TERRILL JIMOH (NPI# 1306383880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306383880 |
| Entity Type | Individual |
| Full Name | TERRILL JIMOH |
| Practice Address |
2900 S Service Rd Apt 1515 Moore OK 73160-5585 |
| Practice Telephone | 4055899207 |
| Mailing Telephone | 4055899207 |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2900 S SERVICE RD APT 1515 |
| City | MOORE |
| State | OK |
| Zip Code | 73160-5585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487279 | Christopher Michael Hoover | Student in an Organized Health Care Education/Training Program | 1508 Ne 25th St, Moore, OK 73160-8992 | 2020-11-02 |
| 1437766193 | Brenna Grace Burris-thomas | Student in an Organized Health Care Education/Training Program | 1009 Oak Creek Dr, Moore, OK 73160-7913 | 2020-09-28 |
| 1548881246 | Amber Lynn Lockner | Student in an Organized Health Care Education/Training Program | 617 Sw 12th St, Moore, OK 73160-2521 | 2020-05-04 |
| 1124649801 | Averie Jayne Hicks | Student in an Organized Health Care Education/Training Program | 1909 New Haven Ct, Moore, OK 73160-5638 | 2020-05-04 |
| 1396366472 | Jacqueline Danee Norris | Student in an Organized Health Care Education/Training Program | 3305 Se 95th St, Moore, OK 73160-7259 | 2020-04-30 |
| 1558982603 | Taylor Campbell | Student in an Organized Health Care Education/Training Program | 3201 Willow Ln, Moore, OK 73170-7912 | 2020-04-29 |
| 1588285795 | James Harry Maher Jr. | Student in an Organized Health Care Education/Training Program | 909 Ne 17th St, Moore, OK 73160-6535 | 2020-04-28 |
| 1376163790 | Jared Penner | Student in an Organized Health Care Education/Training Program | 4209 Mackenzie Dr, Moore, OK 73160-1267 | 2020-04-26 |
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1386008902 | Morgan Christen Nixon | Student in an Organized Health Care Education/Training Program | 913 City Ave Apt 177, Moore, OK 73160-3864 | 2016-04-09 |
| Find all providers in MOORE | ||||
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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.