ANIBAL AVILA MD PROFESSIONAL CORPORATION PC (NPI# 1578855409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578855409 |
| Entity Type | Organization |
| Organization Name | ANIBAL AVILA MD PROFESSIONAL CORPORATION PC |
| Practice Address |
1111 Sw 44th St Oklahoma City OK 73109-3601 |
| Practice Telephone | 4056344934 |
| Practice Fax Number | 4056344938 |
| Mailing Telephone | 4056344934 |
| Mailing Fax Number | 4056344938 |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |
| Authorized Official Name | ANIBAL AVILA (OWNER) |
| Authorized Official Telephone | 4056344934 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 18774 | OK | Ambulatory Health Care Facilities |
| Street Address |
1111 SW 44TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73109-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346610375 | Advanced Eye Sw 44th LLC | Optometrist | 1111 Sw 44th St, Oklahoma City, OK 73109-3601 | 2015-10-02 |
| 1801273867 | Hanni Lynn Hagen Od Inc | Optometrist | 1111 Sw 44th St, Oklahoma City, OK 73109-3601 | 2015-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905354 | Housecalls | Family Medicine | 4413 S Lee Ave, Oklahoma City, OK 73109 | 2018-06-11 |
| 1225559404 | John Nathan Jacobsen | Dentist | 235 Sw 25th St., Oklahoma City, OK 73109 | 2017-06-28 |
| 1659828648 | Cynthia Jane Laney | Registered Nurse | 4401 South Western, Oklahoma City, OK 73109 | 2016-09-07 |
| 1497104780 | Hazel Soto | Case Manager/Care Coordinator | 420 Sw, St, Oklahoma, OK 73109 | 2016-06-07 |
| 1063873677 | Ardeceley Brandi Annette Hernandez | Community/Behavioral Health | 5714 S. Western Ave, Oklahoma City, OK 73109 | 2016-03-09 |
| 1316343908 | Van Ngo | Nurse Practitioner | 4413 South Lee Ave, Oklahoma City, OK 73109 | 2014-11-10 |
| 1104249150 | Janessa Ladawn Bointy | Counselor | 5359 S. Western Ave. #707, Oklahoma City, OK 73109 | 2014-01-28 |
| 1033540299 | Bryan Graham | Case Manager/Care Coordinator | 1111 Sw 28th St, Oklahoma City, OK 73109 | 2013-12-12 |
| 1154684603 | Nubia Fiesel | Counselor | 420 Sw 10th Street, Oklahoma City, OK 73109 | 2012-06-20 |
| 1548533664 | C.c. Freeman, Md. Inc | Internal Medicine | 4221 S. Western Ave., Suite 2015, Oklahoma City, OK 73109 | 2012-02-21 |
| Find all providers in zip 73109 | ||||
| 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 |
|---|---|---|---|---|
| 1235757071 | Equality Health Group LLC | Clinic/Center | 4301 Nw 63rd St Ste 109, Oklahoma City, OK 73116-1548 | 2020-07-08 |
| 1104458231 | Osu Center for Health Sciences | Clinic/Center | 6501 S Western Ave Ste 101, Oklahoma City, OK 73139-1709 | 2020-02-06 |
| 1144882325 | Focused Adult LLC | Clinic/Center | 5900 Mosteller Dr Unit 3, Oklahoma City, OK 73112-4640 | 2019-07-08 |
| 1518460047 | Revive Clinic LLC | Clinic/Center | 13316 S Western Ave Ste F, Oklahoma City, OK 73170-7309 | 2018-03-12 |
| 1881144095 | Osu Center for Health Sciences | Clinic/Center | 9821 S May Ave, Suite B, Oklahoma City, OK 73159-7042 | 2016-10-12 |
| 1760884886 | Oklahoma Neurodiagnostics, LLC | Clinic/Center | 5350 S Western Ave Ste 732, Oklahoma City, OK 73109-4535 | 2014-09-19 |
| 1396151171 | Board of Regents of The Univ of Okla-stephenson Specialty Pharmacy | Clinic/Center | 800 Ne 10th St Ste 1044, Oklahoma City, OK 73104-5418 | 2014-07-01 |
| 1023354842 | Amattco LLC | Clinic/Center | 3705 West Memorial Rd Suite 601, Oklahoma City, OK 73134 | 2012-12-26 |
| 1932462603 | Precision Health Services Inc/urgent Care | Clinic/Center | 7250 Nw Expressway Ste 202, Oklahoma City, OK 73132-1522 | 2012-06-19 |
| 1316253008 | Vao Service Provider LLC | Clinic/Center | 817 Sw 59th St, Oklahoma City, OK 73109-4807 | 2010-08-19 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73109 |
Please comment or provide details below to improve the information on ANIBAL AVILA MD PROFESSIONAL CORPORATION PC.
| 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.