MOISES SANTIAGO (NPI# 1518426014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518426014 |
| Entity Type | Individual |
| Full Name | MOISES SANTIAGO |
| Practice Address |
1303 W Gore Blvd Ste 6 Lawton OK 73501-3666 |
| Mailing Address |
6511 Sw Oak Cliff Ave Lawton OK 73505-7729 |
| Practice Telephone | 5805120193 |
| Mailing Telephone | 5802846992 |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1303 W GORE BLVD STE 6 |
| City | LAWTON |
| State | OK |
| Zip Code | 73501-3666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1295079705 | Premier Behavorial Health | Community/Behavioral Health | 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 | 2012-11-21 |
| 1306156989 | Diana Nix | Licensed Practical Nurse | 611 Sw B Ave, Lawton, OK 73501 | 2010-10-15 |
| 1689993214 | Crystal Leday | Physical Therapy Assistant | 602 S.e. Wallock, Lawton, OK 73501 | 2010-05-21 |
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1962729848 | Tayler Gammon | Hearing Instrument Specialist | 423 S.w. C Ave, Lawton, OK 73501 | 2010-04-30 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1447487640 | Benjamin Llanos | Counselor | 1719 Sw 11th, Lawton, OK 73501 | 2009-06-15 |
| 1710122833 | Provide Hearing Aids | Public Health or Welfare | 1201 West Gore Blvd, Suite D, Lawton, OK 73501 | 2008-12-03 |
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| Find all providers in zip 73501 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043818065 | Shannon Bates | Case Manager/Care Coordinator | 3202 Se Footman Ln, Lawton, OK 73501-6340 | 2020-10-12 |
| 1154948966 | Irma Alicia Trevino | Case Manager/Care Coordinator | 4829 Nw Floyd Ave, Lawton, OK 73505-1628 | 2020-06-26 |
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1588298004 | Lacretia Renee Nabors | Case Manager/Care Coordinator | 3903 Sw Wolf St, Lawton, OK 73505-7531 | 2020-02-24 |
| 1285265082 | Ricardo Jose Cepero | Case Manager/Care Coordinator | 1116 Nw Lake Ave, Lawton, OK 73507-6568 | 2020-01-30 |
| 1528606944 | Cynthia Lynn Taylor | Case Manager/Care Coordinator | 7609 Nw Folkstone Way, Lawton, OK 73505-4132 | 2019-12-16 |
| 1528602505 | Robert Hausman | Case Manager/Care Coordinator | 8501 Nw Madische Rd, Lawton, OK 73507-1221 | 2019-11-01 |
| 1689217929 | Bethany Brooke Watts | Case Manager/Care Coordinator | 2304 Nw 43rd St, Lawton, OK 73505-1712 | 2019-10-18 |
| 1326697905 | Kimberly Sherrie Clayton | Case Manager/Care Coordinator | 622 Sw Bishop Rd Apt M22, Lawton, OK 73501-8124 | 2019-09-06 |
| 1104470269 | Precious Moore | Case Manager/Care Coordinator | 312 Sw 83rd St, Lawton, OK 73505-4109 | 2019-07-27 |
| Find all providers in LAWTON | ||||
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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.