DORI RAYCOB (NPI# 1518339811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518339811 |
| Entity Type | Individual |
| Full Name | DORI RAYCOB |
| Credential | NP-C |
| Practice Address |
3400 Se Frank Phillips Blvd Suite 300 Bartlesville OK 74006 |
| Mailing Address |
3400 Se Frank Phillips Blvd Ste 300 Bartlesville OK 74006 |
| Practice Telephone | 8324770343 |
| Mailing Telephone | 9183312273 |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
R0107244 | OK | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
107244 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3400 SE FRANK PHILLIPS BLVD SUITE 300 |
| City | BARTLESVILLE |
| State | OK |
| Zip Code | 74006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646252 | Ntcob LLC | Family Medicine | 234 Se De Bell Ave, Bartlesville, OK 74006 | 2020-07-06 |
| 1053936815 | Priscella Ann Caron | Nurse Practitioner | 226 Se De Bell Ave Building B, Bartlesville, OK 74006 | 2020-06-08 |
| 1508390840 | Megan Christopher | Student in an Organized Health Care Education/Training Program | 3400 Se Frank Phillips Blvd, Suite 502, Bartlesville, OK 74006 | 2017-04-13 |
| 1023487436 | Katherine Marie Anderson | Nurse Practitioner | 3500 Sw Frank Phillips, Bartlesville, OK 74006 | 2015-09-16 |
| 1033593207 | Quanisha Roberson | Clinical Nurse Specialist | 226 Se De Bell Avenue, Building A, Suite 101, Bartlesville, OK 74006 | 2015-07-16 |
| 1588064604 | Vance Wayne Blackwell Jr. | Counselor | 2200 Se Washinton Blvd., Bartlesville, OK 74006 | 2014-08-26 |
| 1619314937 | Scott Ethan Sonico | Dentist | 1224 Se Washington Blvd, Bartlesville, OK 74006 | 2013-05-28 |
| 1417229485 | Vernon Lee Newby | Veterinarian | 817 Madison Blvd., Bartlesville, OK 74006 | 2012-02-06 |
| 1306083720 | Sherry M Wilson | Counselor | 3925-g Frank Phillips Blvd., Bartlesville, OK 74006 | 2009-01-08 |
| 1699948620 | Rebecca Rassel | Counselor | 513 S Quapaw, Bartlesville, OK 74006 | 2008-04-10 |
| Find all providers in zip 74006 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053936815 | Priscella Ann Caron | Nurse Practitioner | 226 Se De Bell Ave Building B, Bartlesville, OK 74006 | 2020-06-08 |
| 1700377066 | Melissa Ann Montgomery | Nurse Practitioner | 3450 E Frank Phillips Blvd Ste 400, Bartlesville, OK 74006-2401 | 2018-05-22 |
| 1306353552 | Kristina Doolittle | Nurse Practitioner | 3400 E Frank Phillips Blvd Ste 501, Bartlesville, OK 74006-2495 | 2018-01-09 |
| 1104372275 | Hester Inez Ferguson | Nurse Practitioner | 414 E 4th St, Bartlesville, OK 74003-3603 | 2016-08-29 |
| 1023487436 | Katherine Marie Anderson | Nurse Practitioner | 3500 Sw Frank Phillips, Bartlesville, OK 74006 | 2015-09-16 |
| 1841612025 | Kori A Sauer | Nurse Practitioner | 501 E. Frank Phillips Blvd., Suite 202, Bartlesville, OK 74003 | 2014-01-07 |
| 1669656559 | Helen K. Mchale | Nurse Practitioner | 500 Se Frank Phillips Blvd, Bartlesville, OK 74003-3915 | 2007-12-27 |
| 1164410171 | Joann F Simpson | Nurse Practitioner | 3450 Frank Phillips, Suite 400, Bartlesville, OK 74006 | 2005-10-12 |
| 1861093379 | Tracy Stuckey | Nurse Practitioner | 1223 Swan Dr, Bartlesville, OK 74006-5037 | 2020-11-03 |
| 1881217719 | Ellen Louise Conn | Nurse Practitioner | 5121 Jacquelyn Ln, Bartlesville, OK 74006-7723 | 2020-05-27 |
| Find all providers in BARTLESVILLE | ||||
| City | BARTLESVILLE |
| Zip Code | 74006 |
Please comment or provide details below to improve the information on DORI RAYCOB.
| 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.