DR. STEPHEN CARLOS MEDINA (NPI# 1235182650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235182650 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN CARLOS MEDINA |
| Credential | MD |
| Practice Address |
1501 N Florence Ave Ste 250 Claremore OK 74017-3256 |
| Mailing Address |
1501 N Florence Ste 250 Claremore OK 74017-3256 |
| Practice Telephone | 9183438513 |
| Practice Fax Number | 9183417090 |
| Mailing Telephone | 9183438513 |
| Mailing Fax Number | 9183417090 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2014-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
20083 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100215260A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154785582 | Stephen Medina Jr. | Community Health Worker | 635 Rogers St, Lowell, MA 01852-3855 | 2016-04-12 |
| Street Address |
1501 N FLORENCE AVE STE 250 |
| City | CLAREMORE |
| State | OK |
| Zip Code | 74017-3256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083194302 | Valerie Mitchell | Nurse Practitioner | 1501 N Florence Ave Ste 250, Claremore, OK 74017-3256 | 2018-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763127 | Randye Knott | Physical Therapist | 99224 S. Brady St. Suite 109, Claremore, OK 74017 | 2020-06-08 |
| 1538794854 | Katie Ann Osburn | Peer Specialist | 12005 E 490 Rd, Claremore, OK 74017 | 2020-03-06 |
| 1174185144 | Jamie Lynn Bell | Dentist | 1222 N. Florence Ave, Claremore, OK 74017 | 2019-07-01 |
| 1508326877 | Cheri L Doyle | Social Worker | Foundation Behavioral Health, 1218 N Florence Ave Suite 1218b, Claremore, OK 74017 | 2019-03-22 |
| 1487144374 | Kimberly Gale Henry | Case Manager/Care Coordinator | 16305 E Grand Meadow Dr., Claremore, OK 74017 | 2018-05-16 |
| 1912449836 | Katie Jentry Greenwell | Case Manager/Care Coordinator | 423 N. Seminole, Claremore, OK 74017 | 2016-11-09 |
| 1598219347 | Spring Dental Claremore | Dentist | 504 S. Lynn Riggs Blvd., Ste #100, Claremore, OK 74017 | 2016-08-10 |
| 1811366701 | Alonna Adair-triplett | Registered Nurse | 101 S. Moore, Claremore, OK 74017 | 2015-09-21 |
| 1992135719 | Jordan Nicole Martin | Behavioral Analyst | 24797 Oklahoma 66, Claremore, OK 74017 | 2013-11-14 |
| 1992059398 | Wood Manor, Inc. | Alzheimer Center (Dementia Center) | 2800 N. Hickory, Claremore, OK 74017 | 2012-11-07 |
| Find all providers in zip 74017 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760720668 | Stillwater Histology LLC | Internal Medicine | 1301 W. 6th St, Suite 106, Stillwater, OK 74074 | 2013-01-28 |
| 1568706554 | Ahmad S Jazzar | Internal Medicine | 5617 Normandy Ter, Oklahoma City, OK 73142-1823 | 2012-11-15 |
| 1730444886 | Molly Beth Lindquist Disbrow | Internal Medicine | 920 Stanton L Young Blvd # Wp1345, Oklahoma City, OK 73104-5036 | 2012-07-05 |
| 1306111448 | Southwest Gastroenterology Associates Pllc | Internal Medicine | 525 Sw 80th Street, Suite 200, Oklahoma City, OK 73139 | 2012-03-21 |
| 1154611457 | Aatish Mukesh Patel | Internal Medicine | 4200 E Skelly Dr Ste 700, Tulsa, OK 74135-3256 | 2011-04-08 |
| 1447478722 | Richard W. Seifert, M.d., Inc | Internal Medicine | 1145 S. Utica, Suite 909, Tulsa, OK 74104 | 2007-04-23 |
| 1528199866 | Verapan Vongthavaravat | Internal Medicine | 4811 Gaillardia Pkwy Ste 200, Oklahoma City, OK 73142-1874 | 2007-03-08 |
| 1992852875 | Shih-kuang Hong | Internal Medicine | 3110 Sw 89th St Ste 104, Oklahoma City, OK 73159-7920 | 2007-01-04 |
| 1407920036 | Robert Edward Ringrose | Internal Medicine | 324 E Oklahoma Ave, Guthrie, OK 73044-3315 | 2006-11-17 |
| 1083709430 | Imad A Zantout | Internal Medicine | 4200 W.memorial Road, Suite 305, Oklahoma City, OK 73120 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
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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.