HUSSAINS FAMILY PRACTICE RHC (NPI# 1407971492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407971492 |
| Entity Type | Organization |
| Organization Name | HUSSAINS FAMILY PRACTICE RHC |
| Other Organization Name | HUSSAINS FAMILY PRACTICE |
| Practice Address |
139 E Main St Wilburton OK 74578-4229 |
| Practice Telephone | 9184655727 |
| Practice Fax Number | 9184653311 |
| Mailing Telephone | 9184655727 |
| Mailing Fax Number | 9184653311 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2015-05-05 |
| Authorized Official Name | DR. AHMER HUSSAIN (OWNER) |
| Authorized Official Telephone | 9184655727 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
89829 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICARE B | SB1453 | 01 |
| OK | AHMER HUSSAIN M.D. NPI | 1124093414 | 01 |
| OK | NPI | 1407971492 | 01 |
| Other Name | Type Code |
|---|---|
| Hussains Family Practice | Doing Business As Name - Organization |
| Street Address |
139 E MAIN ST |
| City | WILBURTON |
| State | OK |
| Zip Code | 74578-4229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417090770 | Robert Eugene Vandiver II | Physician Assistant | 139 E Main St, Wilburton, OK 74578-4229 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619539541 | Keli Jo Spears | Counselor | 10975 Sw Hwy 1, Wilburton, OK 74578 | 2019-07-01 |
| 1932564523 | Jennifer Roberts | Behavioral Analyst | 101 Blassingame Ct, Wilburton, OK 74578 | 2015-12-23 |
| 1285988683 | Cheryl Lin Kennon | Contractor | 320 Medlock St, Wilburton, OK 74578 | 2012-11-07 |
| 1578783684 | Debra Ann Jacobs | Day Training/Habilitation Specialist | 312 Se 5th Street, Wilburton, OK 74578 | 2007-04-30 |
| 1891817664 | Rustling Winds Inc | Counselor | 211 West Main, Wilburton, OK 74578 | 2007-04-04 |
| 1427143429 | Ricardo Mariano Valbuena | Family Medicine | 1107 West Main Street, Wilburton, OK 74578 | 2006-10-04 |
| 1780676320 | Home Care Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 9128 Nw Hwy 2, Wilburton, OK 74578 | 2005-08-19 |
| 1467733535 | Wilburton Public Schools | Local Education Agency (LEA) | 1201 W Blair Ave, Wilburton, OK 74578-2009 | 2011-09-02 |
| 1154617405 | Laurie Lee Franco | Case Management | 508 Nw 4th St, Wilburton, OK 74578-2216 | 2011-06-24 |
| 1386070886 | Tennie I Clark | Case Manager/Care Coordinator | 805 W Durant Ave, Wilburton, OK 74578-2243 | 2013-09-17 |
| Find all providers in zip 74578 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050934 | Kelly Elise White | Nurse Practitioner | 3500 Healthplex Pkwy Ste 200, Norman, OK 73072-9738 | 2020-07-09 |
| 1801418991 | Brooke Elizabeth Young | Nurse Practitioner | 825 Ne 10th St Ste 2g, Oklahoma City, OK 73104-5417 | 2020-05-11 |
| 1790315729 | Robin Annette Dockins | Nurse Practitioner | 11404 Bluff Creek Dr, Oklahoma City, OK 73162-3725 | 2020-01-17 |
| 1174178784 | Chelsea Monique Ritzendollar | Nurse Practitioner | 3946 U.S. Highway 270, Fort Supply, OK 73841-9718 | 2019-08-09 |
| 1194283424 | Nancy Ann Owens | Nurse Practitioner | 5101 Sw 120th Ct, Oklahoma City, OK 73173-8875 | 2019-03-05 |
| 1528526084 | Cheryl Renee Partridge | Nurse Practitioner | 16161 Moffat Rd., Lexington, OK 73051 | 2019-03-04 |
| 1457824161 | Dawn Medi Spa, Inc | Nurse Practitioner | 1243 South Harvard Ave, Dawn Medi Spa, Inc, Tulsa, OK 74112 | 2019-01-04 |
| 1487125282 | Michael Scott Eskew | Nurse Practitioner | 14100 Parkway Commons Dr Ste 100, Oklahoma City, OK 73134-6036 | 2018-12-06 |
| 1114494077 | Crystal Jean Oneal | Nurse Practitioner | 10337 Paisley Rd, Yukon, OK 73099-7859 | 2018-10-30 |
| 1073099503 | Tracy Elaine Lane | Nurse Practitioner | 20169 E 960 Rd, Hammon, OK 73650-5032 | 2018-07-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HUSSAINS FAMILY PRACTICE RHC.
| 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.