BRETT D ABERNETHY MD PLLC (NPI# 1467785204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467785204 |
| Entity Type | Organization |
| Organization Name | BRETT D ABERNETHY MD PLLC |
| Practice Address |
604 S Classen Ave Suite C Moore OK 73160-5401 |
| Mailing Address |
Po Box 7593 Moore OK 73153-1593 |
| Practice Telephone | 4057990900 |
| Practice Fax Number | 4057990902 |
| Mailing Telephone | 4057990900 |
| Mailing Fax Number | 4057990902 |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2009-09-11 |
| Authorized Official Name | DR. BRETT D ABERNETHY (PRESIDENT) |
| Authorized Official Telephone | 4057990900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
25259 | OK | Ambulatory Health Care Facilities |
| Street Address |
604 S CLASSEN AVE SUITE C |
| City | MOORE |
| State | OK |
| Zip Code | 73160-5401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053402347 | William Earl Tankersley Iv | Psychiatry & Neurology | 604 S Classen Ave, Suite C, Moore, OK 73160-5401 | 2006-09-28 |
| 1063704476 | Midwest Oncology Group Pllc | Internal Medicine | 604 S Classen Ave, Suite H, Moore, OK 73160-5401 | 2011-05-04 |
| 1104132141 | Rachel Beth Kirkpatrick Smiley | Psychologist | 604 S Classen Ave, Ste. A, Moore, OK 73160-5401 | 2010-08-27 |
| 1245543750 | Silver Leaf Counseling Services | Social Worker | 604 S Classen Ave, Suite C, Moore, OK 73160-5401 | 2010-07-26 |
| 1144558677 | Tera Leann Underwood | Speech-Language Pathologist | 604 S Classen Ave, #a, Moore, OK 73160-5401 | 2009-11-20 |
| 1366616526 | William E Tankersley Md Pllc | Psychiatry & Neurology | 604 S Classen Ave, Suite C, Moore, OK 73160-5401 | 2008-04-18 |
| 1770757890 | Clayton D Morris Md Pllc | Psychiatry & Neurology | 604 S Classen Ave, Suite C, Moore, OK 73160-5401 | 2008-04-18 |
| 1316115389 | Clara Clifford Griffin | Counselor | 604 S Classen Ave, Suite F, Moore, OK 73160-5401 | 2008-02-13 |
| 1487844437 | Oklahoma Respiratory Care, Inc. | Durable Medical Equipment & Medical Supplies | 604 S Classen Ave, Suite B, Moore, OK 73160-5412 | 2007-07-26 |
| 1427140219 | Moore Counseling Center, P.C. | Counselor | 604 S Classen Ave, Ste A, Moore, OK 73160-5401 | 2006-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336599976 | Easy Go Express | Clinic/Center | 3551 W Antelope Rd, Moore, ID 83255-8754 | 2016-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801375324 | Hope Restored Counseling LLC | Clinic/Center | 1211 N Shartel Ave Ste 602, Oklahoma City, OK 73103-2445 | 2018-08-07 |
| 1063903839 | Felicia Hurst Therapy LLC | Clinic/Center | 2007 N Commerce St Ste 212, Ardmore, OK 73401-1268 | 2018-05-28 |
| 1003304254 | Serenity Counseling LLC | Clinic/Center | 5103 S Sheridan Rd # 323, Tulsa, OK 74145-7627 | 2018-04-24 |
| 1750897518 | Living Hope Eating Disorder Treatment Center, Pllc | Clinic/Center | 3900 E Robinson St, Norman, OK 73026-0725 | 2017-12-15 |
| 1912337643 | Latanya Dodd | Clinic/Center | 1540 E 68th Pl, Tulsa, OK 74136 | 2013-11-15 |
| 1356787444 | Cherokee Nation | Clinic/Center | 1277 Skill Center Cir, Tahlequah, OK 74464-6495 | 2013-05-15 |
| 1548526908 | Hope Johnson | Clinic/Center | 21182 Meadow Ln, Howe, OK 74940 | 2012-04-10 |
| 1518223502 | Rohit Gautam | Clinic/Center | 9205 S Shartel Ave Apt 201, Oklahoma City, OK 73139-5214 | 2012-04-04 |
| 1679764807 | Riverside Counseling Services | Clinic/Center | 5272 S Lewis Ave Ste 250, Tulsa, OK 74105-6564 | 2007-08-05 |
| 1629268404 | Hope Counseling Services, Inc | Clinic/Center | 4411 Highline Blvd, Suite 204, Oklahoma City, OK 73108-1865 | 2007-07-27 |
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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.