EASTERN OKLAHOMA MEDICAL CLINIC INC (NPI# 1215999420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215999420 |
| Entity Type | Organization |
| Organization Name | EASTERN OKLAHOMA MEDICAL CLINIC INC |
| Practice Address |
8315 E 111th St S Ste D Bixby OK 74008-2466 |
| Practice Telephone | 9183922468 |
| Practice Fax Number | 9183922469 |
| Mailing Telephone | 9183922468 |
| Mailing Fax Number | 9183922469 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2007-10-26 |
| Authorized Official Name | DR. COREY SHAWN SCHOENEWE (PRESIDENT) |
| Authorized Official Telephone | 9183922468 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 3785 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
8315 E 111TH ST S STE D |
| City | BIXBY |
| State | OK |
| Zip Code | 74008-2466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656570 | Cheryl Fleming | Dentist | 7810 E. 121st St. S., Bixby, OK 74008 | 2020-07-14 |
| 1326674177 | Premier Pediatric and Adolescent Care of Bixby | Pediatrics | 7814 E 121st St, Bixby, OK 74008 | 2020-03-12 |
| 1255821005 | South Tulsa Pain Management LLC. | Pain Medicine | 12345 S Memorial Dr Ste 106, Bixby, OK 74008 | 2018-05-17 |
| 1083104483 | Jennifer Scoggins Ms, Rd/ld, L.L.C. | Dietitian, Registered | 20164 S 137th East Ave, Bixby, OK 74008 | 2018-05-11 |
| 1043749310 | Brooke E Landers | Case Manager/Care Coordinator | 11113 S 107th E Ave, Bixby, OK 74008 | 2017-06-08 |
| 1053770404 | Mitzi Blanchard | Nurse Practitioner | 7333 E. 121st St S, Suite 200, Bixby, OK 74008 | 2016-02-13 |
| 1578942124 | Candace Taylor | Physical Therapist | 9013 East 138th St S, Bixby, OK 74008 | 2015-05-28 |
| 1427445188 | Kevin Toliver | Contractor | 10723 E 115th St South, Bixby, OK 74008 | 2015-04-21 |
| 1992102164 | Jessica Thompson | Speech-Language Pathologist | 7701 E. 121st, Bixby, OK 74008 | 2014-12-03 |
| 1700070232 | Body Worx Chiropractic | Chiropractor | 5085 East 151st St., Suite B, Bixby, OK 74008 | 2007-08-28 |
| Find all providers in zip 74008 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265891212 | Matthew Else | Family Medicine | 12620 S Memorial Dr, Bixby, OK 74008-2676 | 2016-02-18 |
| 1457785693 | Medstaffpc | Family Medicine | 12800 S Memorial Dr, Bixby, OK 74008-2576 | 2013-08-23 |
| 1073724332 | Ray E Stowers I | Family Medicine | 6620 E 117th St S, Bixby, OK 74008-8204 | 2007-05-25 |
| 1164646436 | Family Medical Center & Minor Emergency, Inc. | Family Medicine | 13330 S Memorial Dr, Suite #1, Bixby, OK 74008-3165 | 2007-04-11 |
| 1972623197 | Willis Franklin Phelps | Family Medicine | 6903 E 113th St S, Bixby, OK 74008-2075 | 2007-03-30 |
| 1396772182 | Terry L Mills | Family Medicine | 7333 E 121st St S, Bixby, OK 74008-2654 | 2006-06-27 |
| 1154861607 | Christin Baker-hankton | Family Medicine | 12620 S Memorial Dr, Bixby, OK 74008-2676 | 2017-03-02 |
| 1154597086 | Summer Anne Fillmore | Family Medicine | 11911 S Memorial Dr, Bixby, OK 74008-2030 | 2008-04-30 |
| 1457556474 | Stephanie Diane Burleson | Family Medicine | 11911 S Memorial Dr, Bixby, OK 74008-2030 | 2007-06-19 |
| 1992851505 | Troy A. Glaser | Family Medicine | 12800 S Memorial Dr Ste D, Bixby, OK 74008-2577 | 2007-01-26 |
| Find all providers in BIXBY | ||||
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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.