MRS. PAIGE JUHREE THEISSEN (NPI# 1194964999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194964999 |
| Entity Type | Individual |
| Full Name | MRS. PAIGE JUHREE THEISSEN |
| Credential | P.A,-C |
| Practice Address |
116 E Robert S Kerr Blvd Wynnewood OK 73098-6621 |
| Mailing Address |
2309 Port Rush Drive Moore OK 73160 |
| Practice Telephone | 4052384153 |
| Practice Fax Number | 4056655108 |
| Mailing Telephone | 4052384153 |
| Mailing Fax Number | 4056655108 |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1795 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
116 E ROBERT S KERR BLVD |
| City | WYNNEWOOD |
| State | OK |
| Zip Code | 73098-6621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929726 | James K Robberson | Family Medicine | 116 E Robert S Kerr Blvd, Wynnewood, OK 73098-6621 | 2005-08-12 |
| 1306335773 | Desiree Briana Bryant | Licensed Practical Nurse | 116 E Robert S Kerr Blvd, Wynnewood, OK 73098-6621 | 2018-05-01 |
| 1700394582 | Samantha Marie Lopez | Licensed Practical Nurse | 116 E Robert S Kerr Blvd, Wynnewood, OK 73098-6621 | 2018-01-16 |
| 1699138149 | Murray County Urgent Care Pllc | Clinic/Center | 116 E Robert S Kerr Blvd, Wynnewood, OK 73098-6621 | 2016-04-01 |
| 1841671708 | Wynnewood Diagnostic Laboratory | Clinical Medical Laboratory | 116 E Robert S Kerr Blvd, Wynnewood, OK 73098-6621 | 2015-06-16 |
| 1700189065 | Wynnewood Medical Clinics | Internal Medicine | 116 E Robert S Kerr Blvd, Wynnewood, OK 73098-6621 | 2010-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922486216 | Sphinx Diagnostics, LLC | Clinical Medical Laboratory | 106 N. Powell Ave., Ste 206, Wynnewood, OK 73098 | 2015-05-07 |
| 1053710053 | Shelly Rae Robbins | Nurse Practitioner | 106 N Powell, Wynnewood, OK 73098 | 2014-08-15 |
| 1992127955 | Rance Lane Rue | Marriage & Family Therapist | 202 South Washita Avenue, Wynnewood, OK 73098 | 2014-01-10 |
| 1346579836 | Tammy Sue Shirley | Behavioral Analyst | 406westchickasawwynnewood,oklahoma73098, 202southwashita, Wynnewood, OK 73098 | 2009-12-14 |
| 1346400512 | Dr Kyle R Moore Dds | Dentist | 101 Jameson Drive, Wynnewood, OK 73098 | 2008-06-11 |
| 1063619286 | Mike Don Dyson | Counselor | 202 S. Washita, Wynnewood, OK 73098 | 2007-06-29 |
| 1659432706 | Michael James Payne | Pharmacist | 1300 E. Robert S. Kerr, Wynnewood, OK 73098 | 2006-12-13 |
| 1518399104 | Wynnewood Urgent Care and Immediate Care Center PC | Clinic/Center | 106 N.powell, Wynnewood, OK 73098-0698 | 2013-08-06 |
| 1356402424 | Davids Pharmacy | Pharmacy | 1300 E Kerr Blvd, Wynnewood, OK 73098-1005 | 2006-12-13 |
| 1851736029 | Garvin County Occupational & Family Medicine LLC | Clinic/Center | 1202 E Robert S Kerr Blvd, Wynnewood, OK 73098-2054 | 2013-05-01 |
| Find all providers in zip 73098 | ||||
| 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 |
|---|---|---|---|---|
| 1578631701 | Kristine Michelle Trotter | Physician Assistant | 100 W Lancaster Avenue, Wynnewood, PA 19096 | 2006-12-04 |
| 1245202290 | Brooke L Milot | Physician Assistant | 100 W Lancaster Ave, Wynnewood, PA 19096 | 2006-02-03 |
| 1164021713 | Clay Johnson | Physician Assistant | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-10-23 |
| 1922642115 | Jessica Cataldo-ramirez | Physician Assistant | 100 E. Lancaster Avenue, Medical Science Building, Suite 275, Wynnewood, PA 19096 | 2019-10-31 |
| 1053960690 | Justin Domenico | Physician Assistant | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2019-09-06 |
| 1992354831 | Brittany Farra | Physician Assistant | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2019-09-04 |
| 1558846519 | Gregory Mcgaurn | Physician Assistant | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2018-09-26 |
| 1073097317 | Katherine Anne Mcgovern | Physician Assistant | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2018-09-22 |
| 1356796767 | Brittany Ann Griffin | Physician Assistant | 100 E Lancaster Ave, Mezzanine Level, Heart Pavilion, Wynnewood, PA 19096-3450 | 2016-05-04 |
| 1629437660 | Maureen O'donnell | Physician Assistant | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2016-02-18 |
| Find all providers in WYNNEWOOD | ||||
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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.