RACHEL LYNNE WHITEHOUSE (NPI# 1306955141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306955141 |
Entity Type | Individual |
Full Name | RACHEL LYNNE WHITEHOUSE |
Credential | D.O. |
Practice Address |
705 W Oakland St Broken Arrow OK 74012-1656 |
Practice Telephone | 9182512666 |
Practice Fax Number | 9182587790 |
Mailing Telephone | 9182512666 |
Mailing Fax Number | 9182587790 |
Enumeration Date | 2006-08-29 |
Last Update Date | 2012-05-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
2983 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100089970A | 05 |
Street Address |
705 W OAKLAND ST |
City | BROKEN ARROW |
State | OK |
Zip Code | 74012-1656 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447234885 | Carole Coder Howard | Family Medicine | 705 W Oakland St, Broken Arrow, OK 74012-1656 | 2005-11-30 |
1518525849 | Jayme Kenna Montgomery | Nurse Practitioner | 705 W Oakland St, Broken Arrow, OK 74012-1656 | 2019-06-01 |
1700364023 | Robin Rachel Bunn | Nurse Practitioner | 705 W Oakland St, Broken Arrow, OK 74012-1626 | 2018-07-30 |
1932604626 | Amie Farris | Nurse Practitioner | 705 W Oakland St, Broken Arrow, OK 74012 | 2018-03-26 |
1407304827 | Ted Lee Barrett | Nurse Practitioner | 705 W Oakland St, Broken Arrow, OK 74012-1656 | 2016-09-14 |
1982071007 | Jessica Fox Stewart | Physician Assistant | 705 W Oakland St, Broken Arrow, OK 74012-1656 | 2015-08-24 |
1811373285 | Karen Yarusso | Physician Assistant | 705 W Oakland St, Broken Arrow, OK 74012-1656 | 2015-08-07 |
1497966303 | Broken Arrow Family Clinic Inc | Family Medicine | 705 W Oakland St, Broken Arrow, OK 74012-1656 | 2007-05-24 |
1427164888 | Brian Coder | Family Medicine | 705 W Oakland St, Broken Arrow, OK 74012-1656 | 2006-08-21 |
1811923949 | James A Coder IIi | Family Medicine | 705 W Oakland St, Broken Arrow, OK 74012-1656 | 2006-06-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
Find all providers in zip 74012 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013947373 | James Michael Ritze | Family Medicine | 3100 S Elm Pl, Suite C, Broken Arrow, OK 74012-7950 | 2006-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932560760 | Robert Darryl Fisher | Family Medicine | 2203 E Wilshire Blvd, Oklahoma City, OK 73111-8604 | 2016-03-07 |
1932591419 | Sitesource Medical, LLC | Family Medicine | 324 N Robinson Ave, Oklahoma City, OK 73102-6416 | 2015-02-20 |
1699025973 | Great Salt Plains Health Center, Inc. | Family Medicine | 619 Front Street, Medford, OK 73759-1209 | 2012-09-14 |
1447543798 | House Call Physicians, Inc | Family Medicine | 3456 Nw 172nd Ter, Edmond, OK 73012-7098 | 2011-05-19 |
1639406325 | Leslie Ann Masters | Family Medicine | 8172 S Lewis Ave Ste D, Tulsa, OK 74137-1248 | 2009-11-17 |
1487817375 | Brad Alan Liston | Family Medicine | 1908 N 14th St Ste 204, Ponca City, OK 74601-2039 | 2008-07-09 |
1962537902 | Gary Erle Johnston | Family Medicine | 53468 Mineral Springs Rd, Hodgen, OK 74939-3064 | 2007-02-22 |
1659441228 | Terrance Patrick Mcdermott | Family Medicine | 2536 Sw 29th Street, Mcdermott Clinic, Oklahoma City, OK 73119 | 2006-11-09 |
1861436677 | Thomas Ray Crow | Family Medicine | 9170 Us Hwy 70, Waurika, OK 73573 | 2006-06-15 |
1699761981 | Larry Dean Sumner | Family Medicine | 204 Woodlawn Ave, Tahlequah, OK 74464-3318 | 2005-09-22 |
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City | BROKEN ARROW |
Zip Code | 74012 |
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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.