STEPHEN VANCE PAUL (NPI# 1659666428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659666428 |
Entity Type | Individual |
Full Name | STEPHEN VANCE PAUL |
Credential | PA |
Practice Address |
20 12th Ave Nw Ardmore OK 73401-5722 |
Practice Telephone | 5802233411 |
Practice Fax Number | 5802266213 |
Mailing Telephone | 5802233411 |
Mailing Fax Number | 5802266213 |
Enumeration Date | 2011-06-09 |
Last Update Date | 2011-06-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | PA770 | OK | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA770 | OK | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215134432 | Stephen A Paul | Dentist | 231 Commercial Blvd, Lauderdaleby Sea, FL 33308 | 2007-06-29 |
1487850475 | Stephen Craig Paul | Dentist | 20 Penn Plaza, Suite 31, Bangor, ME 04401 | 2007-06-26 |
1821060286 | Stephen Harry Paul | Internal Medicine | 2206 Roosevelt Rd Ste A, Valparaiso, IN 46383 | 2006-02-01 |
1629075759 | Stephen E. Paul | Family Medicine | 111 E Main St, Maple Shade, NJ 08052-2679 | 2005-07-05 |
1134757925 | Stephen Paul | Student in an Organized Health Care Education/Training Program | 1627 Chew St, Allentown, PA 18102-3648 | 2020-03-29 |
1558844969 | Stephen Michael Paul | Social Worker | 1121 Ashley Blvd, New Bedford, MA 02745-2419 | 2018-09-11 |
1700310943 | Stephen Kyle Paul | Student in an Organized Health Care Education/Training Program | 405 W Grand Ave, Dayton, OH 45405-7538 | 2017-04-14 |
1215093471 | Stephen R Paul | Family Medicine | 1224 E Lowell St, University of Arizona, Tucson, AZ 85721-0095 | 2006-12-29 |
1114976354 | Stephen D Paul | Orthopaedic Surgery | 4740 Pearl Pkwy Ste 200, Boulder, CO 80301-3080 | 2006-05-06 |
1306835160 | Stephen Fredrick Paul | Dentist | 14377 Woodlake Dr, Ste 206, Chesterfield, MO 63017-5735 | 2005-10-14 |
Street Address |
20 12TH AVE NW |
City | ARDMORE |
State | OK |
Zip Code | 73401-5722 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134161821 | Thomas A Papin | Internal Medicine | 20 12th Ave Nw, Ardmore, OK 73401-5722 | 2006-06-10 |
1184282329 | Terrick Lloyd Washington | Dentist | 20 12th Ave Nw, Ardmore, OK 73401-5722 | 2019-06-03 |
1760924153 | Melissa Hallum | Nurse Practitioner | 20 12th Ave Nw, Ardmore, OK 73401-5722 | 2016-11-16 |
1730539487 | Good Shepherd Community Clinic, Inc | Pharmacy | 20 12th Ave Nw, Ardmore, OK 73401-5722 | 2016-06-14 |
1285010413 | Good Shepherd Community Clinic, Inc. | Internal Medicine | 20 12th Ave Nw, Ardmore, OK 73401-5722 | 2015-08-11 |
1093037087 | Carson Shearer | Internal Medicine | 20 12th Ave Nw, Ardmore, OK 73401-5722 | 2010-02-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
Find all providers in zip 73401 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386283679 | Cody Rice Chambers | Physician Assistant | 2002 12th Ave Nw Ste B, Ardmore, OK 73401-1206 | 2020-01-03 |
1013288687 | Rhea Michelle Buycks | Physician Assistant | 317 N Rockford Rd, Ardmore, OK 73401-2552 | 2012-01-13 |
1013374271 | Shawn Fadum | Physician Assistant | 1104 Walnut Dr, Ardmore, OK 73401-2353 | 2016-01-19 |
1972901650 | Keith Vincent Mcinnerney | Physician Assistant | 908 N Rockford Rd, Suite A, Ardmore, OK 73401-2540 | 2014-12-12 |
1427335348 | Scott Allen Cooper | Physician Assistant | 731 12th Ave Nw, Ardmore, OK 73401-5761 | 2011-11-06 |
1316250418 | Barbara Michelle Chapman | Physician Assistant | 908 N Rockford Rd, Ardmore, OK 73401-2540 | 2010-07-17 |
1285713065 | Megan Catherine Hoffield | Physician Assistant | 2410 N Commerce St, Ardmore, OK 73401-1356 | 2006-11-03 |
1760561351 | John Thomas Paul | Physician Assistant | 2002 12th Ave Nw, Suite B, Ardmore, OK 73401-1206 | 2006-11-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790392868 | James Scott Turner | Physician Assistant | 924 Nw 14th St, Moore, OK 73160-1610 | 2020-09-23 |
1073154647 | Haley Nicole Beaird | Physician Assistant | 8907 E 93rd St, Tulsa, OK 74133-5634 | 2019-10-03 |
1568920924 | Direct2u Urgent Care Pllc | Physician Assistant | 2417 County Road 1263, Blanchard, OK 73010-3123 | 2019-03-05 |
1538625660 | Symachia LLC | Physician Assistant | 115 N. Main St., Cashion, OK 73106 | 2019-02-13 |
1982172029 | William Landon Ross | Physician Assistant | 3705 W Memorial Rd Ste 101, Oklahoma City, OK 73134-1508 | 2018-11-07 |
1639646656 | Jacob Allbritton | Physician Assistant | 10824 Admiral Dr, Oklahoma City, OK 73162-6843 | 2018-10-29 |
1316420086 | Lauren Anto | Physician Assistant | 2824 Classen Blvd Ste 100, Norman, OK 73071-4059 | 2018-09-10 |
1073004768 | Shelby Teel | Physician Assistant | 1200 Everett Dr # 8305, Oklahoma City, OK 73104-5047 | 2018-05-29 |
1093240749 | Green's Country Clinic, LLC | Physician Assistant | 223 E Blackwell Ave, Blackwell, OK 74631-2909 | 2017-05-01 |
1255871349 | Michele Starr | Physician Assistant | 409 Nw 39th St, Oklahoma City, OK 73118-8415 | 2017-03-08 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on STEPHEN VANCE PAUL.
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.