisaw, OK 74955 | 2018-10-09 |
| 1720570609 | Stephanie Choate | Registered Nurse | 2703 E Phillips Ave, Sallisaw, OK 74955 | 2018-06-05 |
| 1972964666 | Sallisaw Family Medicine, L.L.C. | Family Medicine | 104 South Oak St, Sallisaw, OK 74955 | 2016-03-09 |
| 1407258544 | Mika Goff | Counselor | 301 So. Jt Stites, Sallisaw, OK 74955 | 2014-09-19 |
| 1013348200 | Alton Matlock | Counselor | 2101 Winter Park Drive, Apt/suite, Sallisaw, OK 74955 | 2013-12-12 |
| 1881931509 | Wildhorse Family Practice & Urgent Care | Clinic/Center | 1024 W Cherokee, Sallisaw, OK 74955 | 2013-01-15 |
| 1083966576 | Kayla Plank | Counselor | 204 E Choctaw, Sallisaw, OK 74955 | 2012-10-08 |
| 1427307503 | Brandi Jean Henry | Counselor | 205 S. J.t. Stites, Sallisaw, OK 74955 | 2012-09-05 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457972366 | Saint Medical Group, LLC | Pediatrics | 3400 S Douglas Blvd Ste 307a, Oklahoma City, OK 73150-1001 | 2020-05-01 |
| 1326674177 | Premier Pediatric and Adolescent Care of Bixby | Pediatrics | 7814 E 121st St, Bixby, OK 74008 | 2020-03-12 |
| 1174180137 | Iorga Pediatrics LLC | Pediatrics | 201 N Monte Vista St Ste C, Ada, OK 74820-7220 | 2019-05-24 |
| 1851868863 | Okc Kids Urology Pllc | Pediatrics | 3705 Nw 63rd St Ste 211, Oklahoma City, OK 73116-1937 | 2018-10-28 |
| 1679067664 | Laurie Ann Alfrey | Pediatrics | 1025 E 18th St, Tulsa, OK 74120-7406 | 2018-06-21 |
| 1700380268 | Katherine Ann Brashears | Pediatrics | 6628 Fawn Canyon Dr, Oklahoma City, OK 73162-6759 | 2018-03-20 |
| 1114468436 | Vanessa Boshuizen | Pediatrics | 12020 E 31st St, Tulsa, OK 74146-2001 | 2017-03-20 |
| 1255870820 | Caitlin Schaede | Pediatrics | 601 E 13th St Ste A, Grove, OK 74344-2962 | 2017-02-15 |
| 1407390115 | Empower Pediatrics | Pediatrics | 9659 Riverside Pkwy, Tulsa, OK 74137-7398 | 2016-12-14 |
| 1528417409 | Valley Family Clinic Inc | Pediatrics | 106 Burr Ave, Pauls Valley, OK 73075-3848 | 2016-06-10 |
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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.