MR. RODNEY O MCCRORY (NPI# 1407815368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407815368 |
| Entity Type | Individual |
| Full Name | MR. RODNEY O MCCRORY |
| Credential | D.O. |
| Practice Address |
2249 Boren Blvd Seminole OK 74868-1927 |
| Practice Telephone | 4053823650 |
| Practice Fax Number | 4053826028 |
| Mailing Telephone | 4053823650 |
| Mailing Fax Number | 4053826028 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2009-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 2750 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100134170A | 05 |
| Street Address |
2249 BOREN BLVD |
| City | SEMINOLE |
| State | OK |
| Zip Code | 74868-1927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114414760 | Seminole Hma LLC | Clinic/Center | 2249 Boren Blvd, Seminole, OK 74868-1927 | 2018-04-19 |
| 1710937743 | Feuerborn & Mccrory LLC | General Practice | 2249 Boren Blvd, Seminole, OK 74868-1927 | 2006-05-11 |
| 1225094626 | Jeanie Kay Johnson Simpson | Physician Assistant | 2249 Boren Blvd, Seminole, OK 74868-1927 | 2006-04-25 |
| 1760441612 | Stephen A Feuerborn | General Practice | 2249 Boren Blvd, Seminole, OK 74868-1927 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104396266 | Jennifer Leeann Richardson | Counselor | 35859 E.w. 1210, Seminole, OK 74868 | 2018-12-03 |
| 1518449461 | Dana Marie Hobbs | Counselor | 101 N Union, Seminole, OK 74868 | 2018-09-06 |
| 1790159382 | Carissa Nicole Kelley | Counselor | 2215 W. Wrangler Blvd. Apt. 135, Seminole, OK 74868 | 2015-11-19 |
| 1730507658 | United Senior Properties of Seminole, LLC | Assisted Living Facility | 2207 West Wrangler Blvd, Seminole, OK 74868 | 2014-03-29 |
| 1528377066 | Lisa Young | Case Manager/Care Coordinator | 12880 Ns 358 Rd, Seminole, OK 74868 | 2010-10-01 |
| 1346567997 | Don Allen Mace | Internal Medicine | 2201 Northwood Ave, Seminole, OK 74868 | 2010-04-22 |
| 1508922295 | Medicus | Ambulance | 900 N. Harvey, Suite A, Seminole, OK 74868 | 2006-12-28 |
| 1538278411 | Quality Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 2005 W Wrangler Blvd, Seminole, OK 74868 | 2006-08-30 |
| 1922041151 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 760 N Harvey Rd, Seminole, OK 74868 | 2006-06-14 |
| 1760487243 | Tricia Lee Butner | Nurse Practitioner | 2403 W Wrangler Blvd Ste A, Seminole, OK 74868 | 2005-06-20 |
| Find all providers in zip 74868 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174557896 | Frederick Wesley Clarkson | General Practice | Oakhurst Medical Clinic, 130 20 Park Blvd, Seminole, FL 33776 | 2006-07-10 |
| 1245450006 | Clarkson & Collins Do Pa | General Practice | 13020 Park Blvd, Seminole, FL 33776-3639 | 2007-04-26 |
| 1033210745 | Todd Frederick Clarkson | General Practice | 13020 Park Blvd, Seminole, FL 33776 | 2006-09-26 |
| 1700810421 | Richard Charles Kidd | General Practice | 13020 Park Blvd, Oakhurst Medical Clinic, Seminole, FL 33776 | 2006-07-10 |
| 1710937743 | Feuerborn & Mccrory LLC | General Practice | 2249 Boren Blvd, Seminole, OK 74868-1927 | 2006-05-11 |
| 1225097074 | Gary G Holland | General Practice | 10875 Park Blvd, Ste A, Seminole, FL 33772-5456 | 2006-03-21 |
| 1760441612 | Stephen A Feuerborn | General Practice | 2249 Boren Blvd, Seminole, OK 74868-1927 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417565433 | Robinson Medical Clinic West, LLC | General Practice | 1900 W 2nd St Ste D, Elk City, OK 73644-4328 | 2020-07-15 |
| 1669080891 | Prairie Gardens Medical LLC | General Practice | 1213 Nw 122nd St Ste 401, Oklahoma City, OK 73114-7000 | 2020-07-14 |
| 1801431135 | Cristina Elisa Collazo-suarez | General Practice | 401 Nw 76th St, Lawton, OK 73505-5338 | 2019-11-11 |
| 1578117859 | Tulsa Wellness Management, LLC | General Practice | 3501 S Yale Ave Ste A, Tulsa, OK 74135-8014 | 2019-07-25 |
| 1053875781 | Oumi Clinics LLC | General Practice | 1200 Childrens Ave Ste 11200, Oklahoma City, OK 73104-4637 | 2019-01-28 |
| 1902396294 | Gail Renee Marchant | General Practice | 8784 E 105th Ct, Tulsa, OK 74133-7063 | 2018-05-13 |
| 1528578499 | Revive Medical LLC | General Practice | 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 | 2017-10-05 |
| 1992214548 | Lifestyle Medical Center, Pllc | General Practice | 4505 S Harvard Ave, Tulsa, OK 74135-2905 | 2017-09-27 |
| 1265884449 | Turning Point Health LLC | General Practice | 736 W Main St, Jenks, OK 74037-3519 | 2016-07-12 |
| 1891149647 | Daniel Enriquez | General Practice | 1040 7050 S Air Depot Blvd, Oklahoma City, OK 73135 | 2016-04-18 |
| Find all providers with the same taxonomy | ||||
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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.