NORTHEAST OKLAHOMA PHYSICIAN NETWORK INC (NPI# 1205190501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205190501 |
| Entity Type | Organization |
| Organization Name | NORTHEAST OKLAHOMA PHYSICIAN NETWORK INC |
| Other Organization Name | BROKEN ARROW URGENT CARE |
| Practice Address |
1130 E Lansing St Broken Arrow OK 74012-2429 |
| Mailing Address |
2408 E 81st St Ste 300 Tulsa OK 74137-4200 |
| Practice Telephone | 9182589990 |
| Practice Fax Number | 9189944277 |
| Mailing Telephone | 9184775049 |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-07-02 |
| Authorized Official Name | RICHARD FERGUSON (CEO) |
| Authorized Official Telephone | 9184775049 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Broken Arrow Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114283025 | Northeast Oklahoma Physician Network Inc | Family Medicine | 1130 E Lansing St, Broken Arrow, OK 74012-2429 | 2012-04-04 |
| Street Address |
1130 E LANSING ST |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-2429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114982063 | Premier Family Care PC | Family Medicine | 1130 E Lansing St, Broken Arrow, OK 74012-2016 | 2006-04-20 |
| 1568992071 | Betsy Jean Graham | Registered Nurse | 1130 E Lansing St, Broken Arrow, OK 74012-2429 | 2017-06-16 |
| 1114283025 | Northeast Oklahoma Physician Network Inc | Family Medicine | 1130 E Lansing St, Broken Arrow, OK 74012-2429 | 2012-04-04 |
| 1952563892 | Scott J. Fowler | Family Medicine | 1130 E Lansing St, Broken Arrow, OK 74012-2429 | 2008-07-01 |
| 1851359756 | Lora Jean Mitchell-huber | Physician Assistant | 1130 E Lansing St, Broken Arrow, OK 74012-2429 | 2006-05-02 |
| 1215992235 | Urgent Care Incorporated | Family Medicine | 1130 E Lansing St, Broken Arrow, OK 74012-2016 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467656363 | Patient Care Services of Saint Francis Inc | Clinic/Center | 3000 S Elm Pl, Broken Arrow, OK 74012-7917 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902426737 | Creekside Urgent Care LLC | Clinic/Center | 1101 Nw 178th St Ste B, Edmond, OK 73012-4281 | 2020-04-22 |
| 1629604434 | Medwise LLC | Clinic/Center | 11495 S. State Highway 51, Coweta, OK 74429 | 2020-03-13 |
| 1831722982 | Sooner Urgent Care LLC | Clinic/Center | 2100 W Lindsey St Ste B, Norman, OK 73069-4108 | 2020-02-18 |
| 1720639263 | Nicholette Brosseau | Clinic/Center | 1520 Sw 1st St, Wagoner, OK 74467-4839 | 2019-09-25 |
| 1548819477 | Christi Lea Vick | Clinic/Center | 704 Azalea Hill Dr, Yukon, OK 73099-6504 | 2019-09-04 |
| 1447805544 | Revive Medical Urgent Care LLC | Clinic/Center | 4215 N Classen Blvd Ste 100, Oklahoma City, OK 73118-2426 | 2019-08-06 |
| 1780239202 | Immediate Care of Oklahoma, LLC | Clinic/Center | 10616 U.S. Highway 66, Suite 100, Oklahoma City, OK 73099 | 2019-08-02 |
| 1982161386 | On Demand Urgent Care, LLC | Clinic/Center | 11426 N 134th E Ave, Owasso, OK 74055-5755 | 2019-02-22 |
| 1720554231 | Gdn LLC | Clinic/Center | 1315 Chisholm Trail Pkwy, Duncan, OK 73533-1533 | 2018-10-23 |
| 1699262576 | Immediate Care of Oklahoma, LLC | Clinic/Center | 4500 Tinker Rd, Oklahoma City, OK 73135-4614 | 2018-04-17 |
| Find all providers with the same taxonomy | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
Please comment or provide details below to improve the information on NORTHEAST OKLAHOMA PHYSICIAN NETWORK INC.
| 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.