ERIC ALLEN GILLETTE (NPI# 1376104893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376104893 |
| Entity Type | Individual |
| Full Name | ERIC ALLEN GILLETTE |
| Credential | DO |
| Practice Address |
1 Choctaw Way Talihina OK 74571-2022 |
| Practice Telephone | 9185677000 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2020-06-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 6977 | OK | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1 CHOCTAW WAY |
| City | TALIHINA |
| State | OK |
| Zip Code | 74571-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871596791 | Clinton D Bullock | Pharmacist | 1 Choctaw Way, Talihina, OK 74571-2022 | 2005-05-24 |
| 1568089555 | Robert Benjamin Bowman | Student in an Organized Health Care Education/Training Program | 1 Choctaw Way, Talihina, OK 74571-2022 | 2020-06-25 |
| 1851917363 | Rashad Mohamed Riazuddin | Student in an Organized Health Care Education/Training Program | 1 Choctaw Way, Talihina, OK 74571-2022 | 2020-06-20 |
| 1144846635 | Saranah Isenberg | Student in an Organized Health Care Education/Training Program | 1 Choctaw Way, Talihina, OK 74571-2022 | 2020-06-19 |
| 1083233043 | Ethan Hight Linscott | Student in an Organized Health Care Education/Training Program | 1 Choctaw Way, Talihina, OK 74571-2022 | 2020-04-10 |
| 1104466010 | Crystal Renee Collins | Respiratory Therapist, Certified | 1 Choctaw Way, Talihina, OK 74571-2022 | 2020-01-08 |
| 1619514213 | Ashley Danielle Devaughan | Pharmacist | 1 Choctaw Way, Talihina, OK 74571-2022 | 2019-12-03 |
| 1134761158 | Julie Collins | Dietitian, Registered | 1 Choctaw Way, Talihina, OK 74571-2022 | 2019-10-10 |
| 1114569423 | Caroline Jalen Couch | Occupational Therapist | 1 Choctaw Way, Talihina, OK 74571-2022 | 2019-10-09 |
| 1437710977 | James Stull | Student in an Organized Health Care Education/Training Program | 1 Choctaw Way, Talihina, OK 74571-2022 | 2019-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679033914 | Megan Ann Louise Hall | Peer Specialist | 908 Dallas Street, Talihina, OK 74571 | 2019-03-22 |
| 1447736764 | Harper Ranch & Enterprises LLC | Nurse Practitioner | 308 Second St., Talihina, OK 74571 | 2018-07-19 |
| 1588161004 | Bailee Marie Mcconnell | Peer Specialist | 14476 Se 2022nd Rd, Talhina, OK 74571 | 2018-04-11 |
| 1932644002 | Laura Ashley Sanford | Family Medicine | 205 Dallas Street, Talihina Community Clinic, Talihina, OK 74571 | 2016-12-28 |
| 1003362583 | Tammy Serena Adams | Behavioral Analyst | 903 Dallas Street, Talihina, OK 74571 | 2016-08-25 |
| 1356735963 | Millennium Community | Case Management | 308 Veterans Street, Talihina, OK 74571 | 2015-03-20 |
| 1225449176 | Millenium | Case Management | 308 Veterans Ave, Talihina, OK 74571 | 2014-05-14 |
| 1366881013 | Tisha J Fitzgerald | Counselor | 508 Veterans, Talihina, OK 74571 | 2013-06-17 |
| 1295075406 | Millennium Community Service | Community/Behavioral Health | 53565 Williams Ave., Talihina, OK 74571 | 2013-02-25 |
| 1649548413 | Kimberly Stegall | Counselor | 501 Veterans Street, V, Talihina, OK 74571 | 2011-12-08 |
| Find all providers in zip 74571 | ||||
| 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 |
|---|---|---|---|---|
| 1932644002 | Laura Ashley Sanford | Family Medicine | 205 Dallas Street, Talihina Community Clinic, Talihina, OK 74571 | 2016-12-28 |
| 1831288695 | William Hobart Alford Martin | Family Medicine | End of Highway 63a, Talihina, OK 74571-1168 | 2006-10-12 |
| 1427059963 | R. Wayne Mosier | Family Medicine | Hwy 63 East, Talihina, OK 74571-1215 | 2005-08-09 |
| 1679059406 | Joshua Lowe | Family Medicine | 1 Choctaw Way, Talihina, OK 74571-2022 | 2018-07-15 |
| 1932685955 | Lena Nicole Eagle Road | Family Medicine | 1 Choctaw Way, Talihina, OK 74571-2022 | 2018-07-12 |
| 1831643287 | Adam Waldon | Family Medicine | 1 Choctaw Way, Talihina, OK 74571-2022 | 2016-08-14 |
| 1174985170 | Tammy May Tandberg-willcox | Family Medicine | 1 Choctaw Way, Talihina, OK 74571 | 2016-03-28 |
| 1073985073 | Xuan Thao Nghe | Family Medicine | 1 Choctaw Way, Talihina, OK 74571-2022 | 2015-10-29 |
| 1699153627 | David Wee Lee | Family Medicine | 1 Choctaw Way, Talihina, OK 74571-2022 | 2015-05-11 |
| 1194112839 | Ashton Clayborn | Family Medicine | 1 Choctaw Way, Medical Staff Office, Talihina, OK 74571-2022 | 2015-04-21 |
| Find all providers in TALIHINA | ||||
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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.