HEALTHSTAT ONSITE CLINIC GOODYEAR LAWTON (NPI# 1619524048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619524048 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ONSITE CLINIC GOODYEAR LAWTON |
| Practice Address |
1 Sw Goodyear Blvd Lawton OK 73505-9723 |
| Mailing Address |
4651 Charlotte Park Dr Ste 300 Charlotte NC 28217-1916 |
| Practice Telephone | 7049365546 |
| Mailing Telephone | 7049355546 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |
| Authorized Official Name | JILL JOHNSON PATTON (DIRECTOR OF RISK MANAGEMENT) |
| Authorized Official Telephone | 7049365546 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1 SW GOODYEAR BLVD |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-9723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861814527 | Chs Health Services, LLC | General Practice | 1 Sw Goodyear Blvd, Lawton, OK 73505-9723 | 2014-01-15 |
| 1134744352 | Emily Wasinger | Physical Therapy Assistant | 1 Sw Goodyear Blvd, Lawton, OK 73505-9723 | 2020-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1356460653 | Brian Melton Meek | Preventive Medicine | 602 Se Wallock Ave., Lawton, OK 73501-5403 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578192118 | Healthstat Onsite Clinic Chart Industries | Preventive Medicine | 5615 S 129th East Ave, Tulsa, OK 74134-6708 | 2020-04-06 |
| 1669931317 | Work Health Solutions LLC | Preventive Medicine | 8523 E 11th St Ste A, Tulsa, OK 74112-7963 | 2019-03-12 |
| 1508984683 | Lori B. Stewart | Preventive Medicine | 2322 N Mingo Rd, Tulsa, OK 74116-1218 | 2007-03-27 |
| 1689799793 | Cynthia Carol Almond | Preventive Medicine | 309 East Ray Fine Blvd, Roland, OK 74954 | 2007-03-20 |
| 1023171964 | Peyton Edward Osborne | Preventive Medicine | 5909 N Barnes Ave, 301 N. Harvey, Oklahoma City, OK 73112-7322 | 2006-12-19 |
| 1487720546 | Leroy E Young Do Inc | Preventive Medicine | 1211 North Shartel, Suite 500, Oklahoma City, OK 73103 | 2006-11-28 |
| 1396837787 | Val Joseph Fiorazo | Preventive Medicine | 4330 Se 29th St, Suite 3018, Del City, OK 73115-3335 | 2006-09-29 |
| 1003928532 | Russell John Green | Preventive Medicine | 8751 N 117th East Ave, Unit H, Owasso, OK 74055-2098 | 2006-08-31 |
| 1275545865 | Joseph Brewer Basinger | Preventive Medicine | 200 Nw 19th St, Oklahoma City, OK 73103-1908 | 2006-08-12 |
| 1013520733 | Center for Joint Relief LLC | Preventive Medicine | 10325 Greenbriar Pl Ste B, Oklahoma City, OK 73159-7647 | 2020-08-24 |
| 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.