KORY SAMS (NPI# 1639316383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639316383 |
| Entity Type | Individual |
| Full Name | KORY SAMS |
| Credential | CPED, RPOA |
| Practice Address |
2116 E 15th St Tulsa OK 74104-4614 |
| Practice Telephone | 9187426464 |
| Practice Fax Number | 9187429933 |
| Mailing Telephone | 9187426464 |
| Mailing Fax Number | 9187429933 |
| Enumeration Date | 2009-01-17 |
| Last Update Date | 2009-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | RPOA6 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2116 E 15TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891869756 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 2116 E 15th St, Tulsa, OK 74104-4614 | 2006-11-20 |
| 1255869533 | Brian Dayle Brame | Orthotist | 2116 E 15th St, Tulsa, OK 74104-4614 | 2017-05-31 |
| 1265969596 | Sarah Lorraine Matthews | Orthotist | 2116 E 15th St, Tulsa, OK 74104-4614 | 2017-05-17 |
| 1174050439 | Julia Patricia Murphy I | Mastectomy Fitter | 2116 E 15th St, Tulsa, OK 74104-4614 | 2017-05-17 |
| 1225270333 | Amy Lee Wachtman | Orthotist | 2116 E 15th St, Tulsa, OK 74104-4614 | 2009-04-03 |
| 1548407299 | Harry P Sheppard | Orthotist | 2116 E 15th St, Tulsa, OK 74104-4614 | 2009-01-17 |
| 1295972933 | Michael Sean Harrington | Prosthetist | 2116 E 15th St, Tulsa, OK 74104-4614 | 2009-01-16 |
| 1902043656 | Scott Stromberg | Orthotist | 2116 E 15th St, Tulsa, OK 74104-4614 | 2009-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013093236 | Jenar Inc | Orthotic Fitter | 3936 S Hudson, Tulsa, OK 74135-5608 | 2006-10-31 |
| 1487181673 | Stephen Garrett Silva | Orthotic Fitter | 6052 S Sheridan Rd, Tulsa, OK 74145-9212 | 2017-05-18 |
| 1790922334 | Peggy J Miner | Orthotic Fitter | 6052 S Sheridan Rd, Tulsa, OK 74145-9212 | 2009-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093209629 | Billy Joe James | Orthotic Fitter | 425 Eagle Creek Way, Oklahoma City, OK 73117-1045 | 2018-06-18 |
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| 1881696177 | Anthony W Layton | Orthotic Fitter | 15 Sw B Ave, Lawton, OK 73501-4006 | 2005-06-01 |
| 1326340639 | Jamie H Meltzner | Orthotic Fitter | 2601 Edinburgh Dr, Edmond, OK 73013-9019 | 2010-11-19 |
| 1053559310 | Marc Richard Bostian | Orthotic Fitter | 3545 Nw 58th St Ste 330, Oklahoma City, OK 73112-4718 | 2009-01-25 |
| 1811134851 | Benjamin J Lawson | Orthotic Fitter | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2009-01-13 |
| 1164677456 | Tanika Ashee' Henderson | Orthotic Fitter | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2008-12-01 |
| 1790938223 | Willie Montgomery | Orthotic Fitter | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2008-10-28 |
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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.