HEALTHCARE STAT (NPI# 1609029644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609029644 |
| Entity Type | Organization |
| Organization Name | HEALTHCARE STAT |
| Practice Address |
821 E. Veterans Memorial Highway Blanchard OK 73010-9215 |
| Mailing Address |
Po Box 1126 Norman OK 73070-1126 |
| Practice Telephone | 4054859588 |
| Practice Fax Number | 4057015421 |
| Mailing Telephone | 4056595656 |
| Mailing Fax Number | 4057015421 |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2012-07-15 |
| Authorized Official Name | SHAWN P BONILLA (OWNER) |
| Authorized Official Telephone | 4054859588 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
R0068442 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
R0068442 | OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200226680A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669906806 | Healthcare Stat | Clinic/Center | 821 E Veterans Memorial Hwy, Blanchard, OK 73010-9215 | 2017-04-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | HEALTHCARE STAT LLC | 821 E. Veterans Memorial Highway, Blanchard, OK 73010 |
| Oklahoma Business Registrations | HEALTHCARE STAT OF CHICKASHA, LLC | 1928 South 4th St., Chickasha, OK 73018 |
| Street Address |
821 E. VETERANS MEMORIAL HIGHWAY |
| City | BLANCHARD |
| State | OK |
| Zip Code | 73010-9215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609135862 | Stephanie Michelle Thomas | Speech-Language Pathologist | 2286 Cottage Lane, Blanchard, OK 73010 | 2012-05-09 |
| 1235382540 | Saints Medical Group, LLC | Family Medicine | 2002 N Council Ave, Blanchard, OK 73010 | 2008-10-30 |
| 1811154008 | Brant D. Spencer D.c. P.C. | Chiropractor | 104 S Main Street, Blanchard, OK 73010 | 2008-05-16 |
| 1932374675 | Travis L Turney Dds | Clinic/Center | 809 East Veterans Memorial Hwy, Blanchard, OK 73010 | 2008-04-24 |
| 1215134051 | Travis Lisle Turney | Dentist | 809 E Veterans Memorial Hwy, Blanchard, OK 73010 | 2007-06-27 |
| 1083735625 | Stephanie R Nesmith | Counselor | 27811 Portland Ave, Blanchard, OK 73010 | 2007-04-02 |
| 1588608376 | Ronald Keith Smith | Dentist | 1019 N. Council Ave, Suite # 2, Blanchard, OK 73010 | 2006-06-15 |
| 1659333557 | Brant D. Spencer | Chiropractor | 104 S. Main, Blanchard, OK 73010 | 2006-04-05 |
| 1376519397 | Vincent Michael Young | Optometrist | 112 S. Main, Blanchard, OK 73010 | 2006-02-28 |
| 1528693074 | Kaitlyn Nicole Boyce | Behavior Technician | 14828 Serenita Ave, Oklahoma City, OK 73010 | 2020-03-05 |
| Find all providers in zip 73010 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609476654 | Team Clinic Management Partners LLC | Clinic/Center | 372 N Cobb, Caney, OK 74533 | 2020-10-29 |
| 1184222705 | Essential Md, Pllc | Clinic/Center | 6316 E 102nd St Ste 100, Tulsa, OK 74137-7061 | 2020-10-15 |
| 1881292191 | Team Clinic Management Partners LLC | Clinic/Center | 3100 W New Orleans St, Broken Arrow, OK 74011-1468 | 2020-10-09 |
| 1972115392 | Team Clinic Management Partners LLC | Clinic/Center | 225 E Omaha St, Broken Arrow, OK 74012-1761 | 2020-08-18 |
| 1093327413 | Team Clinic Management Partners LLC | Clinic/Center | 301 W New Orleans St, Broken Arrow, OK 74011-2206 | 2020-08-18 |
| 1962013110 | Team Clinic Management Partners LLC | Clinic/Center | 4300 E Gary Street, Broken Arrow, OK 74014 | 2020-08-12 |
| 1750992038 | Team Clinic Management Partners LLC | Clinic/Center | 251 E Omaha St, Broken Arrow, OK 74012-1761 | 2020-08-11 |
| 1689285975 | Team Clinic Management Partners LLC | Clinic/Center | 301 E Tucson St, Broken Arrow, OK 74011-7235 | 2020-08-11 |
| 1417568700 | Team Clinic Management Partners LLC | Clinic/Center | 1351 E Albany St, Broken Arrow, OK 74012-8995 | 2020-08-11 |
| 1164033569 | Team Clinic Management Partners LLC | Clinic/Center | 6800 E Quincy Pl, Broken Arrow, OK 74014-4523 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
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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.