WILLIAM DALE EDGMON (NPI# 1316401870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316401870 |
| Entity Type | Individual |
| Full Name | WILLIAM DALE EDGMON |
| Credential | REGISTERED NURSE |
| Practice Address |
Rr 6 Box 840 Stilwell OK 74960-8703 |
| Practice Telephone | 9186968800 |
| Practice Fax Number | 9186968840 |
| Mailing Telephone | 9186968800 |
| Mailing Fax Number | 9186968840 |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WI0600X |
Registered Nurse Specialization: Infection Control |
121570 | OK | Nursing Service Providers |
| Street Address |
RR 6 BOX 840 |
| City | STILWELL |
| State | OK |
| Zip Code | 74960-8703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301012 | Amy Alison Christie | Pharmacist | Rr 6 Box 840, Stilwell, OK 74960-8703 | 2005-07-29 |
| 1013472729 | Ruby Pettit | Registered Nurse | Rr 6 Box 840, Stilwell, OK 74960-8703 | 2019-02-06 |
| 1275063497 | Darylin Doublehead | Registered Nurse | Rr 6 Box 840, Stilwell, OK 74960-8703 | 2017-06-20 |
| 1851834261 | Augusta Reed | Licensed Practical Nurse | Rr 6 Box 840, Stilwell, OK 74960-8703 | 2016-12-02 |
| 1174066625 | Joie Smith | Licensed Practical Nurse | Rr 6 Box 840, Stilwell, OK 74960-8703 | 2016-11-30 |
| 1669915211 | Karalee Hopkins | Registered Nurse | Rr 6 Box 840, Stilwell, OK 74960-8703 | 2016-11-30 |
| 1891176566 | Tracie Janene Asbill | Nurse Practitioner | Rr 6 Box 840, Stilwell, OK 74960-8703 | 2015-06-17 |
| 1477952976 | Heidi L Powell | Nurse Practitioner | Rr 6 Box 840, Stilwell, OK 74960-8703 | 2014-08-20 |
| 1497196497 | Stephanie Dawn Bunch | Nurse Practitioner | Rr 6 Box 840, Stilwell, OK 74960-8703 | 2013-07-08 |
| 1356623284 | Travis Fleming | Pharmacist | Rr 6 Box 840, Stilwell, OK 74960-8703 | 2011-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362964 | Madison Kitchens | Physician Assistant | 471688 Ok-51, Stilwell, OK 74960 | 2020-10-07 |
| 1356983324 | Jessica Ann Jarvis | Technician | Stilwell Public School, 520 W. Division St., Stilwell, OK 74960 | 2019-10-11 |
| 1689130593 | Georgia Delain Lowe | Licensed Practical Nurse | Route 6 Number 840, Stilwell, OK 74960 | 2019-02-15 |
| 1902321797 | Rocky Mountain School District No 24 | Local Education Agency (LEA) | Rr 1, B 665, Stilwell, OK 74960 | 2017-08-14 |
| 1912454075 | Mandi Faddis | Technician, Other | Rt 3 Box 2510, Stilwell, OK 74960 | 2016-09-07 |
| 1932566601 | Mandy Richardson | Technician | 1801 S Loucust, Stilwell, OK 74960 | 2016-01-26 |
| 1396129557 | Matthew Glenn Reece | Dentist | Hwy 51 East, Stilwell, OK 74960 | 2015-07-16 |
| 1316360654 | Diana Miller | Counselor | 110 W Maple St, Stilwell, OK 74960 | 2014-01-22 |
| 1356789838 | Sandra Marie Holmes | Speech-Language Pathologist | 100 Maryetta Road, Stilwell, OK 74960 | 2013-06-06 |
| 1306118831 | Joseph William Taylor | Counselor | Rr 1 Box 1536, Stilwell, OK 74960 | 2012-01-30 |
| Find all providers in zip 74960 | ||||
| Taxonomy Code | 163WI0600X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Infection Control |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053969295 | Mary Sue Bailey | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5091 | 2019-08-30 |
| 1871962167 | Barbara Jean Derrico | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2015-09-17 |
Please comment or provide details below to improve the information on WILLIAM DALE EDGMON.
| 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.