AMANDA D PALUMBO (NPI# 1710192075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710192075 |
| Entity Type | Individual |
| Full Name | AMANDA D PALUMBO |
| Credential | PA |
| Practice Address |
700 S Telephone Rd Moore OK 73160-2502 |
| Mailing Address |
22722 State Highway 74 Purcell OK 73080-6953 |
| Practice Telephone | 4057939355 |
| Mailing Telephone | 4058023905 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1625 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
700 S TELEPHONE RD |
| City | MOORE |
| State | OK |
| Zip Code | 73160-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922009075 | Senthil K Raju | Family Medicine | 700 S Telephone Rd, Moore, OK 73160-2502 | 2005-08-10 |
| 1588262240 | Brian Michael | Social Worker | 700 S Telephone Rd, Moore, OK 73160-2550 | 2020-10-15 |
| 1568085504 | Osu Center for Health Sciences | Clinic/Center | 700 S Telephone Rd, Moore, OK 73160-2502 | 2020-05-26 |
| 1992338776 | Bruce Allan Rau | Occupational Therapist | 700 S Telephone Rd, Moore, OK 73160-2550 | 2020-02-19 |
| 1275179939 | Christina Zitzow | Occupational Therapist | 700 S Telephone Rd, Moore, OK 73160-2550 | 2019-11-18 |
| 1972148740 | Karinda Polk | Physical Medicine & Rehabilitation | 700 S Telephone Rd, Moore, OK 73160-2550 | 2019-11-15 |
| 1831734052 | Kimberly Cusher | Physical Therapist | 700 S Telephone Rd, Moore, OK 73160-2550 | 2019-11-12 |
| 1508317041 | Stacy Hyden | Physical Therapist | 700 S Telephone Rd, Moore, OK 73160-2502 | 2016-10-19 |
| 1275081127 | Anna Tooman | Physical Therapist | 700 S Telephone Rd, Moore, OK 73160-2502 | 2016-09-20 |
| 1023566114 | John Do | Physical Therapist | 700 S Telephone Rd, Moore, OK 73160-2502 | 2016-09-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669968954 | United Surgical Associates, Pllc | Physician Assistant | 2119 Riverwalk Dr # 115, Moore, OK 73160-2700 | 2018-07-10 |
| 1023553187 | Jessica Elise Jackson | Physician Assistant | 2109 S Santa Fe Ave, Moore, OK 73160-2807 | 2016-12-28 |
| 1114188232 | Cassandra Gentry | Physician Assistant | 1105 Sw 30th Ct, Moore, OK 73160-2887 | 2008-06-20 |
| 1265597553 | Neneth Oakley Phung | Physician Assistant | 2733 South I-35 Service Road, Moore, OK 73160 | 2006-12-27 |
| 1831258516 | Thompson Healthcare Provider Services LLC | Physician Assistant | 16444 Interstate Highway 35 South, Moore, TX 78057 | 2006-12-08 |
| 1942218755 | Rebecca R Wellington | Physician Assistant | 2900 S Telephone Rd, Ste. 250, Moore, OK 73160-2968 | 2006-08-04 |
| 1720010416 | Marcia Jean Ricketson | Physician Assistant | 216 Ne 12th St, Moore, OK 73160-5830 | 2006-07-06 |
| 1730115577 | Iftikhar A Sandhu | Physician Assistant | 2212 N Broadway St, Moore, OK 73160-4303 | 2006-06-23 |
| 1104440619 | Kaitlin Elizabeth Shaw | Physician Assistant | 2900 S Telephone Rd Ste 250, Moore, OK 73160-2969 | 2020-05-31 |
| 1295241339 | Mitchell Williams | Physician Assistant | 2109 S Santa Fe Ave, Moore, OK 73160-2807 | 2017-12-27 |
| Find all providers in MOORE | ||||
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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.