JENNA LYNN CROWDER (NPI# 1740694611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740694611 |
Entity Type | Individual |
Full Name | JENNA LYNN CROWDER |
Credential | MD |
Practice Address |
1616 S Kelly Ave Edmond OK 73013-3651 |
Practice Telephone | 4053488838 |
Practice Fax Number | 4053488837 |
Mailing Telephone | 4053488838 |
Mailing Fax Number | 4053488837 |
Enumeration Date | 2014-06-18 |
Last Update Date | 2018-09-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
34063 | OK | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932566403 | Jenna Crowder | Occupational Therapist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2016-01-28 |
Street Address |
1616 S KELLY AVE |
City | EDMOND |
State | OK |
Zip Code | 73013-3651 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881665347 | Donald E Adams | Physical Medicine & Rehabilitation | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2006-01-31 |
1336683515 | Madison Williams | Physician Assistant | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2016-12-07 |
1932515475 | Jeffrey Moore | Orthopaedic Surgery | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2014-07-04 |
1083952485 | Whitney T Mashburn | Physician Assistant | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2013-01-21 |
1205152600 | Hpi Physicians LLC | Internal Medicine | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2010-04-12 |
1891992996 | Laura Diane Petrash | Physician Assistant | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2007-07-02 |
1528097904 | Hillary Seth Lawrence | Dermatology | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2006-06-30 |
1033179106 | Amanda Lynn Bruschi | Physician Assistant | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2006-03-24 |
1578539029 | Rupert Rockwell Thomas Sr. | Obstetrics & Gynecology | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2006-02-24 |
1831164458 | Manuel Carl Limbaugh | Family Medicine | 1616 S Kelly Ave, Edmond, OK 73013-3651 | 2006-02-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
Find all providers in zip 73013 |
Taxonomy Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407035447 | Steven D. King, D.o., P.c | Family Medicine | 501 E 15th St Ste 400b, Edmond, OK 73013-5040 | 2007-10-26 |
1295163467 | Nonoperative Orthopedics of Oklahoma, Pllc | Family Medicine | 65 S Saints Blvd, Edmond, OK 73034-3051 | 2013-10-24 |
1225090558 | Steven Duane King | Family Medicine | 501 E 15th St, Suite 400-b, Edmond, OK 73013-5043 | 2006-04-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679936348 | Bryce Rudek | Family Medicine | 591 Pendleton St, Tahlequah, OK 74464-2271 | 2016-03-31 |
1619355849 | Leslie Beaty | Family Medicine | 4227 Macys Pl, Moore, OK 73160-2879 | 2015-05-07 |
1396044764 | Michelle Rockwell | Family Medicine | 2950 S Elm Pl Ste 120, Broken Arrow, OK 74012-7816 | 2011-03-23 |
1902078298 | Steve Eric Randall | Family Medicine | 5104 S Sooner Rd, Oklahoma City, OK 73135-5440 | 2008-03-27 |
1356314603 | Ryan A Pitts | Family Medicine | 301 N Broadway St Ste 301, Poteau, OK 74953-3355 | 2006-02-08 |
1518967561 | Steven R Hardage | Family Medicine | 1110 W Will Rogers Blvd, Claremore, OK 74017 | 2005-07-29 |
1205836244 | T Jeffrey Emel | Family Medicine | 6475 S Yale Ave Ste 301, Tulsa, OK 74136 | 2005-07-29 |
1699311308 | Acellerated Interventional Orthopedics | Family Medicine | 1002 Ne Highway 66 Ste 3, Sayre, OK 73662-9312 | 2019-11-18 |
1154845501 | Osumc Professional Services LLC | Family Medicine | 514 Plaza Ct, Sand Springs, OK 74063-7915 | 2017-07-27 |
1104219385 | Avenstar Pain Specialists, Pllc | Family Medicine | 5104 S Sooner Rd, Oklahoma City, OK 73135-5440 | 2015-03-11 |
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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.