CHARLES WAYNE THOMAS JR. (NPI# 1578198834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578198834 |
| Entity Type | Individual |
| Full Name | CHARLES WAYNE THOMAS JR. |
| Practice Address |
109 N Fairland St Pryor OK 74361-4203 |
| Practice Telephone | 1898251405 |
| Practice Fax Number | 9188251406 |
| Mailing Telephone | 9188251405 |
| Mailing Fax Number | 9188251406 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-04-14 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740644749 | Charles Thomas | Social Worker | 1122 Somercotes Ln, Channelview, TX 77530-2412 | 2016-04-06 |
| 1992112593 | Charles D. Thomas | Dentist | 5382 S. Suncoast Blvd., Homosassa, FL 34446 | 2014-07-15 |
| 1609293232 | Charles Thomas | Anesthesiology | 201 Raubenstine Rd, Hanover, PA 17331-9074 | 2014-03-20 |
| 1689939597 | Charles Forrest Thomas | Orthopaedic Surgery | 110 Lummi Dr, La Conner, WA 98257-9631 | 2012-07-06 |
| 1154652337 | Charles James Thomas | Behavioral Analyst | 333 W Spruce Ave, Inglewood, CA 90301-3284 | 2010-01-27 |
| 1750531729 | Charles Ray Thomas II | Chore Provider | 13022 Hunters Chase Dr, Forney, TX 75126-7899 | 2008-09-25 |
| 1316106313 | Charles Thomas | Counselor | 11400 Celandine Ct, Charlotte, NC 28213-9265 | 2008-06-04 |
| 1790968014 | Charles Gerard Thomas | Psychologist | 141 12th Armor Division Ave, Bldg 1480, Fort Knox, KY 40121-6211 | 2007-12-10 |
| 1730385790 | Charles P Thomas Jr. | Dentist | 2201 Pump Road, Richmond, VA 23233 | 2007-06-26 |
| 1548476534 | Charles Daniel Thomas I | Pediatrics | 270 Delaplane Ave, Newark, DE 19711-4718 | 2007-05-15 |
| Street Address |
109 N FAIRLAND ST |
| City | PRYOR |
| State | OK |
| Zip Code | 74361-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942286133 | Jan Ellen Wells | Nurse Practitioner | 109 N Fairland St, Suite 104, Pryor, OK 74361-4203 | 2005-12-19 |
| 1740893296 | Erin Dinsmore | Peer Specialist | 109 N Fairland St, Pryor, OK 74361-4205 | 2020-08-25 |
| 1609489228 | Wendy Dotson | Peer Specialist | 109 N Fairland St, Pryor, OK 74361-4203 | 2020-08-24 |
| 1063022077 | Daylon Cheyenne Ramsey | Peer Specialist | 109 N Fairland St, Pryor, OK 74361-4205 | 2020-08-04 |
| 1548885502 | Riley Danielle Pope | Counselor | 109 N Fairland St, Pryor, OK 74361-4205 | 2020-06-15 |
| 1013532076 | Breanna Nicole Cook | Counselor | 109 N Fairland St, Pryor, OK 74361-4205 | 2020-06-15 |
| 1285254490 | Briana Renee Andrews | Peer Specialist | 109 N Fairland St, Pryor, OK 74361-4203 | 2020-04-17 |
| 1215556410 | Carly Ann Disalvatore | Case Manager/Care Coordinator | 109 N Fairland St, Pryor, OK 74361-4203 | 2020-04-09 |
| 1568081677 | Zack Ellard | Peer Specialist | 109 N Fairland St, Pryor, OK 74361-4203 | 2020-04-09 |
| 1518593011 | Klarissa Autumn Hall | Occupational Therapy Assistant | 109 N Fairland St, Pryor, OK 74361-4203 | 2020-03-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740787928 | Ahs Pryor Hospital, LLC | Clinic/Center | 1301 Ne 1st St Ste 400, Pryor, OK 74361 | 2018-04-12 |
| 1073029310 | Amber Bowman | Registered Nurse | 109 N. Fairland, Pryor, OK 74361 | 2017-12-22 |
| 1922361096 | Crystal Noel Parrett | Counselor | 215 N. Fairland, Pryor, OK 74361 | 2012-06-22 |
| 1447516703 | Rocky Mountain Holdings LLC | Ambulance | 591 Airport Rd, Pryor, OK 74361 | 2012-04-11 |
| 1356673180 | Tressa Fern Rice | Speech-Language Pathologist | 510 S. Elliott St. Suite C, Mayes County Speech Therapy, Pryor, OK 74361 | 2010-02-04 |
| 1083945208 | Ladena Carol Moore | Counselor | 212 S E 1st, Pryor, OK 74361 | 2010-01-28 |
| 1164753323 | Anita K Sanders | Counselor | 212 Se 1st, Pryor, OK 74361 | 2010-01-27 |
| 1619203775 | Sandra Kay Runnells | Psychologist | 109 South Fairland, Suite 101, Pryor, OK 74361 | 2009-10-26 |
| 1972838969 | Ramona L Whitehurst | Advanced Practice Midwife | 1400 Willow Road, Pryor, OK 74361 | 2009-10-08 |
| 1396971297 | Shauna Leann Jackson | Speech-Language Pathologist | 510 S. Elliott, Suite C, Pryor, OK 74361 | 2009-06-05 |
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| 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 |
|---|---|---|---|---|
| 1992217426 | Riley Amorette Stephenson | Case Manager/Care Coordinator | 109 N Fairland, Pryor, OK 74361-4203 | 2017-10-24 |
| 1740723865 | Yaneth Garcia | Case Manager/Care Coordinator | 109 N. Fairland St., Pryor, OK 74361-4203 | 2016-11-21 |
| 1558755272 | Valerie Albert | Case Manager/Care Coordinator | 3 N Adair St, Suite 1, Pryor, OK 74361-2479 | 2015-03-19 |
| 1720490923 | Anita Stacy | Case Manager/Care Coordinator | 235 E. Graham, Pryor, OK 74361-2436 | 2014-05-22 |
| 1467681916 | Pamela Renee Riddle | Case Manager/Care Coordinator | 2 S Coo Y Yah St # 4, Pryor, OK 74361-4636 | 2009-07-06 |
| 1215556410 | Carly Ann Disalvatore | Case Manager/Care Coordinator | 109 N Fairland St, Pryor, OK 74361-4203 | 2020-04-09 |
| 1427695493 | Alyson Eseleta Padilla | Case Manager/Care Coordinator | 109 N Fairland St, Pryor, OK 74361-4203 | 2019-12-09 |
| 1356990725 | Katlyn Jo Crawford | Case Manager/Care Coordinator | 109 N Fairland St, Pryor, OK 74361-4203 | 2019-09-09 |
| 1124677851 | Alesha Gail Blake | Case Manager/Care Coordinator | 109 N Fairland St, Pryor, OK 74361-4203 | 2019-09-05 |
| 1770130106 | April Dawn Smith | Case Manager/Care Coordinator | 109 N Fairland St, Pryor, OK 74361-4203 | 2019-08-21 |
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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.