MS. DEANNE MAE FOGLEMAN (NPI# 1588921936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588921936 |
| Entity Type | Individual |
| Full Name | MS. DEANNE MAE FOGLEMAN |
| Practice Address |
158 E Sunset Dr Suite C Medford OK 73759-2401 |
| Mailing Address |
424 S 3rd St Medford OK 73759-1608 |
| Practice Telephone | 5803953142 |
| Practice Fax Number | 5803953163 |
| Mailing Telephone | 4053015105 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
158 E SUNSET DR SUITE C |
| City | MEDFORD |
| State | OK |
| Zip Code | 73759-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568424190 | Linda Sue Woodruff | Nurse Practitioner | 158 E Sunset Dr, Suite B, Medford, OK 73759-2401 | 2006-04-06 |
| 1659647618 | Kristina Nelson | Case Manager/Care Coordinator | 158 E Sunset Dr, Suite E, Medford, OK 73759-2401 | 2012-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457374332 | Servant Living Center - Medford LLC | Nursing Facility/Intermediate Care Facility | 616 S Front Street, Medford, OK 73759 | 2006-07-25 |
| 1699025973 | Great Salt Plains Health Center, Inc. | Family Medicine | 619 Front Street, Medford, OK 73759-1209 | 2012-09-14 |
| 1235236175 | Kennedy Drug Co | Pharmacy | 107 E Cherokee St, Medford, OK 73759-1209 | 2006-09-20 |
| 1194072363 | Hughes Pharmacy LLC | Pharmacy | 107 E Cherokee St, Medford, OK 73759-1209 | 2012-08-07 |
| 1891945812 | Amy Holmes Medical Services Plc | Family Medicine | 102 E Cherokee, Medford, OK 73759-1210 | 2008-09-26 |
| 1407049307 | Jonathan D. Wren D.c. | Chiropractor | 104 N Main St, Medford, OK 73759-1232 | 2007-08-23 |
| 1598960015 | Associated Therapeutic Services, PC | Counselor | 114 N Main St, Medford, OK 73759-1232 | 2007-06-15 |
| 1881736577 | Medford Public School | Public Health or Welfare | 301 N Main St, Medford, OK 73759-1234 | 2007-02-12 |
| 1225025455 | Michael F Flanagan, Receiver for Medfors Nursing Home | Skilled Nursing Facility | 616 S Front St, Medford, OK 73759-1714 | 2005-10-03 |
| 1891110797 | Robertson Health Care LLC | Skilled Nursing Facility | 616 S Front St, Medford, OK 73759-1714 | 2014-02-28 |
| Find all providers in zip 73759 | ||||
| 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 |
|---|---|---|---|---|
| 1629436746 | Martina Waggener | Case Manager/Care Coordinator | 1107 Stevens St, Medford, OR 97504-6867 | 2016-02-03 |
| 1861866493 | Whitney Shipman | Case Manager/Care Coordinator | 1140 W 8th St, Medford, OR 97501-2912 | 2015-11-19 |
| 1730576109 | Samara Garnett | Case Manager/Care Coordinator | 106 Cottage St, Medford, OR 97504-7334 | 2015-04-23 |
| 1134499163 | Hannah Joy Morgan | Case Manager/Care Coordinator | 700 Crater Lake Ave, #12, Medford, OR 97504-6514 | 2012-01-06 |
| 1376812990 | Kristina Roper | Case Manager/Care Coordinator | 721 Nita Lynne, Medford, OR 97501-6635 | 2011-12-28 |
| 1881963601 | Jody Luney | Case Manager/Care Coordinator | 1911 Hazel Street, Medford, OR 97501 | 2011-12-22 |
| 1962707562 | Shirley Ann Palos | Case Manager/Care Coordinator | 1911 Hazel St, Medford, OR 97501 | 2011-01-13 |
| 1023312972 | Stacy D,ann Fountain | Case Manager/Care Coordinator | 100e. Main St., Medford, OR 97504 | 2011-01-07 |
| 1023312543 | Yvonne Melinda Shafer | Case Manager/Care Coordinator | 1005 E Main St Bldg C, Medford, OR 97504-7448 | 2010-12-23 |
| 1043810377 | Allison Rose Gida | Case Manager/Care Coordinator | 609 W 10th St, Medford, OR 97501-3106 | 2020-10-27 |
| Find all providers in MEDFORD | ||||
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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.