MICHAEL SHANE RICHARDSON (NPI# 1225179849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225179849 |
| Entity Type | Individual |
| Full Name | MICHAEL SHANE RICHARDSON |
| Credential | P.A. |
| Practice Address |
1025 Straka Ter Oklahoma City OK 73139-2544 |
| Practice Telephone | 4056326688 |
| Practice Fax Number | 4056040708 |
| Mailing Telephone | 4056326688 |
| Mailing Fax Number | 4056040708 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2011-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1615 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114474723 | Michael Blake Richardson | Physical Therapist | 2801 S. Olive Street, Suite 9d, Pine Bluff, AR 71603-5495 | 2016-09-01 |
| 1003168493 | Michael Richardson | Pharmacist | 4209 San Pedro Dr Ne, 274, Albuquerque, NM 87109-2007 | 2012-10-09 |
| 1336408228 | Michael Scott Richardson | Occupational Therapist | 1124 Old Lynn Grove Rd, Murray, KY 42071-8112 | 2012-05-11 |
| 1154510196 | Michael David Richardson | Counselor | 12496 Old 79, New London, MO 63459-2741 | 2007-10-16 |
| 1508089061 | Michael Joseph Richardson | Psychiatry & Neurology | 16302 Falls Rd, Butler, MD 21023-0045 | 2007-04-11 |
| 1548279235 | Michael Richardson | Physical Therapist | 1111 Corporate Park Dr, Ste B, Forest, VA 24551-2286 | 2006-08-05 |
| 1124063110 | Michael Anthony Richardson | Pathology | 680 Miramonte Dr, Santa Barbara, CA 93109-1429 | 2006-06-17 |
| 1477594646 | Michael Dale Richardson | Military Health Care Provider | Hc-83 Bldg 3005, Naval Hospital Branch Clinic Mcmwtc, Bridgeport, CA 93517-0001 | 2006-06-09 |
| 1245855188 | Michael D Richardson | Occupational Therapist | 483 Clermont Ave, Brooklyn, NY 11238-2253 | 2020-06-16 |
| 1174151989 | Michael Richardson | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-03-28 |
| Street Address |
1025 STRAKA TER |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73139-2544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063493187 | Violet Loren Cohen | Pediatrics | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2005-11-07 |
| 1629685946 | Jackeline Vanessa Pickelsimer | Nurse Practitioner | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2020-09-30 |
| 1033727615 | Kendall Mccormick | Advanced Practice Midwife | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2020-07-20 |
| 1144845090 | Allison Fuzzell | Pharmacist | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2020-06-16 |
| 1093330250 | Erin Scott | Pharmacist | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2020-06-13 |
| 1659902385 | Evodio Hector Estrada | Physician Assistant | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2020-01-31 |
| 1730726803 | Kimberly Louise Bittle | Physician Assistant | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2019-12-07 |
| 1588211361 | Kathy Huynh | Physician Assistant | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2019-08-26 |
| 1831682798 | Steve Tuan Nguyen | Dentist | 1025 Straka Ter, Oklahoma City, OK 73139 | 2018-06-14 |
| 1316334188 | Variety Care, Inc | Clinic/Center | 1025 Straka Ter, Oklahoma City, OK 73139-2544 | 2015-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899778 | First Med Primary Care LLC | Clinic/Center | 1142 Sw 104th St, Oklahoma City, OK 73139 | 2020-01-03 |
| 1205305737 | Transit Medical Team LLC | In Home Supportive Care | 1145 S I-240 Service Rd Ste F, Oklahoma City, OK 73139 | 2018-11-14 |
| 1336621770 | Mayra Edith Solis | Case Manager/Care Coordinator | 6510 S. Western Ave Bldg. 400, Oklahoma City, OK 73139 | 2018-09-01 |
| 1619470184 | Linzi L Stewart, D.o., P.l.l.c. | Obstetrics & Gynecology | 10400 S Western Ave Ste 7, Oklahoma City, OK 73139 | 2018-03-12 |
| 1467970467 | Oklahoma Healthcare Transitions Inc | Home Health | 6803 S Western Ave Ste 400, Oklahoma City, OK 73139 | 2017-08-30 |
| 1841714169 | Gentry Kyler Jones | Case Manager/Care Coordinator | 301 W I240 Service Rd, Oklahoma City, OK 73139 | 2017-07-28 |
| 1437688082 | Jasmine Small | Case Manager/Care Coordinator | 6100 S Walker, Okc, OK 73139 | 2017-06-07 |
| 1689029266 | Swalk Operations, LLC | Skilled Nursing Facility | 315 Sw 80th Street, Oklahoma City, OK 73139 | 2016-05-02 |
| 1225491343 | Elizabeth Pratt | Counselor | 301 Interstate 240 Service Rd, Oklahoma City, OK 73139 | 2016-04-05 |
| 1326418542 | Brittany Elis Walley | Case Manager/Care Coordinator | 8015 S Klein Ave, Oklahoma City, OK 73139 | 2015-09-30 |
| Find all providers in zip 73139 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982172029 | William Landon Ross | Physician Assistant | 3705 W Memorial Rd Ste 101, Oklahoma City, OK 73134-1508 | 2018-11-07 |
| 1639646656 | Jacob Allbritton | Physician Assistant | 10824 Admiral Dr, Oklahoma City, OK 73162-6843 | 2018-10-29 |
| 1073004768 | Shelby Teel | Physician Assistant | 1200 Everett Dr # 8305, Oklahoma City, OK 73104-5047 | 2018-05-29 |
| 1255871349 | Michele Starr | Physician Assistant | 409 Nw 39th St, Oklahoma City, OK 73118-8415 | 2017-03-08 |
| 1972042141 | Nathan Carl Kadavy | Physician Assistant | 440 N Portland Ave, Suite 1000, Oklahoma City, OK 73107-6110 | 2017-02-21 |
| 1487191946 | Neilee Wood | Physician Assistant | 8121 Nw 119th St, Oklahoma City, OK 73162-1110 | 2017-01-23 |
| 1508316530 | Shayniel Stears | Physician Assistant | 16201 Gossamer Way, Oklahoma City, OK 73165-1503 | 2016-10-13 |
| 1386016566 | D'amber Nicole Chambers | Physician Assistant | 1918 Ne 23rd St, Oklahoma City, OK 73111-3328 | 2015-10-27 |
| 1700263928 | Micaela Lupov | Physician Assistant | 101 N Robinson Ave Ste 200, Oklahoma City, OK 73102 | 2015-04-27 |
| 1710380001 | Whitney Ward | Physician Assistant | 4120 W Memorial Rd Ste 300, Oklahoma City, OK 73120-9322 | 2014-10-01 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73139 |
Please comment or provide details below to improve the information on MICHAEL SHANE RICHARDSON.
| 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.