STATE OF OKLAHOMA (NPI# 1609972058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609972058 |
Entity Type | Organization |
Organization Name | STATE OF OKLAHOMA |
Other Organization Name | D/B/A J D MCCARTY CENTER FOR CHILDREN WITH DEVELOPMENTAL DISABILITIES |
Practice Address |
2002 E Robinson St Norman OK 73071-7420 |
Practice Telephone | 4053072800 |
Practice Fax Number | 4053072801 |
Mailing Telephone | 4053072800 |
Mailing Fax Number | 4053072801 |
Enumeration Date | 2006-09-15 |
Last Update Date | 2014-05-05 |
Authorized Official Name | MRS. VICTORIA KUESTERSTEFFEN (DIRECTOR AND CEO) |
Authorized Official Telephone | 4053072817 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
2239 | OK | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100700670A | 05 | |
OK | 100708750A | 05 |
Other Name | Type Code |
---|---|
D/B/A J D McCarty Center for Children with Developmental Disabilities | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225352057 | State of Oklahoma | Community/Behavioral Health | 400 North Oak, Taft, OK 74463 | 2010-03-23 |
1790922185 | State of Oklahoma | Community Based Residential Treatment Facility, Mental Illness | 2323 South Harvard, Tulsa, OK 74114 | 2009-01-07 |
1124286059 | State of Oklahoma | Pharmacy | 304 Fairlane Ave, Sulphur, OK 73086-6861 | 2008-05-28 |
1154589430 | State of Oklahoma | Skilled Nursing Facility | 10014 Se 1138th Street, Talihina, OK 74571-6028 | 2008-05-23 |
1225295710 | State of Oklahoma | Skilled Nursing Facility | 1701 South 4th, Clinton, OK 73601-1209 | 2008-05-21 |
1881872182 | State of Oklahoma | Skilled Nursing Facility | 900 E. Airport Rd., Okmulgee, OK 74447 | 2008-02-08 |
1720152788 | State of Oklahoma | Community/Behavioral Health | 702 N. Grand, Northwest Center for Behavioral Health, Enid, OK 73701 | 2006-11-20 |
1750456588 | State of Oklahoma | Community/Behavioral Health | 1222 10th Street, Suite 211, Northwest Center for Behavioral Health, Woodward, OK 73801-3156 | 2006-11-20 |
1700950201 | State of Oklahoma | Substance Abuse Rehabilitation Facility | 5050 Williams Avenue, Northwest Center for Behavioral Health, Woodward, OK 73801 | 2006-11-17 |
1922171701 | State of Oklahoma | Psychiatric Hospital | 1 Mile East U.S. Highway 270, Fort Supply, OK 73841-0001 | 2006-11-17 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | STATE OF OKLAHOMA EAST CENTRAL UNIVERSITY | 1100 E 14th St, Ada, OK 74820-6999 |
Street Address |
2002 E ROBINSON ST |
City | NORMAN |
State | OK |
Zip Code | 73071-7420 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063030963 | Osu Center for Health Sciences | Clinic/Center | 2002 E Robinson St, Norman, OK 73071-7420 | 2020-07-08 |
1104453737 | Allison Michele Robbs | Speech-Language Pathologist | 2002 E Robinson St, Norman, OK 73071-7420 | 2020-03-24 |
1609413608 | Brian Burns | Physical Therapy Assistant | 2002 E Robinson St, Norman, OK 73071-7420 | 2019-12-09 |
1821643859 | Megan Rose Mattox | Physical Therapist | 2002 E Robinson St, Norman, OK 73071-7420 | 2019-08-06 |
1952955387 | Rebecca Leigh Lewis | Dietitian, Registered | 2002 E Robinson St, Norman, OK 73071-7420 | 2019-07-24 |
1104478353 | Rachel Shepherd | Occupational Therapist | 2002 E Robinson St, Norman, OK 73071-7420 | 2019-07-09 |
1356808166 | Sidney Waring | Speech-Language Pathologist | 2002 E Robinson St, Norman, OK 73071-7420 | 2019-02-28 |
1679039408 | Molly Hutchens | Speech-Language Pathologist | 2002 E Robinson St, Norman, OK 73071-7420 | 2019-02-18 |
1881115335 | Martha Blaess | Speech-Language Pathologist | 2002 E Robinson St, Norman, OK 73071-7420 | 2017-07-05 |
1306366653 | Taylor Nichole Epling | Physical Therapist | 2002 E Robinson St, Norman, OK 73071-7420 | 2017-06-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952913741 | Jeanne Marie Tomlinson | Occupational Therapist | 2701 Weymouth Way, Norman, OK 73071 | 2020-08-21 |
1780215947 | Denise Kay Kliewer | Occupational Therapy Assistant | 1412 Spoonwood Dr, Norman, OK 73071 | 2020-01-27 |
1689182511 | Eric Melvin Green | Case Manager/Care Coordinator | 2038 24th Ave. Se, Norman, OK 73071 | 2018-01-12 |
1841726320 | Summer Dental Norman | Dentist | 1240 Alameda St., Norman, OK 73071 | 2017-05-03 |
1336503606 | Full Circle Adult Day Center, Inc | Clinic/Center | 1304 E. Lindsey Plaza Drive, Norman, OK 73071 | 2016-04-12 |
1538524616 | Ashley White | Case Manager/Care Coordinator | 805 East Robinson, Norman, OK 73071 | 2015-12-16 |
1396119111 | Joseph Fleming Pllc | Dentist | 1515 E. Rock Creek Road, Suite 140, Norman, OK 73071 | 2015-11-17 |
1881025104 | Jill Blayney | Counselor | 909 Alameda, # 2607, Norman, OK 73071 | 2013-12-12 |
1578800504 | Cherie Albert | Counselor | 900 E Alameda, Norman, OK 73071 | 2013-01-10 |
1437430618 | Rose Rock Dental Pllc | Dentist | 1049 12th Ave. Ne, Suite 100, Norman, OK 73071 | 2011-09-01 |
Find all providers in zip 73071 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235190844 | Select Physical Therapy Holdings Inc | Clinic/Center | 1106 W Main St, Norman, OK 73069-6923 | 2006-03-31 |
1104320233 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1776 E Robinson St, Norman, OK 73071-7442 | 2018-03-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609499250 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 4400 Grant Blvd Ste 105, Yukon, OK 73099-0038 | 2020-05-18 |
1982238077 | Integris Ambulatory Care Corporation | Clinic/Center | 11801 S May Ave, Oklahoma City, OK 73170-2560 | 2020-02-27 |
1891329983 | Integris Ambulatory Care Corporation | Clinic/Center | 2901 Marilyn Williams Dr, Edmond, OK 73003-1001 | 2020-02-27 |
1194373027 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 1841 Piedmont Rd N Ste C, Piedmont, OK 73078-7008 | 2019-09-04 |
1013570357 | Select Physical Therapy Holdings Inc. | Clinic/Center | 3402 W 114th St, Suite 101, Jenks, OK 74037 | 2019-04-22 |
1245708957 | Integris Ambulatory Care Corporation | Clinic/Center | 7301 Sw 44th St Ste G, Oklahoma City, OK 73179-4308 | 2018-11-12 |
1568946119 | Integris Ambulatory Care Corporation | Clinic/Center | 11101 Hefner Pointe Dr Ste 207, Oklahoma City, OK 73120-5054 | 2018-09-19 |
1477090652 | Integris Ambulatory Care Corporation | Clinic/Center | 2203 S Main St, Grove, OK 74344-5329 | 2017-01-25 |
1790969053 | South Tulsa Performance Health | Clinic/Center | 7112 S Mingo Rd Ste 101, Tulsa, OK 74133-3267 | 2007-12-21 |
1861568859 | Goodwill Industries of Tulsa Inc | Clinic/Center | 2800 Southwest Blvd, Tulsa, OK 74107-3817 | 2006-11-28 |
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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.