VIP ENDOSCOPY INC (NPI# 1558471490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558471490 |
| Entity Type | Organization |
| Organization Name | VIP ENDOSCOPY INC |
| Practice Address |
1615 S Eucalyptus Ave Suite 101 Broken Arrow OK 74012 |
| Practice Telephone | 9182948477 |
| Practice Fax Number | 9182943003 |
| Mailing Telephone | 9182948477 |
| Mailing Fax Number | 9182943003 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-09-11 |
| Authorized Official Name | MRS. SARAH BELL VON MULLER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9182948477 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 0072 | OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | AETNA | 3104093 | 01 |
| Street Address |
1615 S EUCALYPTUS AVE SUITE 101 |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568010 | Julie Gail Sullivan | Pediatrics | 1615 S Eucalyptus Ave, Suite 210, Broken Arrow, OK 74012-6159 | 2005-06-20 |
| 1437530789 | Strive Medical LLC | Durable Medical Equipment & Medical Supplies | 1615 S Eucalyptus Ave, Ste 203, Broken Arrow, OK 74012-6159 | 2015-06-12 |
| 1598165086 | Ashley Efaw | Occupational Therapist | 1615 S Eucalyptus Ave, Suite 208, Broken Arrow, OK 74012-6159 | 2014-09-03 |
| 1235399122 | South Pointe Pediatrics, Pllc | Pediatrics | 1615 S Eucalyptus Ave, Suite 210, Broken Arrow, OK 74012-6159 | 2008-06-13 |
| 1114125911 | Mariolga Mercado Do PC | Family Medicine | 1615 S Eucalyptus Ave, Suite 211, Broken Arrow, OK 74012-5990 | 2007-07-03 |
| 1184797813 | Sarah Von Muller, Md, Pllc | Internal Medicine | 1615 S Eucalyptus Ave, Suite 103, Broken Arrow, OK 74012-5990 | 2006-11-17 |
| 1710094925 | Sarah Bell Von Muller | Internal Medicine | 1615 S Eucalyptus Ave, Suite 103, Broken Arrow, OK 74012 | 2006-08-24 |
| 1861413510 | Michelle L Fugitt Do Pllc | Internal Medicine | 1615 S Eucalyptus Ave, Suite 210, Broken Arrow, OK 74012-5990 | 2006-07-21 |
| 1700845005 | Michelle Fugitt | Internal Medicine | 1615 S Eucalyptus Ave, Suite 210, Broken Arrow, OK 74012-5990 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| 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 |
|---|---|---|---|---|
| 1669405437 | New Tradition Clinic LLC | Clinic/Center | 2021 S Elm Pl, Broken Arrow, OK 74012-7031 | 2006-07-07 |
| 1215571112 | Osu Center for Health Sciences | Clinic/Center | 118 W Commercial St, Broken Arrow, OK 74012-4011 | 2019-11-04 |
| 1528557386 | Osu Center for Health Sciences | Clinic/Center | 1150 E Lansing St, Broken Arrow, OK 74012-2429 | 2018-05-08 |
| 1023542875 | Osu Center for Health Sciences | Clinic/Center | 4700 W Urbana St, Broken Arrow, OK 74012-5504 | 2017-04-19 |
| 1952841553 | Osu Center for Health Sciences | Clinic/Center | 701 W Queens St, Suite 100, Broken Arrow, OK 74012-1784 | 2017-03-01 |
| 1033577085 | Osu Center for Health Sciences | Clinic/Center | 4716 W Urbana St, Suite 1, Broken Arrow, OK 74012-5997 | 2016-02-05 |
| 1073987517 | Osu Center for Health Sciences | Clinic/Center | 4716 W Urbana St, Broken Arrow, OK 74012-5997 | 2015-11-20 |
| 1053782300 | Ent and Sinus Solutions LLC | Clinic/Center | 4716 W Urbana St, Suite B, Broken Arrow, OK 74012-5997 | 2015-10-13 |
| 1144616871 | Osu Center for Health Sciences | Clinic/Center | 4623 W Kenosha St, Broken Arrow, OK 74012-8975 | 2015-04-09 |
| 1033526611 | Wellspring Family Clinic | Clinic/Center | 4623 W Kenosha St, Broken Arrow, OK 74012-8975 | 2014-07-16 |
| Find all providers in BROKEN ARROW | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
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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.