MR. KRIS MAHLOCK (NPI# 1205926425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205926425 |
| Entity Type | Individual |
| Full Name | MR. KRIS MAHLOCK |
| Credential | MS, ATC, LAT |
| Practice Address |
100 Campus Dr Weatherford OK 73096-3001 |
| Mailing Address |
2005 Berry Ave Weatherford OK 73096-2937 |
| Practice Telephone | 5807743041 |
| Mailing Telephone | 5808192669 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
468 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
100 CAMPUS DR |
| City | WEATHERFORD |
| State | OK |
| Zip Code | 73096-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144857533 | Tracey Marie Oliver | Pharmacist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2020-03-25 |
| 1386271146 | Rachel Elizabeth Cook | Pharmacy Technician | 100 Campus Dr, Weatherford, OK 73096-3001 | 2020-03-23 |
| 1508496803 | Brianne N Kirchgessner | Student in an Organized Health Care Education/Training Program | 100 Campus Dr, Weatherford, OK 73096-3001 | 2020-01-25 |
| 1750928768 | Morgan Brook Corona | Music Therapist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2019-12-09 |
| 1518512235 | Tatum Jones | Specialist/Technologist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2019-08-08 |
| 1568022861 | Sarah Yount | Pharmacist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2019-06-18 |
| 1871068486 | Brianna Neely | Specialist/Technologist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2018-10-10 |
| 1235631128 | Southwestern Oklahoma State University | Orthopaedic Surgery | 100 Campus Dr, Weatherford, OK 73096-3001 | 2018-03-06 |
| 1235631623 | Joseph Leven | Specialist/Technologist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2018-03-01 |
| 1568979623 | Brandon Joe Pounds | Specialist/Technologist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2018-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316433170 | Weatherford Hospital Authority | Clinic/Center | 1315 N Washington, Weatherford, OK 73096 | 2018-07-05 |
| 1174030530 | Lacey Bailey | Case Manager/Care Coordinator | 101 E University Dr Apt B2, Weatherford, OK 73096 | 2018-01-08 |
| 1972962066 | Shayli Hill | Physical Therapist | 3730 Legacy Dr, Weatherford, OK 73096 | 2016-02-17 |
| 1396144622 | Xpress Wellness LLC | Family Medicine | 1303 N Washington, Weatherford, OK 73096 | 2014-08-22 |
| 1881942654 | Weatherford Dental Care Pllc | Dentist | 1325 N. Washington Street, Weatherford, OK 73096 | 2012-08-27 |
| 1326352204 | Weatherford Hospital Authority | General Acute Care Hospital | 3727 Legacy, Weatherford, OK 73096 | 2010-08-03 |
| 1316148505 | Janet Vega | Case Manager/Care Coordinator | 1413 Kase St Apt. 1, Weatherford, OK 73096 | 2007-05-29 |
| 1326259797 | Amy Michelle Estes IIi | Case Manager/Care Coordinator | 90 North 31st., Clinton, OK 73096 | 2007-05-25 |
| 1427260256 | Paul C. Tisdal, O.d., P.C. | Optometrist | 1545 N. Washington Ave, Weatherford, OK 73096 | 2007-05-04 |
| 1386786663 | William W Uraneck | Dentist | 617 E Tom Stafford, Weatherford, OK 73096 | 2007-02-13 |
| Find all providers in zip 73096 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679969570 | Courtney Harper | Specialist/Technologist | 2625 Locust Ln, Weatherford, OK 73096-2619 | 2015-04-08 |
| 1881228401 | Bo Bryant | Specialist/Technologist | 2121 Bethel Rd, Weatherford, TX 76087-9449 | 2020-02-24 |
| 1518512235 | Tatum Jones | Specialist/Technologist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2019-08-08 |
| 1154894731 | Mitchell Alexander Hays | Specialist/Technologist | 100 Campus Drive, Athletic Training Department, Weatherford, OK 73096 | 2019-01-07 |
| 1871068486 | Brianna Neely | Specialist/Technologist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2018-10-10 |
| 1235631623 | Joseph Leven | Specialist/Technologist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2018-03-01 |
| 1568979623 | Brandon Joe Pounds | Specialist/Technologist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2018-01-10 |
| 1639525082 | Catherine Schantz | Specialist/Technologist | 100 Campus Dr, Athletic Training, Weatherford, OK 73096-3001 | 2016-05-04 |
| 1932586286 | Randa Hollandsworth | Specialist/Technologist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2015-05-06 |
| 1427469741 | Kalyp Oliver | Specialist/Technologist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2014-05-09 |
| Find all providers in WEATHERFORD | ||||
| City | WEATHERFORD |
| Zip Code | 73096 |
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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.