MR. AUSTIN CLAY WHITEFIELD (NPI# 1750668885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750668885 |
Entity Type | Individual |
Full Name | MR. AUSTIN CLAY WHITEFIELD |
Credential | PTA |
Practice Address |
511 N Monte Vista St Ada OK 74820-4611 |
Practice Telephone | 5804363633 |
Mailing Telephone | 5804363633 |
Enumeration Date | 2011-11-03 |
Last Update Date | 2011-11-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 2098 | OK | Other Service Providers |
Street Address |
511 N MONTE VISTA ST |
City | ADA |
State | OK |
Zip Code | 74820-4611 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770526667 | Dan Charboneau | Physical Therapist | 511 N Monte Vista St, Ada, OK 74820-4611 | 2006-06-14 |
1336500974 | Ericka N Russell | Physical Therapy Assistant | 511 N Monte Vista St, Ada, OK 74820-4611 | 2016-03-10 |
1629439443 | Kassidy Hardee | Physical Therapy Assistant | 511 N Monte Vista St, Ada, OK 74820-4611 | 2016-03-08 |
1346426707 | Christina Nicole Lillard | Physical Therapist | 511 N Monte Vista St, The Performance Center, Pllc, Ada, OK 74820-4611 | 2008-01-16 |
1336273317 | The Performance Center, Pllc | Clinic/Center | 511 N Monte Vista St, Ada, OK 74820-4611 | 2007-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578103727 | Curry Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 919 Colony Drive, Ada, OK 74820 | 2020-01-15 |
1215574603 | Miranda Denise Bowman | Counselor | 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 | 2019-12-04 |
1326509654 | Patricia June Harjo | Case Manager/Care Coordinator | Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 | 2019-03-28 |
1649737172 | Rylee Nikole Leblanc | Case Manager/Care Coordinator | 1119 S High School St, Ada, OK 74820 | 2019-02-20 |
1891251328 | David Kinback | Rehabilitation Counselor | 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 | 2019-02-20 |
1922571009 | Central Oklahoma Family Medical Center, Inc. | Pharmacy | 905 Colony Dr, Ada, OK 74820 | 2019-01-10 |
1063988673 | Central Oklahoma Family Medical Center, Inc | Clinic/Center | 905 Colony Drive Bldg, Ada, OK 74820 | 2018-10-22 |
1265907885 | Apex Surgery Center, LLC | Surgery | 2001 Cradduck Road, Ada, OK 74820 | 2018-10-10 |
1689150898 | Sabrina Simmons | Social Worker | 2516 Oakhurst Dr Apt E, Ada, OK 74820 | 2018-07-11 |
1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
Find all providers in zip 74820 |
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 |
---|---|---|---|---|
1669862116 | Courtnie Booker | Specialist | 3115 Arlington St, Ada, OK 74820-3085 | 2015-02-04 |
1013190529 | Debra J Cox | Specialist | 19200 County Road 3558, Ada, OK 74820-0175 | 2007-12-07 |
1871700146 | Charles R Vest M.d. | Specialist | 1901 Arlington St, Ada, OK 74820-2816 | 2007-05-17 |
1932221793 | Jason Lee Prather | Specialist | 1100 E 14th St, Ada, OK 74820-6915 | 2007-04-04 |
1548252299 | Tawfik Ramadan | Specialist | 1214 Arlington St, Ada, OK 74820-4045 | 2005-08-18 |
1487654836 | Terrence H Boring | Specialist | 3101 Arlington, Suite B, Ada, OK 74820-3085 | 2005-07-28 |
1780705772 | Southern Oklahoma Pediatrics Inc | Specialist | 1214 Arlington St, Ada, OK 74820-4045 | 2007-04-03 |
1609909142 | Larry Paul Penwright Jr. | Specialist | 703 N Broadway Ave, Suite 2, Ada, OK 74820-3457 | 2007-03-13 |
1730214578 | Donald Wesley Davies | Specialist | 430 N Monte Vista St, Ada, OK 74820-4610 | 2007-02-22 |
1588659957 | Glen Edward Diacon Jr. | Specialist | 1414 Arlington St, Suite 2300, Ada, OK 74820-2643 | 2005-09-13 |
Find all providers in ADA |
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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.