STILLWATER HEART CENTER INC (NPI# 1699866616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699866616 |
| Entity Type | Organization |
| Organization Name | STILLWATER HEART CENTER INC |
| Practice Address |
1301 W 6th Ave Suite 110 Stillwater OK 74074-4375 |
| Practice Telephone | 4057432354 |
| Practice Fax Number | 4057432950 |
| Mailing Telephone | 4057432354 |
| Mailing Fax Number | 4057432950 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2009-12-11 |
| Authorized Official Name | DR. ARTHUR DARRELL HAGAN (PRESIDENT) |
| Authorized Official Telephone | 4057432354 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 15022 | OK | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100743440A | 05 |
| Street Address |
1301 W 6TH AVE SUITE 110 |
| City | STILLWATER |
| State | OK |
| Zip Code | 74074-4375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596641 | Alison Faith Dancer | Psychiatry & Neurology | 1301 W 6th Ave, Suite 210, Stillwater, OK 74074-4381 | 2005-08-26 |
| 1932655966 | Caitlin Kronenwetter | Physician Assistant | 1301 W 6th Ave, Ste 207, Stillwater, OK 74074-4375 | 2016-08-30 |
| 1619337433 | Erin Hutchison | Physician Assistant | 1301 W 6th Ave, Ste 207, Stillwater, OK 74074-4375 | 2016-03-07 |
| 1669770145 | Jawad Trad | Internal Medicine | 1301 W 6th Ave, Suite 208, Stillwater, OK 74074-4375 | 2011-03-07 |
| 1811171705 | Shyam Sunder Poludasu | Internal Medicine | 1301 W 6th Ave, Ste 207, Stillwater, OK 74074-4375 | 2007-12-27 |
| 1235212630 | Jack T Dancer I | Surgery | 1301 W 6th Ave, Suite 105, Stillwater, OK 74074-4375 | 2006-10-23 |
| 1679588552 | Stillwater Medical Center Authority | Psychiatry & Neurology | 1301 W 6th Ave, Suite 108, Stillwater, OK 74074-4375 | 2006-07-30 |
| 1194708545 | James A. Waltermire | Radiology | 1301 W 6th Ave, Suite 202, Stillwater, OK 74074-4375 | 2005-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366090680 | Jason K. White, Ph.d., LLC | Psychologist | 807 S. Pine St., Stillwater, OK 74074 | 2019-08-29 |
| 1366095861 | Kelsey Lyn Bigheart | Peer Specialist | 5421 S Deer Trail, Stillwater, OK 74074 | 2019-07-23 |
| 1881256691 | Shelly Lynn Green | Nurse Practitioner | 1321 W. 7th Street, Stillwater, OK 74074 | 2019-07-01 |
| 1811426273 | Judy Catlett | Case Manager/Care Coordinator | 800 E. 6th Str, Stillwater, OK 74074 | 2017-06-08 |
| 1518322296 | Abi Physical Therapy Services | Physical Therapist | 810 S. Walnut Street, Stillwater, OK 74074 | 2015-12-22 |
| 1366833451 | Connecting The Pieces | Case Management | 812 S Walnut, Stillwater, OK 74074 | 2015-02-10 |
| 1790122414 | Airie Flanagan | Doula | 2601 Gregory Ln, Stillwater, OK 74074 | 2013-06-04 |
| 1760720668 | Stillwater Histology LLC | Internal Medicine | 1301 W. 6th St, Suite 106, Stillwater, OK 74074 | 2013-01-28 |
| 1144570565 | Nikkie Jo Dunnigan | Counselor | 2322 W 7th, Stillwater, OK 74074 | 2012-09-13 |
| 1487889952 | Lynn B. Roberts | General Practice | 1321 W 7th St, Stillwater Community Health, Stillwater, OK 74074 | 2009-05-27 |
| Find all providers in zip 74074 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244317 | Hannah Robinette | Specialist | 1822 N Perkins Rd Apt 1535, Stillwater, OK 74075-3138 | 2020-10-28 |
| 1962001453 | Chantelle Nicole Craig | Specialist | 515 S Hafner St, Stillwater, OK 74074-3980 | 2020-10-26 |
| 1306369541 | Kim Rist Consulting, Inc | Specialist | 1018 Hudson Avenue, Stillwater, NY 12170 | 2017-07-19 |
| 1972981967 | Aaron Keith Harmon | Specialist | 1224 N Husband St, Stillwater, OK 74075-3613 | 2015-05-11 |
| 1861524563 | Mary Kathryn Nole | Specialist | 1520 E Frontier Dr, Stillwater, OK 74075-7306 | 2007-03-09 |
| 1093840589 | Tim Rj Passmore | Specialist | 3124 W 24th Ave, Stillwater, OK 74074-2101 | 2007-02-23 |
| 1093729170 | Collett Campbell | Specialist | 724 S Main St, Stillwater, OK 74074-4668 | 2006-07-27 |
| 1588695142 | Tona M Hetzler | Specialist | 1207 S Mansfield Dr, Stillwater, OK 74074-1565 | 2006-07-05 |
| 1811928021 | Arthur Darrell Hagan | Specialist | 1323 W 6th Ave Ste 201, Stillwater, OK 74074-4306 | 2006-07-05 |
| 1194964254 | Paige Ann Wacker | Specialist | 820 S Main St, Stillwater, OK 74074-4631 | 2009-02-12 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 74074 |
Please comment or provide details below to improve the information on STILLWATER HEART CENTER INC.
| 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.