CONCENTRA HEALTH CARE PA (NPI# 1558651687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558651687 |
| Entity Type | Organization |
| Organization Name | CONCENTRA HEALTH CARE PA |
| Practice Address |
901 Goodyear Boulevard Lawton OK 73505 |
| Mailing Address |
5080 Spectrum Drive Suite 1200 West Addison TX 75001-4624 |
| Practice Telephone | 5805315878 |
| Practice Fax Number | 5805315779 |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-05-18 |
| Authorized Official Name | WILLIAM TOM FOGARTY (PRESIDENT) |
| Authorized Official Telephone | 9723648000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528359502 | Concentra Health Care Pa | Clinic/Center | 2140 Mendon Rd, Suite 101a, Cumberland, RI 02864-3833 | 2011-04-26 |
| 1811295116 | Concentra Health Care Pa | Clinic/Center | 5080 Spectrum Drive, Suite 1200 West Tower, Addison, TX 75001-4624 | 2011-03-10 |
| 1548568843 | Concentra Health Care Pa | Clinic/Center | 5080 Spectrum Drive, Suite 1200 West Tower, Addison, TX 75001-4624 | 2011-03-10 |
| 1013215524 | Concentra Health Care Pa | Clinic/Center | 5080 Spectrum Dr, Suite 1200 West Tower, Addison, TX 75001-4624 | 2011-03-08 |
| Street Address |
901 GOODYEAR BOULEVARD |
| City | LAWTON |
| State | OK |
| Zip Code | 73505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710279583 | Concentra Health Care, P.a. | Clinic/Center | 901 Goodyear Boulevard, Lawton, OK 73505-9755 | 2011-05-11 |
| 1760774525 | Concentra Health Care, P.a. | Optometrist | 901 Goodyear Boulevard, Lawton, OK 73505-9755 | 2011-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710279583 | Concentra Health Care, P.a. | Clinic/Center | 901 Goodyear Boulevard, Lawton, OK 73505-9755 | 2011-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033759519 | Arabella Medical Spa LLC | Clinic/Center | 701 S Mustang Rd, Yukon, OK 73099-6778 | 2020-01-13 |
| 1245763739 | Essence Massage | Clinic/Center | 782 E Pine St, Tulsa, OK 74106-5925 | 2017-04-11 |
| 1033521430 | The Back Stop LLC | Clinic/Center | 373 S Yukon Pkwy Ste C, Yukon, OK 73099-4597 | 2014-05-20 |
| 1164866737 | Vitality Wellness | Clinic/Center | 5740 Nw 135th St., Oklahoma City, OK 73142 | 2013-04-25 |
| 1881931509 | Wildhorse Family Practice & Urgent Care | Clinic/Center | 1024 W Cherokee, Sallisaw, OK 74955 | 2013-01-15 |
| 1972863041 | Fgg LLC | Clinic/Center | 755 Jenkins Ave, Norman, OK 73069-4951 | 2012-05-23 |
| 1992008072 | Arthritis & Rheumatology Center of Oklahoma | Clinic/Center | 1111 N Lee Ave Ste 249, Oklahoma City, OK 73103-2600 | 2010-12-13 |
| 1598072050 | Health Watch Medical Center | Clinic/Center | 1924 N Portland Ave, Oklahoma City, OK 73107-1532 | 2010-09-04 |
| 1922313972 | Clear Focus Cv Ultrasound Services | Clinic/Center | 502 Oak, Ardmore, OK 73401-3830 | 2010-08-15 |
| 1215172804 | Med-labs LLC | Clinic/Center | 11014 E 51st St, Tulsa, OK 74146-5820 | 2008-12-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CONCENTRA HEALTH CARE PA.
| 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.