TRITON HEALTH PLLC (NPI# 1275945974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275945974 |
| Entity Type | Organization |
| Organization Name | TRITON HEALTH PLLC |
| Practice Address |
128 W. Main Street Vian OK 74962 |
| Mailing Address |
Po Box 446 128 W. Main Street Vian OK 74962-0446 |
| Practice Telephone | 9187735228 |
| Practice Fax Number | 9187738482 |
| Mailing Telephone | 9187735228 |
| Mailing Fax Number | 9187738482 |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |
| Authorized Official Name | DR. CARY PATRICK SULLIVAN (OWNER) |
| Authorized Official Telephone | 9187735228 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
2148 | OK | Ambulatory Health Care Facilities |
| Street Address |
128 W. MAIN STREET |
| City | VIAN |
| State | OK |
| Zip Code | 74962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649821893 | Belinda Scoggins-kokendoffer | Technician | 451692 E 1010 Rd, Vian, OK 74962 | 2019-09-27 |
| 1942627112 | Heather Summerlin | Social Worker | 97955 S. 4489 Drive, Vian, OK 74962 | 2014-03-25 |
| 1932482783 | Chelsie Andrea Vanek | Psychologist | Route 1 Evening Shade Road, Vian, OK 74962 | 2011-09-27 |
| 1548589294 | Tammy Faye Watts | Counselor | Hcr 68 Box 1510, Vian, OK 74962 | 2010-05-20 |
| 1770802456 | Tenkiller Family Chiropracitc | Chiropractor | 512 S. Thornton Street, Vian, OK 74962 | 2010-05-20 |
| 1740507714 | Kenneth Pack Jr. | Chiropractor | 512 S. Thorton Street, Vian, OK 74962 | 2010-04-29 |
| 1538396478 | Tela Marie Brown | Registered Nurse | 4401 S. Western Avenue, Oklahoma City, OK 74962 | 2009-06-18 |
| 1689704686 | Osu Center for Health Sciences | Clinic/Center | 200 N Thornton Street, Vian, OK 74962 | 2007-03-07 |
| 1356487912 | Michael C Dodd and Wilman C | Pharmacy | 10 Thorton St, Vian, OK 74962 | 2007-01-30 |
| 1487717724 | Vian Public Schools | Public Health or Welfare | 100 V Ictory Lane, Vian, OK 74962 | 2006-12-18 |
| Find all providers in zip 74962 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609476654 | Team Clinic Management Partners LLC | Clinic/Center | 372 N Cobb, Caney, OK 74533 | 2020-10-29 |
| 1184222705 | Essential Md, Pllc | Clinic/Center | 6316 E 102nd St Ste 100, Tulsa, OK 74137-7061 | 2020-10-15 |
| 1881292191 | Team Clinic Management Partners LLC | Clinic/Center | 3100 W New Orleans St, Broken Arrow, OK 74011-1468 | 2020-10-09 |
| 1972115392 | Team Clinic Management Partners LLC | Clinic/Center | 225 E Omaha St, Broken Arrow, OK 74012-1761 | 2020-08-18 |
| 1093327413 | Team Clinic Management Partners LLC | Clinic/Center | 301 W New Orleans St, Broken Arrow, OK 74011-2206 | 2020-08-18 |
| 1962013110 | Team Clinic Management Partners LLC | Clinic/Center | 4300 E Gary Street, Broken Arrow, OK 74014 | 2020-08-12 |
| 1750992038 | Team Clinic Management Partners LLC | Clinic/Center | 251 E Omaha St, Broken Arrow, OK 74012-1761 | 2020-08-11 |
| 1689285975 | Team Clinic Management Partners LLC | Clinic/Center | 301 E Tucson St, Broken Arrow, OK 74011-7235 | 2020-08-11 |
| 1417568700 | Team Clinic Management Partners LLC | Clinic/Center | 1351 E Albany St, Broken Arrow, OK 74012-8995 | 2020-08-11 |
| 1164033569 | Team Clinic Management Partners LLC | Clinic/Center | 6800 E Quincy Pl, Broken Arrow, OK 74014-4523 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TRITON HEALTH PLLC.
| 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.