MUSKOGEE BONE & JOINT & SPORTS MEDICINE (NPI# 1700175155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700175155 |
| Entity Type | Organization |
| Organization Name | MUSKOGEE BONE & JOINT & SPORTS MEDICINE |
| Practice Address |
209 S 36th St Muskogee OK 74401-5043 |
| Practice Telephone | 9186827717 |
| Practice Fax Number | 9186829434 |
| Mailing Telephone | 9186827717 |
| Mailing Fax Number | 9186829434 |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |
| Authorized Official Name | KATRINA DAWN MCCROSKEY (ADMINISTRATOR) |
| Authorized Official Telephone | 9186827717 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | OK | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100729610A | 05 |
| Street Address |
209 S 36TH ST |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-5043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174528806 | Fred Michael Ruefer | Specialist | 209 S 36th St, Muskogee, OK 74401-5043 | 2005-06-17 |
| 1699230961 | Monica Hare | Nurse Practitioner | 209 S 36th St, Muskogee, OK 74401-5043 | 2019-01-31 |
| 1164767018 | John V Tedesco Do Pa | Surgery | 209 S 36th St, Suite A, Muskogee, OK 74401-5043 | 2012-12-04 |
| 1972899144 | Dennis Rivero, Md, Inc., PC | Orthopaedic Surgery | 209 S 36th St, Muskogee, OK 74401-5043 | 2011-06-25 |
| 1841508918 | Jack E Weaver, Md PC | Internal Medicine | 209 S 36th St, Muskogee, OK 74401-5043 | 2010-09-22 |
| 1568777043 | Guy E. Grooms, M.d., P.C. | Specialist | 209 S 36th St, Muskogee, OK 74401-5043 | 2010-08-09 |
| 1184947236 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Family Medicine | 209 S 36th St, Muskogee, OK 74401-5043 | 2010-03-03 |
| 1518161249 | Fred M Ruefer, Md PC | Specialist | 209 S 36th St, Muskogee, OK 74401-5043 | 2007-06-14 |
| 1548479942 | Jennifer Miller | Specialist/Technologist | 209 S 36th St, Muskogee, OK 74401-5043 | 2007-05-22 |
| 1619982188 | Dennis Rivero | Orthopaedic Surgery | 209 S 36th St, Suite A, Muskogee, OK 74401-5043 | 2006-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| 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 |
|---|---|---|---|---|
| 1992355994 | Heaven Lax | Specialist | 1229 Live Oak St, Muskogee, OK 74403-2542 | 2019-09-12 |
| 1649441734 | Muskogee Urology Clinic | Specialist | 3336 W Okmulgee St, Muskogee, OK 74401-5069 | 2008-03-17 |
| 1003948290 | Naga M Javvaji Md PC | Specialist | 333 S 38th St Ste A, Muskogee, OK 74401-4937 | 2007-03-12 |
| 1699802389 | Jeffrey M Arnette | Specialist | 311 S York St, Muskogee, OK 74403-5954 | 2007-02-28 |
| 1750465506 | Mohamad Amer Mahayni | Specialist | 3701 W Broadway St, Muskogee, OK 74401-2142 | 2006-10-25 |
| 1538113881 | Richard A. Reutlinger | Specialist | 200 S 37th St, Muskogee, OK 74401-4928 | 2006-05-20 |
| 1174528806 | Fred Michael Ruefer | Specialist | 209 S 36th St, Muskogee, OK 74401-5043 | 2005-06-17 |
| 1821092164 | Scott Emory Pace | Specialist | 3369 W Broadway St, Muskogee, OK 74401-2134 | 2005-06-01 |
| 1568777043 | Guy E. Grooms, M.d., P.C. | Specialist | 209 S 36th St, Muskogee, OK 74401-5043 | 2010-08-09 |
| 1326208083 | J David Wayman Md Pllc | Specialist | 3401 W Broadway St, Muskogee, OK 74401-2136 | 2008-06-16 |
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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.