OKLAHOMA WELLNESS GROUP LLC (NPI# 1578031571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578031571 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA WELLNESS GROUP LLC |
| Practice Address |
14101 North Esatern Avenue Suite B Edmond OK 73013 |
| Mailing Address |
1920 East State Highway 114 Southlake TX 76092 |
| Practice Telephone | 4055136655 |
| Practice Fax Number | 4055136589 |
| Mailing Telephone | 8174103800 |
| Mailing Fax Number | 8174106466 |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2018-11-07 |
| Authorized Official Name | WILLIAM G REILLY (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 8174103800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
14101 NORTH ESATERN AVENUE SUITE B |
| City | EDMOND |
| State | OK |
| Zip Code | 73013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| 1396279808 | Teal Creek Life Care Community Inc | Assisted Living Facility | 13501 N. Bryant Ave., Edmond, OK 73013 | 2017-04-12 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770068827 | Absolute Health Medical Partners LLC | Internal Medicine | 1305 Nw 187th St, Edmond, OK 73012-6206 | 2018-09-25 |
| 1386099596 | Michael Thrower Md, Pllc | Internal Medicine | 2000 W Danforth Rd Ste 130-221, Edmond, OK 73003-4687 | 2016-04-26 |
| 1164734075 | Timothy H Cook Md Pllc | Internal Medicine | 2310 Terra Trl, Edmond, OK 73034-3441 | 2010-07-08 |
| 1225349855 | Pm Medical, PC | Internal Medicine | 1508 N Jackson St, Edmond, OK 73034-4328 | 2010-06-29 |
| 1427239664 | Melissa Lynn Cloer | Internal Medicine | 17644 Cobalt Ave, Edmond, OK 73012-4173 | 2007-11-15 |
| 1134325608 | Jeremy Brandon Moad | Internal Medicine | 105 S Bryant Ave Ste 104, Edmond, OK 73034 | 2007-06-22 |
| 1366648859 | Michael Alan Thrower | Internal Medicine | 105 S Bryant Ave Ste 210, Edmond, OK 73034-6331 | 2007-06-22 |
| 1831308899 | Ashlee Michelle Waugh | Internal Medicine | 1701 E 2nd, Edmond, OK 73034-6387 | 2007-05-22 |
| 1396891743 | Michael Shane Hull | Internal Medicine | 105 So. Bryant Ave, Suite 104, Edmond, OK 73034-6330 | 2007-01-26 |
| 1497803860 | Jeffery Randall Pruitt | Internal Medicine | One S Bryant Ave, Edmond, OK 73034-6309 | 2007-01-08 |
| Find all providers in EDMOND | ||||
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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.