AHS OKLAHOMA PHYSICIAN GROUP, LLC (NPI# 1710041009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710041009 |
| Entity Type | Organization |
| Organization Name | AHS OKLAHOMA PHYSICIAN GROUP, LLC |
| Other Organization Name | TRACY LANGLEY, ARNP |
| Practice Address |
2401 West Main Henryetta OK 74437 |
| Mailing Address |
1145 S Utica Ave Suite 110 Tulsa OK 74104-4000 |
| Practice Telephone | 9186529650 |
| Practice Fax Number | 9186527827 |
| Mailing Telephone | 9185793825 |
| Mailing Fax Number | 9185791262 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT LANGLAND (CFO) |
| Authorized Official Telephone | 9185791000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Tracy Langley, ARNP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821308248 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 2400 N Highway 66 Ste B, Catoosa, OK 74015-3074 | 2010-10-19 |
| 1538366083 | Ahs Oklahoma Physician Group, LLC | Internal Medicine | 9245 South Mingo, Tulsa, OK 74133 | 2007-06-28 |
| 1578760021 | Ahs Oklahoma Physician Group, LLC | Pediatrics | 10512 North 110th E. Ave., Owasso, OK 74055 | 2007-06-28 |
| 1982729620 | Ahs Oklahoma Physician Group, LLC | Psychiatry & Neurology | 720 W 7th St, Tulsa, OK 74127-8948 | 2007-03-20 |
| 1891850137 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 10512 N. 110th E. Ave., Owasso, OK 74055 | 2006-12-27 |
| 1588728836 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 1551 N. 9th Street, Broken Arrow, OK 74012 | 2006-12-21 |
| 1427112424 | Ahs Oklahoma Physician Group, LLC | Pediatrics | 10512 N 110th E Ave, Owasso, OK 74055 | 2006-12-21 |
| 1235293846 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 300 Boulder St, Pawnee, OK 74058-3801 | 2006-12-20 |
| 1548324965 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 4739 S Union Ave, Tulsa, OK 74107-7842 | 2006-12-20 |
| 1467836692 | Ahs Oklahoma Physician Group, LLC | Clinic/Center | 9245 S Mingo Rd, Tulsa, OK 74133-5793 | 2015-07-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AHS OKLAHOMA PHYSICIAN GROUP, LLC | 1145 S Utica Ave Ste 115, Tulsa, OK 74104-4013 |
| Street Address |
2401 WEST MAIN |
| City | HENRYETTA |
| State | OK |
| Zip Code | 74437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487272456 | Rachel J Collins | Counselor | 1102 W 7th, Henryetta, OK 74437 | 2020-07-07 |
| 1295232478 | Ahs Henryetta Hospital LLC | Clinic/Center | 2405 W Main St Ste A, Henryetta, OK 74437 | 2018-04-12 |
| 1083124952 | Kelli Stansifer | Counselor | 810 S 4th, Henryetta, OK 74437 | 2017-10-05 |
| 1215277322 | Brenda J Leftwich | Counselor | 501 West Broadway, Henryetta, OK 74437 | 2013-02-26 |
| 1528372018 | Quennie Sue Bessinger | Counselor | 504 West Broadway, Henryetta, OK 74437 | 2010-07-27 |
| 1518155472 | Bio-medical Applications of Oklahoma, Inc. | Clinic/Center | 2405 West Main Street, Ste A, Henryetta, OK 74437 | 2007-10-04 |
| 1538373238 | Brenda Druecilla Britt | Technician | 27165 Maiden Lane, Henryetta, OK 74437 | 2007-05-10 |
| 1457572919 | Sharon Marie Williams | Physical Therapy Assistant | 1924 W. Mani St., Henryetta, OK 74437 | 2007-05-01 |
| 1497824742 | Ahs Henryetta Hospital LLC | Psychiatric Unit | Dewey, Bartlett & Main, Henryetta, OK 74437 | 2006-11-08 |
| 1588733828 | Ahs Henryetta Hospital LLC | Medicare Defined Swing Bed Unit | Dewey, Bartlett and Main, Henryetta, OK 74437 | 2006-11-08 |
| Find all providers in zip 74437 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457968695 | Christi Howell | Nurse Practitioner | 2304 Burning Tree, Norman, OK 73071-3919 | 2020-09-30 |
| 1093322240 | Lacey Campbell | Nurse Practitioner | 6124 Beverly Hills Dr, Edmond, OK 73034-8690 | 2020-09-30 |
| 1700403037 | Molly Lewis | Nurse Practitioner | 9001 S 101st East Ave Ste 230, Tulsa, OK 74133-5797 | 2020-07-02 |
| 1407471402 | Brenda June Wilson | Nurse Practitioner | 8609 Sw 58th Cir, Oklahoma City, OK 73179-7910 | 2020-06-15 |
| 1972139558 | Sammi Noel Pulliam | Nurse Practitioner | 700 W 7th Ave Ste 104, Bristow, OK 74010-2302 | 2020-03-16 |
| 1760017321 | Jennyfer Lynn Livingston | Nurse Practitioner | 105 S Bryant Ave # 205, Edmond, OK 73034-6399 | 2020-03-04 |
| 1336772771 | Lisa M Johnson | Nurse Practitioner | 3500 E Frank Phillips Blvd Ste 501, Bartlesville, OK 74006-2411 | 2020-02-13 |
| 1770123655 | Jennifer Katherine Yeaman | Nurse Practitioner | 4905 Nw 155th St, Edmond, OK 73013-9666 | 2020-01-08 |
| 1912546144 | Michelle Johnson | Nurse Practitioner | 1825 Preakness Path, Guthrie, OK 73044-7880 | 2020-01-06 |
| 1265071922 | Kristi Michelle Cooksey | Nurse Practitioner | 4713 Marston Ct, Norman, OK 73072-3116 | 2019-12-29 |
| Find all providers with the same taxonomy | ||||
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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.