HEBREWSELEVENONE LLC


Address: 609 W Memorial Rd, Oklahoma City, OK 73114-2006
Phone: 4054180059

HEBREWSELEVENONE LLC (NPI# 1407355324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407355324
Entity Type Organization
Organization Name HEBREWSELEVENONE LLC
Practice Address 609 W Memorial Rd
Oklahoma City
OK 73114-2006
Mailing Address 510 E Memorial Rd Ste D4
Oklahoma City
OK 73114-2218
Practice Telephone 4054180059
Enumeration Date 2018-02-06
Last Update Date 2018-02-06
Authorized Official Name SUSAN REDWINE (OWNER)
Authorized Official Telephone 4052491264
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK 200066430A 05

Office Location

Street Address 609 W MEMORIAL RD
City OKLAHOMA CITY
State OK
Zip Code 73114-2006

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548269459 Darren Dean Elenburg Podiatrist 609 W Memorial Rd, Oklahoma City, OK 73114-2006 2005-07-21
1205476819 Saints Medical Group, LLC Family Medicine 609 W Memorial Rd, Oklahoma City, OK 73114-2006 2020-01-11
1053961185 Morgan Eyecare, Pllc Clinic/Center 609 W Memorial Rd, Oklahoma City, OK 73114-2006 2019-09-20
1265992978 All Things Through Christ, LLC Family Medicine 609 W Memorial Rd, Oklahoma City, OK 73114-2006 2019-03-20
1609331891 Onesource Practitioners, LLC Family Medicine 609 W Memorial Rd, Oklahoma City, OK 73114-2006 2019-02-01
1821561770 Karen Brown Nurse Practitioner 609 W Memorial Rd, Oklahoma City, OK 73114-2006 2019-01-03
1205336187 Ingrid W. Jackson Md Family Medicine 609 W Memorial Rd, Oklahoma City, OK 73114-2006 2018-02-16
1467950519 Kimberly Bryan Family Medicine 609 W Memorial Rd, Oklahoma City, OK 73114-2006 2018-01-24
1174057624 Chad Michael Knight Podiatrist 609 W Memorial Rd, Oklahoma City, OK 73114-2006 2017-04-11
1720449598 Frey Orthopedics, Pllc Orthopaedic Surgery 609 W Memorial Rd, Oklahoma City, OK 73114-2006 2016-03-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124669783 Heather Williams Occupational Therapist 1404 Nw122nd St, Oklahoma City, OK 73114 2019-10-04
1477194033 Shonta Jones Technician 10723 Norh Western, Apartment G, Oklahoma City, OK 73114 2019-10-04
1023537644 Tracye Carter Registered Nurse 812 Nw 121 Terr, Oklahom City, OK 73114 2017-09-14
1003362849 Randy Joshua Williamson Behavioral Analyst 101 Bainbridge Rd, Oklahoma City, OK 73114 2016-08-31
1427413368 John Adrian Howard Physical Therapist 13100 N Western Ave Ste 302, Oklahoma City, OK 73114 2015-12-18
1497150197 Payam Ishani Afousi Dentist 9405 N. Penn Place, Casady Square, Oklahoma City, OK 73114 2014-10-24
1922407386 Kelvin Hughes Counselor 1400 Nw 105th Ter, Oklahoma City, OK 73114 2014-08-21
1285056887 Malarie Jackson Nurse Practitioner 609 W. Memorial Rd., Oklahoma City, OK 73114 2014-01-16
1508108705 Adam Liberty Community/Behavioral Health 428 N.w 81st, Oklahoma City, OK 73114 2013-03-26
1780926345 Michelle D Hardimon Behavioral Analyst 700 Ne 122nd Apt 4509, Oklahoma City, OK 73114 2013-03-21
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457972366 Saint Medical Group, LLC Pediatrics 3400 S Douglas Blvd Ste 307a, Oklahoma City, OK 73150-1001 2020-05-01
1851868863 Okc Kids Urology Pllc Pediatrics 3705 Nw 63rd St Ste 211, Oklahoma City, OK 73116-1937 2018-10-28
1700380268 Katherine Ann Brashears Pediatrics 6628 Fawn Canyon Dr, Oklahoma City, OK 73162-6759 2018-03-20
1649650920 Amber Chantell Landry Pediatrics 937 Sw 89th St Ste A, Oklahoma City, OK 73139-9231 2015-06-02
1346628856 Ankur Rughani Pediatrics 1200 Childrens Ave # 65532, Oucp 14000 A2, Oklahoma City, OK 73104-4637 2015-05-15
1629456124 Nicholas Scott Peterson Pediatrics 1200 Childrens Ave Ste 12200, Oklahoma City, OK 73104 2015-05-15
1467848044 Matthew Le Pediatrics 1200 Childrens Ave Ste 12300, Oklahoma City, OK 73104-4637 2015-04-10
1295140721 Monica Wardwell Fogarty Pediatrics 1200 Childrens Ave Ste 14000, Oklahoma City, OK 73104-4637 2014-06-23
1912311200 Melissa Jane Muhlinghause Pediatrics 4140 W Memorial Rd Ste 413, Oklahoma City, OK 73120 2014-06-16
1023364890 Aswathy Kumar Vaikom House Pediatrics Ou Childrens Hospital, 1200 Everett Dr., Oklahoma City, OK 73104 2012-07-31
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Competitor

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City OKLAHOMA CITY
Zip Code 73114

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Dataset Information

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.

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