MRS. NEYSA LOU HALL


Address: 2420 S Dogwood Ave, Broken Arrow, OK 74012-1013
Phone: 9184490091

MRS. NEYSA LOU HALL (NPI# 1639463094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639463094
Entity Type Individual
Full Name MRS. NEYSA LOU HALL
Credential PROVIDER
Practice Address 2420 S Dogwood Ave
Broken Arrow
OK 74012-1013
Practice Telephone 9184490091
Practice Fax Number 9184490091
Mailing Telephone 9184490091
Mailing Fax Number 9184490091
Enumeration Date 2011-06-02
Last Update Date 2011-06-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 347C00000X Private Vehicle U082273901 OK Transportation Services

Other Provider Identifier

State Issuer Identifier Type Code
OK SOONER CARE PROVIDER 200329220 01

Office Location

Street Address 2420 S DOGWOOD AVE
City BROKEN ARROW
State OK
Zip Code 74012-1013

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1154949139 Bonnie Jordan James Pharmacist 915 E Kenosha St, Broken Arrow, OK 74012 2020-07-07
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1780236653 Carefirst Pharmacy Inc. Pharmacy 2530 N. Elm Pl., Broken Arrow, OK 74012 2019-07-11
1043871213 Stacy Lynn Mitchell Counselor 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 2019-06-27
1497319297 Sara Hart Internal Medicine 420 W. Stone Wood Drive, Broken Arrow, OK 74012 2019-04-26
1699262386 Fulps Family Eye Care, LLC Optometrist 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 2018-04-18
1598284358 Stephanie Sue Mcquarters Clinical Medical Laboratory 1840 South Lion Avenue, Broken Arrow, OK 74012 2017-09-13
1477072460 Kama Rae Gettings Nurse Practitioner 4623 W. Kenosha St, Broken Arrow, OK 74012 2017-09-12
1689196727 Kristen Sherie' Snyder Case Manager/Care Coordinator 1324 North Umbrella Avenue, Broken Arrow, OK 74012 2017-07-11
1699216754 Hillside Wellness Plllp Chiropractor 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 2017-03-09
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Taxonomy Information

Taxonomy Code 347C00000X
Grouping Transportation Services
Classification Private Vehicle

Taxonomy Definition

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285278267 Schier Company, Inc. Private Vehicle 14459 S 65th West Ave, Kiefer, OK 74041-5104 2019-11-01
1063828796 Beverly Dotson Private Vehicle 722 Smalley Dr, Norman, OK 73071-4107 2014-07-02
1821359217 Lex Conseling Private Vehicle 7109 Liberty Trails Blvd, Oklahoma City, OK 73135-1901 2012-06-02
1225395858 Christopher C Jones Private Vehicle 2824 Nw 162nd St, Edmond, OK 73013-1237 2012-04-20
1023386380 Caremax Inc. Private Vehicle 13100 Bright Prairie Cir, Oklahoma City, OK 73142-6078 2011-12-01
1851535546 Myers Homecare, Inc. Private Vehicle 2405 Westport Dr, Norman, OK 73069-6337 2009-04-24
1760652200 Brighter Day, Inc. Private Vehicle 5043 S 33rd West Ave, Tulsa, OK 74107-7400 2008-03-11
1356519623 Angela D Cramer Private Vehicle 6602 E 73rd Pl, Tulsa, OK 74133-2723 2008-02-20
1184820532 Mildred Leona Caffey Private Vehicle 606 Woods Dr, Noble, OK 73068-8208 2007-06-22
1962610170 Helen Ruth Boaz Private Vehicle 6122 S 35th West Ave, Tulsa, OK 74132-1230 2007-05-19
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Competitor

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City BROKEN ARROW
Zip Code 74012

Improve Information

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Dataset Information

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.

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