INTEGRIS BASS BAPTIST HEALTH CENTER (NPI# 1699383463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699383463 |
Entity Type | Organization |
Organization Name | INTEGRIS BASS BAPTIST HEALTH CENTER |
Practice Address |
600 S Monroe St Enid OK 73701-7211 |
Mailing Address |
Po Box 269032 Oklahoma City OK 73126-9032 |
Practice Telephone | 5802332300 |
Mailing Telephone | 5802332300 |
Enumeration Date | 2020-07-17 |
Last Update Date | 2020-07-17 |
Authorized Official Name | CHRIS HAMMES (EXECUTIVE VICE PRESIDENT/COO) |
Authorized Official Telephone | 4059493402 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
INTEGRIS Bass Specialty Neonatology | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205436938 | Integris Bass Baptist Health Center | Clinic/Center | 1805 W Owen K Garriott Rd, Enid, OK 73703-5526 | 2020-10-30 |
1134499338 | Integris Bass Baptist Health Center | Clinic/Center | 1414 E Willow Rd, Enid, OK 73701-8714 | 2012-01-04 |
1700807997 | Integris Bass Baptist Health Center | Home Health | 401 S. 3rd, Enid, OK 73701-5737 | 2006-07-22 |
1528060019 | Integris Bass Baptist Health Center | Family Medicine | 316 Main St, Po Bx 659, Garber, OK 73738-0659 | 2005-08-15 |
1730180894 | Integris Bass Baptist Health Center | Family Medicine | 158b E Sunset Dr, Medford, OK 73759-2401 | 2005-08-10 |
1629679089 | Integris Bass Baptist Health Center | Clinic/Center | 2821 N Van Buren St Ste B, Enid, OK 73703-1729 | 2020-11-03 |
1659971398 | Integris Bass Baptist Health Center | Clinic/Center | 300 N Cherokee St, Hennessey, OK 73742-1106 | 2020-10-30 |
1740880483 | Integris Bass Baptist Health Center | Clinic/Center | 620 S Madison St, Stes 107, 209 & 301, Enid, OK 73701-7273 | 2020-10-30 |
1396216677 | Integris Bass Baptist Health Center | Clinic/Center | 707 S Monroe St, Enid, OK 73701-7286 | 2018-12-11 |
1679070577 | Integris Bass Baptist Health Center | Internal Medicine | 707 S Monroe St, Enid, OK 73701-7286 | 2018-04-09 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | INTEGRIS BASS BAPTIST HEALTH CENTER | 600 S Monroe St, Enid, OK 73701-7211 |
Street Address |
600 S MONROE ST |
City | ENID |
State | OK |
Zip Code | 73701-7211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457350597 | John R Hooper | Anesthesiology | 600 S Monroe St, Enid, OK 73701-7211 | 2005-07-20 |
1730719105 | Osu Center for Health Sciences | Clinic/Center | 600 S Monroe St, Enid, OK 73701-7211 | 2020-01-24 |
1851942783 | Krystabel Annette Snodgrass | Nurse Practitioner | 600 S Monroe St, Enid, OK 73701-7211 | 2019-09-23 |
1972955292 | Osu Center for Health Sciences | Clinic/Center | 600 S Monroe St, Enid, OK 73701-7211 | 2016-07-11 |
1407203458 | Nancye Turner | Lactation Consultant, Non-RN | 600 S Monroe St, Enid, OK 73701-7211 | 2016-05-19 |
1295108330 | Linda Suderman | Registered Nurse | 600 S Monroe St, Enid, OK 73701-7211 | 2015-11-11 |
1619302635 | Osu Center for Health Sciences | Clinic/Center | 600 S Monroe St, Enid, OK 73701-7211 | 2013-09-10 |
1659645166 | Oncology Consultants of Northwest Oklahoma P.C. | Radiology | 600 S Monroe St, Rad Onc Dept., Enid, OK 73701-7211 | 2012-03-01 |
1982920708 | Best Chen | Family Medicine | 600 S Monroe St, Enid, OK 73701-7211 | 2010-04-19 |
1063654580 | Paul Waddell Hutson | Nurse Anesthetist, Certified Registered | 600 S Monroe St, Enid, OK 73701-7211 | 2009-03-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407318595 | Sheila Watkins | Speech-Language Pathologist | 401 S. 3rd St, Physical Therapy, Enid, OK 73701 | 2019-04-05 |
1225548993 | Mirannda Lea Shourek | Case Manager/Care Coordinator | 3225 E Randolph, Apt 5a, Enid, OK 73701 | 2017-10-06 |
1962942045 | Nicole Elisibeth Hood | Social Worker | 605 W. Oxford St, Enid, OK 73701 | 2017-03-08 |
1689027237 | Amanda Partridge | Physician Assistant | 231 S. 30th St., Enid, OK 73701 | 2016-07-19 |
1134576952 | Keli Lanee Caffey | Counselor | 317 W. Cherokee Suite B, Enid, OK 73701 | 2016-05-22 |
1447670559 | Tamica Webster | Counselor | 1137 Hillside Dr, Enid, OK 73701 | 2014-04-16 |
1881024024 | Misty Ward | Registered Nurse | 600 S. Monroe, Enid, OK 73701 | 2013-11-26 |
1164856944 | Pharmcareok of Enid, Inc. | Pharmacy | 1119a E Owen Garriott Rd, Enid, OK 73701 | 2013-08-28 |
1922383421 | Bobby Doyle Taylor | Pharmacist | 902 West Garriott, Enid, OK 73701 | 2011-10-15 |
1194009324 | Stacia Paul | Counselor | 121 W. Maple, Enid, OK 73701 | 2011-10-06 |
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Taxonomy Code | 2080N0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neonatal-Perinatal Medicine |
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417390675 | Elizabeth Jane Sager | Pediatrics | 1908 Ruidosa Dr, Edmond, OK 73034-6846 | 2013-04-08 |
1962762948 | Erynn Marie Bergner | Pediatrics | 1200 Everett Dr # 7504, Oklahoma City, OK 73104-5047 | 2012-05-23 |
1235497678 | Catherine Carol Milner | Pediatrics | 6151 S Yale Ave # Levelb, Tulsa, OK 74136-1907 | 2012-04-23 |
1629273339 | Nancy Collazo | Pediatrics | 9 Nw Shelter Lake Drive, Lawton, OK 73505-3739 | 2007-06-20 |
1346459443 | Vernon Soruix Smith | Pediatrics | 15255 E. 600 Rd, Inola, OK 74036-1213 | 2007-05-22 |
1790853067 | Julie Denise Watson | Pediatrics | 3300 Nw Expwy, 4th Floor Nicu, Oklahoma City, OK 73112-4418 | 2006-12-02 |
1669472601 | Rajagopal R Nandyal | Pediatrics | O.u. Medical Center, 1200 Everett Dr, 7th Floor, North Pavilion, Oklahoma City, OK 73104 | 2005-07-29 |
1043219603 | Kimberly Dawn Ernst | Pediatrics | 1200 Everett Dr, 7th Floor North Pavilion, Div of Neonatology, Oklahoma City, OK 73104-5047 | 2005-07-17 |
1740286848 | Lisa Owens | Pediatrics | 2502 Woodward Blvd, Tulsa, OK 74114-2634 | 2005-06-23 |
1629626536 | Catherine Marie Bryant | Pediatrics | St Francis Hospital, 6161 S. Yale, Tulsa, OK 74136 | 2019-09-04 |
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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.