ALLERGY & RESPIRATORY CLINIC OF SOUTHERN OK LLC (NPI# 1437433885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437433885 |
| Entity Type | Organization |
| Organization Name | ALLERGY & RESPIRATORY CLINIC OF SOUTHERN OK LLC |
| Practice Address |
821 E Veterans Memorial Hwy Blanchard OK 73010-9215 |
| Mailing Address |
Po Box 1126 Norman OK 73070-1126 |
| Practice Telephone | 4054859588 |
| Practice Fax Number | 4054853499 |
| Mailing Telephone | 4054859588 |
| Mailing Fax Number | 4054853499 |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |
| Authorized Official Name | MR. SHAWN P BONILLA (OWNER) |
| Authorized Official Telephone | 4054859588 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
821 E VETERANS MEMORIAL HWY |
| City | BLANCHARD |
| State | OK |
| Zip Code | 73010-9215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134213978 | Shawn Patrick Bonilla | Nurse Practitioner | 821 E Veterans Memorial Hwy, Blanchard, OK 73010-9215 | 2006-10-03 |
| 1194250738 | Kimberly Schat | Nurse Practitioner | 821 E Veterans Memorial Hwy, Blanchard, OK 73010-9215 | 2017-04-20 |
| 1669906806 | Healthcare Stat | Clinic/Center | 821 E Veterans Memorial Hwy, Blanchard, OK 73010-9215 | 2017-04-14 |
| 1093174708 | Martin Edward Christensen | Nurse Practitioner | 821 E Veterans Memorial Hwy, Blanchard, OK 73010-9215 | 2016-02-23 |
| 1457760274 | Lindsey Nicole Sheppard | Nurse Practitioner | 821 E Veterans Memorial Hwy, Blanchard, OK 73010-9215 | 2014-08-06 |
| 1013323336 | Dustin Wade | Nurse Practitioner | 821 E Veterans Memorial Hwy, Blanchard, OK 73010-9215 | 2014-07-08 |
| 1871777987 | Roger A Hess | Nurse Practitioner | 821 E Veterans Memorial Hwy, Blanchard, OK 73010-9215 | 2007-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609135862 | Stephanie Michelle Thomas | Speech-Language Pathologist | 2286 Cottage Lane, Blanchard, OK 73010 | 2012-05-09 |
| 1235382540 | Saints Medical Group, LLC | Family Medicine | 2002 N Council Ave, Blanchard, OK 73010 | 2008-10-30 |
| 1811154008 | Brant D. Spencer D.c. P.C. | Chiropractor | 104 S Main Street, Blanchard, OK 73010 | 2008-05-16 |
| 1932374675 | Travis L Turney Dds | Clinic/Center | 809 East Veterans Memorial Hwy, Blanchard, OK 73010 | 2008-04-24 |
| 1215134051 | Travis Lisle Turney | Dentist | 809 E Veterans Memorial Hwy, Blanchard, OK 73010 | 2007-06-27 |
| 1083735625 | Stephanie R Nesmith | Counselor | 27811 Portland Ave, Blanchard, OK 73010 | 2007-04-02 |
| 1588608376 | Ronald Keith Smith | Dentist | 1019 N. Council Ave, Suite # 2, Blanchard, OK 73010 | 2006-06-15 |
| 1659333557 | Brant D. Spencer | Chiropractor | 104 S. Main, Blanchard, OK 73010 | 2006-04-05 |
| 1376519397 | Vincent Michael Young | Optometrist | 112 S. Main, Blanchard, OK 73010 | 2006-02-28 |
| 1528693074 | Kaitlyn Nicole Boyce | Behavior Technician | 14828 Serenita Ave, Oklahoma City, OK 73010 | 2020-03-05 |
| Find all providers in zip 73010 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275471 | Osu Center for Health Sciences | Clinic/Center | 1 E Clark Bass Blvd Ste 201, Mcalester, OK 74501-4209 | 2020-11-06 |
| 1427662170 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave Ste 410, Tulsa, OK 74127-9059 | 2020-09-01 |
| 1154949642 | Osu Center for Health Sciences | Clinic/Center | 140 W 151st St S, Glenpool, OK 74033-4523 | 2020-07-10 |
| 1235757071 | Equality Health Group LLC | Clinic/Center | 4301 Nw 63rd St Ste 109, Oklahoma City, OK 73116-1548 | 2020-07-08 |
| 1538785985 | Stars and Stripes Therapy Inc. | Clinic/Center | 713 Sw C Ave Ste A, Lawton, OK 73501-4311 | 2020-06-22 |
| 1265058101 | Taylor Medical Group, LLP | Clinic/Center | 735 W Locust St, Stilwell, OK 74960-3403 | 2020-06-16 |
| 1891317731 | Sparks Medical Consulting LLC | Clinic/Center | 1604 Sw 38th St, Moore, OK 73160-2953 | 2020-05-14 |
| 1093341844 | Osu Center for Health Sciences | Clinic/Center | 3201 W Gore Blvd Ste G2, Lawton, OK 73505-6323 | 2020-03-12 |
| 1255964128 | Osu Center for Health Sciences | Clinic/Center | 110 Nw 31st St Fl 3, Lawton, OK 73505-6100 | 2020-02-19 |
| 1104458231 | Osu Center for Health Sciences | Clinic/Center | 6501 S Western Ave Ste 101, Oklahoma City, OK 73139-1709 | 2020-02-06 |
| 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.