DR. CATHLEEN E VANDERGRIFF (NPI# 1306967088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306967088 |
| Entity Type | Individual |
| Full Name | DR. CATHLEEN E VANDERGRIFF |
| Credential | M.D |
| Practice Address |
2643 E Albany St Apt C Broken Arrow OK 74014-4634 |
| Practice Telephone | 9184211341 |
| Mailing Telephone | (918) 421-1341 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2017-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 30144 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200582760A | 05 |
| Street Address |
2643 E ALBANY ST APT C |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74014-4634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013110 | Team Clinic Management Partners LLC | Clinic/Center | 4300 E Gary Street, Broken Arrow, OK 74014 | 2020-08-12 |
| 1497306260 | Donna Norton | Technician | 5311 East Madison Place, Broken Arrow, OK 74014 | 2019-09-24 |
| 1588159420 | Guadalupe Luis | Social Worker | 8000 E New Orleans St, Broken Arrow, OK 74014 | 2018-06-23 |
| 1083102099 | Hailey Elaine Kimball | Specialist/Technologist | 7251 South 301st East Avenue, Broken Arrow, OH 74014 | 2018-04-25 |
| 1508365800 | Kayla Porche | Speech-Language Pathologist | 3500 E Kenosha, Broken Arrow, OK 74014 | 2018-02-02 |
| 1073973392 | Heather Miller | Behavioral Analyst | 932 Hillcrest Drive, Broken Arrow, OK 74014 | 2016-02-29 |
| 1346518677 | Julie Genet Henry | Speech-Language Pathologist | 3294 S 202nd East Ave, Broken Arrow, OK 74014 | 2011-12-01 |
| 1619265212 | Katie Leigh Elliott | Physician Assistant | 7301 E Nashville St, Broken Arrow, OK 74014 | 2011-07-16 |
| 1407084676 | Jeremiah D Wilhite | Physical Therapist | 2560 East Kenosha Street, Broken Arrow, OK 74014 | 2009-06-26 |
| 1194963041 | Longnecker Counseling and Consulting | Counselor | 7014 S. 235th E. Ave., Broken Arrow, OK 74014 | 2009-01-30 |
| Find all providers in zip 74014 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139554 | Crestcare Family Medicine,pllc | Family Medicine | 817 S Elm Pl Ste 104, Broken Arrow, OK 74012-5369 | 2020-09-21 |
| 1346855640 | Charger Health Group Pllc | Family Medicine | 511 N Aspen Ave, Broken Arrow, OK 74012-2220 | 2020-09-14 |
| 1730606294 | Tulsa Pain Care Group LLC | Family Medicine | 817 S Elm Pl Ste 106, Broken Arrow, OK 74012-5369 | 2017-08-25 |
| 1760912075 | Total Care Physicians Group | Family Medicine | 2601 N Aspen Ave Ste 1011, Broken Arrow, OK 74012-1127 | 2017-06-19 |
| 1922441591 | Medstaff PC | Family Medicine | 1749 N Aspen Ave, Suite 1757, Broken Arrow, OK 74012 | 2013-04-12 |
| 1528388717 | Robert L Valentine | Family Medicine | 1801 E Kenosha St, Broken Arrow, OK 74012-2098 | 2010-06-10 |
| 1235468745 | King's Court Family Medicine | Family Medicine | 1615 S Eucalyptus Ave Ste 211, Broken Arrow, OK 74012-5993 | 2009-12-11 |
| 1053431452 | Family Care of Broken Arrow, Inc. | Family Medicine | 3100 S. Elm Pl., Suite A, Broken Arrow, OK 74012-7910 | 2007-03-30 |
| 1659405488 | Broken Arrow Family Practice Center | Family Medicine | 817 S Elm Pl Ste A, Broken Arrow, OK 74012-5369 | 2007-03-15 |
| 1588728836 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 1551 N. 9th Street, Broken Arrow, OK 74012 | 2006-12-21 |
| Find all providers in BROKEN ARROW | ||||
| City | BROKEN ARROW |
| Zip Code | 74014 |
Please comment or provide details below to improve the information on DR. CATHLEEN E VANDERGRIFF.
| 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.