HUMAN PERFORMANCE CENTER 3 PLLC (NPI# 1669506978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669506978 |
| Entity Type | Organization |
| Organization Name | HUMAN PERFORMANCE CENTER 3 PLLC |
| Practice Address |
520 Flynn St Alva OK 73717-2240 |
| Mailing Address |
Po Box 26243 Oklahoma City OK 73126-0243 |
| Practice Telephone | 5803273331 |
| Practice Fax Number | 5803273314 |
| Mailing Telephone | 5803273331 |
| Mailing Fax Number | 5803273314 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2019-07-02 |
| Authorized Official Name | JERRAD HADA (PARTNER/THERAPIST) |
| Authorized Official Telephone | 5803273331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICARE PTAN | 800522226 | 01 |
| Street Address |
520 FLYNN ST |
| City | ALVA |
| State | OK |
| Zip Code | 73717-2240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611205 | Kenzi Taylor | Physical Therapist | 520 Flynn St, Alva, OK 73717-2240 | 2020-02-13 |
| 1396396131 | Haley Patz Nida | Physical Therapist | 520 Flynn St, Alva, OK 73717-2240 | 2019-09-23 |
| 1679922462 | Jerrad Hada | Physical Medicine & Rehabilitation | 520 Flynn St, Alva, OK 73717-2240 | 2016-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912382441 | Callie Mosburg | Optometrist | 921 Oklahoma Blvd Ste A, Alva, OK 73717 | 2015-07-27 |
| 1912238924 | Molly Mae Thompson | Counselor | 510 5th St., Alva, OK 73717 | 2010-01-15 |
| 1023214939 | Michelle Baird | Counselor | 429 Barnes Street, Alva, OK 73717 | 2007-06-26 |
| 1619171253 | Stacie Nixon | Counselor | 429 Barnes St, Alva, OK 73717 | 2007-06-14 |
| 1235351552 | Northwest Domestic Crisis Services, Inc. | Community/Behavioral Health | 1330 Oklahoma Blvd., Alva, OK 73717 | 2007-05-03 |
| 1093849440 | North Oklahoma County Mental Health Center | Counselor | 429 Barnes, Alva, OK 73717 | 2007-03-16 |
| 1437222734 | State of Oklahoma | Community/Behavioral Health | 604 Choctaw, Northwest Center for Behavioral Health, Alva, OK 73717 | 2006-11-16 |
| 1396835013 | Holder-southern Drug Company Inc | Pharmacy | 513 Barnes Ave, Alva, OK 73717 | 2006-10-13 |
| 1407968621 | Brent Michael Bogdanovecz | Chiropractor | 317 College Ave, Alva, OK 73717 | 2006-09-01 |
| 1538675624 | Erin Paige Kruckenberg | Family Medicine | 800 Share Dr, Alva, OK 73717 | 2017-12-27 |
| Find all providers in zip 73717 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679922462 | Jerrad Hada | Physical Medicine & Rehabilitation | 520 Flynn St, Alva, OK 73717-2240 | 2016-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073594651 | Kevin F Dunn | Physical Medicine & Rehabilitation | 11205 N May Ave, Suite C, Oklahoma City, OK 73120-6329 | 2005-11-09 |
| 1619446747 | Trenton Michael Royse | Physical Medicine & Rehabilitation | 7777 S Lewis Ave, Tulsa, OK 74171-0003 | 2018-11-19 |
| 1346698446 | Kyler King | Physical Medicine & Rehabilitation | 2201 Silver Lake Rd, Bartlesville, OK 74006-6233 | 2016-05-31 |
| 1124345665 | Southeastern Oklahoma Sports Medicine, Pllc | Physical Medicine & Rehabilitation | 1705 N Washington Ave, Suite C, Durant, OK 74701-2100 | 2010-04-23 |
| 1720234891 | Andrew R Briggeman, Do, LLC | Physical Medicine & Rehabilitation | 6825 S Delaware Ave, Tulsa, OK 74136-4502 | 2008-08-08 |
| 1912934100 | Srikanth Kottapally Reddy | Physical Medicine & Rehabilitation | 4812 S 109th East Ave, Suite 300, Tulsa, OK 74146-5826 | 2006-06-26 |
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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.