RED EARTH OSTEOPATHIC MEDICINE, PLLC (NPI# 1538562301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538562301 |
| Entity Type | Organization |
| Organization Name | RED EARTH OSTEOPATHIC MEDICINE, PLLC |
| Practice Address |
905 N Flood Ave Norman OK 73069-7641 |
| Mailing Address |
1600 Burlwood Rd Norman OK 73026-0745 |
| Practice Telephone | 4059281922 |
| Practice Fax Number | 2222222222 |
| Mailing Telephone | 4055171704 |
| Mailing Fax Number | 1111111111 |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |
| Authorized Official Name | DR. PAMELA LEE WILSON (PHYSICIAN) |
| Authorized Official Telephone | 4055171704 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 3300 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
905 N FLOOD AVE |
| City | NORMAN |
| State | OK |
| Zip Code | 73069-7641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336168228 | Pamela L Wilson | Neuromusculoskeletal Medicine & OMM | 905 N Flood Ave, Norman, OK 73069-7641 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1841828290 | Cheryl Renee Stoepker | Nurse Practitioner | 3441 24th Ave Nw, Norman, OK 73069 | 2020-03-31 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| 1528539376 | Monika Potdar | Pharmacist | 2550 Mount Williams Dr, Norman, OK 73069 | 2018-12-05 |
| 1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
| 1528536109 | Summit Health and Wellness Center LLC | Counselor | 2770 Washington Dr, Suite 100, Norman, OK 73069 | 2018-11-13 |
| 1386121960 | Sarah Lawhead | Case Manager/Care Coordinator | 525 Dakota St, Norman, OK 73069 | 2018-07-25 |
| 1528554433 | Katie Blankenship | Occupational Therapist | 330 W Grey Street 100-2, Norman, OK 73069 | 2018-07-03 |
| 1568918886 | Brandi Deerinwater | Case Manager/Care Coordinator | 321 S Peters, Norman, OK 73069 | 2016-08-28 |
| Find all providers in zip 73069 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336168228 | Pamela L Wilson | Neuromusculoskeletal Medicine & OMM | 905 N Flood Ave, Norman, OK 73069-7641 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164986774 | Tell-a-neurodoc, LLC | Neuromusculoskeletal Medicine & OMM | 1113 Nw 197th St, Edmond, OK 73012-3407 | 2019-01-28 |
| 1639592181 | Justin P Joseph | Neuromusculoskeletal Medicine & OMM | 5300 N Meridian Ave Ste 11c, Oklahoma City, OK 73112-2179 | 2014-02-03 |
| 1619030996 | Gregory L Wilson | Neuromusculoskeletal Medicine & OMM | 9709 E 79th St, Tulsa, OK 74133-4566 | 2006-12-18 |
| 1952477093 | Urgent Care Clinic of Atoka, PC | Neuromusculoskeletal Medicine & OMM | 1510 S. Virginia Ave, Atoka, OK 74525-3246 | 2006-11-28 |
| 1023122660 | Jeanne Elizabeth Heyser-easterly | Neuromusculoskeletal Medicine & OMM | 800 S Jackson Ave, Tulsa, OK 74127-9003 | 2006-08-19 |
| 1043265770 | Kent Ragan Smalley | Neuromusculoskeletal Medicine & OMM | 3432 Nw 178th St Ste A, Edmond, OK 73012-9150 | 2006-05-23 |
| 1821057696 | James Walton Hogin | Neuromusculoskeletal Medicine & OMM | 6510 S Western Ave, Ste 100, Oklahoma City, OK 73139-1712 | 2006-03-21 |
| 1275518045 | Constance Gilbert Honeycutt | Neuromusculoskeletal Medicine & OMM | 13809 S Casper St, Suite D, Glenpool, OK 74033-2618 | 2005-12-14 |
| 1205832607 | Christian Ellis | Neuromusculoskeletal Medicine & OMM | 4140 W Memorial Rd, Ste. 621, Oklahoma City, OK 73120-8366 | 2005-06-22 |
| 1114236759 | Southwest Family Clinic | Neuromusculoskeletal Medicine & OMM | 2149 Sw 59th St, Suite 101, Oklahoma City, OK 73119-7033 | 2010-09-30 |
| 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.