MR. HOWARD COLLIN GENTRY (NPI# 1700243532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700243532 |
Entity Type | Individual |
Full Name | MR. HOWARD COLLIN GENTRY |
Practice Address |
1231 Nw 79th St Oklahoma City OK 73114-1522 |
Practice Telephone | 4057560612 |
Mailing Telephone | 4057560612 |
Enumeration Date | 2016-01-25 |
Last Update Date | 2016-01-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 390200000X | Student in an Organized Health Care Education/Training Program | 696 | OK | Student, Health Care |
Street Address |
1231 NW 79TH ST |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73114-1522 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124669783 | Heather Williams | Occupational Therapist | 1404 Nw122nd St, Oklahoma City, OK 73114 | 2019-10-04 |
1477194033 | Shonta Jones | Technician | 10723 Norh Western, Apartment G, Oklahoma City, OK 73114 | 2019-10-04 |
1023537644 | Tracye Carter | Registered Nurse | 812 Nw 121 Terr, Oklahom City, OK 73114 | 2017-09-14 |
1003362849 | Randy Joshua Williamson | Behavioral Analyst | 101 Bainbridge Rd, Oklahoma City, OK 73114 | 2016-08-31 |
1427413368 | John Adrian Howard | Physical Therapist | 13100 N Western Ave Ste 302, Oklahoma City, OK 73114 | 2015-12-18 |
1497150197 | Payam Ishani Afousi | Dentist | 9405 N. Penn Place, Casady Square, Oklahoma City, OK 73114 | 2014-10-24 |
1922407386 | Kelvin Hughes | Counselor | 1400 Nw 105th Ter, Oklahoma City, OK 73114 | 2014-08-21 |
1285056887 | Malarie Jackson | Nurse Practitioner | 609 W. Memorial Rd., Oklahoma City, OK 73114 | 2014-01-16 |
1508108705 | Adam Liberty | Community/Behavioral Health | 428 N.w 81st, Oklahoma City, OK 73114 | 2013-03-26 |
1780926345 | Michelle D Hardimon | Behavioral Analyst | 700 Ne 122nd Apt 4509, Oklahoma City, OK 73114 | 2013-03-21 |
Find all providers in zip 73114 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366043044 | Marielle Crowell | Student in an Organized Health Care Education/Training Program | 700 Nw 51st St, Oklahoma City, OK 73118-6216 | 2020-11-08 |
1952902736 | Brandon Talaro Schmidt | Student in an Organized Health Care Education/Training Program | 100 Ne 4th St Apt 2305, Oklahoma City, OK 73104-2009 | 2020-11-06 |
1710588694 | Hayden Mackenzie Bryan | Student in an Organized Health Care Education/Training Program | 1425 Nw 29th St, Oklahoma City, OK 73106-3433 | 2020-11-05 |
1548861560 | Cruz Mccarty | Student in an Organized Health Care Education/Training Program | 101 Ne 53rd St Apt 3311, Oklahoma City, OK 73105-1892 | 2020-11-05 |
1063013530 | Thomas Labarthe | Student in an Organized Health Care Education/Training Program | 2833 Nw 67th St, Oklahoma City, OK 73116-4612 | 2020-11-02 |
1942808555 | Lindsay Guthrie | Student in an Organized Health Care Education/Training Program | 8405 Nw 142nd St, Oklahoma City, OK 73142-7005 | 2020-10-15 |
1487251393 | Bradley Austin Heldmann | Student in an Organized Health Care Education/Training Program | 500 Central Park Dr Apt 805, Oklahoma City, OK 73105-1734 | 2020-10-04 |
1427665157 | Bennett Graham Oden | Student in an Organized Health Care Education/Training Program | 2912 Cummings Dr, Oklahoma City, OK 73107-2117 | 2020-09-27 |
1023624228 | Erik Willis | Student in an Organized Health Care Education/Training Program | 200 Ne 14th St Apt C6, Oklahoma City, OK 73104-1236 | 2020-09-22 |
1730795253 | Darrell Lynn Nowlin | Student in an Organized Health Care Education/Training Program | 4400 North Lincoln Boluvard, Oklahoma City, OK 73105 | 2020-09-21 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73114 |
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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.