BRAYDERIK CONSULTING (NPI# 1235677121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235677121 |
Entity Type | Organization |
Organization Name | BRAYDERIK CONSULTING |
Practice Address |
1607 S Muskogee Ave Ste C Tahlequah OK 74464-5440 |
Mailing Address |
807 W Downing St Tahlequah OK 74464-2719 |
Practice Telephone | 9189317232 |
Mailing Telephone | (918) 931-7232 |
Enumeration Date | 2017-02-10 |
Last Update Date | 2017-07-31 |
Authorized Official Name | PAULA J YOUNG (CEO) |
Authorized Official Telephone | 9189317232 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
Podiatric Medicine & Surgery Service Providers |
Street Address |
1607 S MUSKOGEE AVE STE C |
City | TAHLEQUAH |
State | OK |
Zip Code | 74464-5440 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
Find all providers in zip 74464 |
Taxonomy Code | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669799441 | Patrick Paul Branagan | Podiatrist | 101 Rockefeller Dr Ste 204, Muskogee, OK 74401-5050 | 2010-05-03 |
1669642351 | John James Ditmars, Jr. Dpm PC | Podiatrist | 47 N Kimbell Rd, Yukon, OK 73099-2251 | 2008-03-10 |
1043496409 | John Andrew Maupin Jr. | Podiatrist | 705 Nw 57th St, Oklahoma City, OK 73118-5905 | 2008-01-16 |
1073511648 | Maureen Lee Crotty | Podiatrist | 3627 S Harvard Ave, Tulsa, OK 74135-2227 | 2005-07-08 |
1013915701 | Jeff Robert Finkenstaedt | Podiatrist | 3540 East 31st, Suite 2, Tulsa, OK 74135-1526 | 2005-07-07 |
1629072376 | Clifford D. Mcentire | Podiatrist | 1700 Exchange Ave, Oklahoma City, OK 73108-3021 | 2005-06-10 |
1699339804 | Oklahoma Mobile Podiatry Services LLC | Podiatrist | 3001 S Telephone Rd, Moore, OK 73160-2942 | 2019-04-24 |
1588184014 | Newstep Plc | Podiatrist | 9306 S Toledo Ct Ste 200, Tulsa, OK 74137-2746 | 2017-06-26 |
1508117698 | Glacier Podiatry Clinics LLC | Podiatrist | 416 W 15th St, Suite 400b, Edmond, OK 73013-3747 | 2012-09-28 |
1407025323 | John K Cauthon D P M | Podiatrist | 1314 N Harville Rd, Duncan, OK 73533-1514 | 2008-02-25 |
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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.