SPECIALTY CLINICS OF ST ANNE PLLC (NPI# 1356360473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356360473 |
Entity Type | Organization |
Organization Name | SPECIALTY CLINICS OF ST ANNE PLLC |
Practice Address |
350 Ne 12th St Guymon OK 73942-3624 |
Practice Telephone | 5803388700 |
Practice Fax Number | 5803388600 |
Mailing Telephone | 5803388700 |
Mailing Fax Number | 5803388600 |
Enumeration Date | 2006-07-19 |
Last Update Date | 2015-02-03 |
Authorized Official Name | MARTIN BAUTISTA (MD) |
Authorized Official Telephone | 5803388700 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | 26523 | OK | Allopathic & Osteopathic Physicians |
N | 207R00000X | Internal Medicine | 19772 | OK | Allopathic & Osteopathic Physicians |
Y | 207R00000X | Internal Medicine | 19756 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100748490A | 05 |
Street Address |
350 NE 12TH ST |
City | GUYMON |
State | OK |
Zip Code | 73942-3624 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316998024 | Emmanuel Barias | Family Medicine | 350 Ne 12th St, Guymon, OK 73942-3624 | 2006-05-15 |
1700809720 | Sylvia Tan | Internal Medicine | 350 Ne 12th St, Guymon, OK 73942-3624 | 2006-07-25 |
1144249327 | Martin Bautista | Internal Medicine | 350 Ne 12th St, Guymon, OK 73942-3624 | 2006-07-19 |
1114950219 | Steen B Andersen | Family Medicine | 350 Ne 12th St, Guymon, OK 73942-3624 | 2006-07-09 |
1073553202 | Robert A Williams | Radiology | 350 Ne 12th St, Guymon, OK 73942-3624 | 2006-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558824219 | Joni R Loughridge | Behavior Technician | 1521 Hwy 54 N, 1521 Hwy 54 N, Guymon, OK 73942 | 2019-04-10 |
1457839151 | Cassandra J Hegwood | Social Worker | 1521 Hwy 54 N., Guymon, OK 73942 | 2018-08-03 |
1083152110 | Charlie A Bell | Counselor | 1521 Highway 54 N., P.o. 1247, Guymon, OK 73942 | 2017-02-09 |
1124574876 | Christine J Hurd | Skilled Nursing Facility | 1401 North Lelia Street, Guymon, OK 73942 | 2016-08-31 |
1295088961 | Steven Macias | Counselor | 305 Nw 5th, Guymon, OK 73942 | 2012-10-18 |
1588982946 | Maria R. Reyes | Counselor | 306 N.w. 5th St., Guymon, OK 73942 | 2010-05-11 |
1003139080 | Comprehensive Health Services | General Practice | 3255 Ne Hwy 54, Guymon, OK 73942 | 2010-03-05 |
1386972099 | Barbara Carter | Registered Nurse | 5120 Us Hwy 54 Ne, Guymon, OK 73942 | 2009-11-19 |
1245449339 | Judy Clemans | Registered Nurse | 5120 Hwy 54 Ne, Guymon, OK 73942 | 2007-05-22 |
1992828776 | United Discount Drug of Guymon, Inc. | Durable Medical Equipment & Medical Supplies | 1902 N. Academy Street, Guymon, OK 73942 | 2007-04-09 |
Find all providers in zip 73942 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164541900 | Internal Medicine Clinic Pllc | Internal Medicine | 410 Ne 12th Street, Guymon, OK 73942 | 2007-03-29 |
1972503241 | Jeffrey J Lim | Internal Medicine | 410 Ne 12th St, Guymon, OK 73942-3655 | 2005-07-28 |
1770711061 | Memorial Hospital of Texas County Authority | Internal Medicine | 1753 N Roosevelt St, Suite 2, Guymon, OK 73942-2729 | 2009-06-25 |
1700809720 | Sylvia Tan | Internal Medicine | 350 Ne 12th St, Guymon, OK 73942-3624 | 2006-07-25 |
1144249327 | Martin Bautista | Internal Medicine | 350 Ne 12th St, Guymon, OK 73942-3624 | 2006-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083222038 | Miloni Mukesh Parmar | Internal Medicine | 800 Stanton L Young Blvd Aat 6300, Oklahoma City, OK 73104-5018 | 2020-07-16 |
1073133880 | Dr Brandon Bailey Do Pllc | Internal Medicine | 3621 S Elder Blvd, Broken Arrow, OK 74011-1755 | 2020-04-22 |
1295366540 | Rebecca Wright Do Pllc | Internal Medicine | 18405 S 4190 Rd, Claremore, OK 74017-5366 | 2020-01-27 |
1376181479 | Meraki Wellness Group, LLC | Internal Medicine | 1211 N Shartel Ave Ste 802, Oklahoma City, OK 73103-2425 | 2019-12-19 |
1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
1033688270 | Results Medical Aesthetics LLC | Internal Medicine | 8014 S. 101st E. Ave., Suite 200, Tulsa, OK 74133-4580 | 2018-11-16 |
1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
1770068827 | Absolute Health Medical Partners LLC | Internal Medicine | 1305 Nw 187th St, Edmond, OK 73012-6206 | 2018-09-25 |
1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
1407349442 | Sarah Monther Nimri | Internal Medicine | 1200 Childrens Ave Ste 14046, Oklahoma City, OK 73104-4637 | 2018-06-13 |
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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.