MOSAIC MD (NPI# 1760007801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760007801 |
| Entity Type | Organization |
| Organization Name | MOSAIC MD |
| Practice Address |
1401 N Lelia St Guymon OK 73942-3371 |
| Mailing Address |
Po Box 350 Guymon OK 73942-0350 |
| Practice Telephone | 4053698282 |
| Practice Fax Number | 4252508291 |
| Mailing Telephone | 4053698282 |
| Mailing Fax Number | 4252508291 |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-16 |
| Authorized Official Name | DR. GLORIA IVETTE RODRIGUEZ CUADRADO (OWNER) |
| Authorized Official Telephone | 4053698282 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Mosaic MD PLLC | 115b Tradewynd Dr Ste 203, Lynchburg, Virginia 24502 |
| Street Address |
1401 N LELIA ST |
| City | GUYMON |
| State | OK |
| Zip Code | 73942-3371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861700841 | Gloria Ivette Rodriguez-cuadrado | Nuclear Medicine | 1401 N Lelia St, Guymon, OK 73942-3371 | 2010-09-23 |
| 1376926287 | Laura H. Stevens | Occupational Therapist | 1401 N Lelia St, Guymon, OK 73942-3371 | 2015-07-09 |
| 1346649035 | Brittany Howard | Speech-Language Pathologist | 1401 N Lelia St, Guymon, OK 73942-3371 | 2014-08-19 |
| 1467798041 | Britney Laine Scott | Physical Therapy Assistant | 1401 N Lelia St, Guymon, OK 73942-3371 | 2012-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558824219 | Joni R Loughridge | Behavior Technician | 1521 Hwy 54 N, 1521 Hwy 54 N, Guymon, OK 73942 | 2019-04-10 |
| 1457839151 | Cassandra J Hegwood | Social Worker | 1521 Hwy 54 N., Guymon, OK 73942 | 2018-08-03 |
| 1083152110 | Charlie A Bell | Counselor | 1521 Highway 54 N., P.o. 1247, Guymon, OK 73942 | 2017-02-09 |
| 1124574876 | Christine J Hurd | Skilled Nursing Facility | 1401 North Lelia Street, Guymon, OK 73942 | 2016-08-31 |
| 1295088961 | Steven Macias | Counselor | 305 Nw 5th, Guymon, OK 73942 | 2012-10-18 |
| 1588982946 | Maria R. Reyes | Counselor | 306 N.w. 5th St., Guymon, OK 73942 | 2010-05-11 |
| 1003139080 | Comprehensive Health Services | General Practice | 3255 Ne Hwy 54, Guymon, OK 73942 | 2010-03-05 |
| 1386972099 | Barbara Carter | Registered Nurse | 5120 Us Hwy 54 Ne, Guymon, OK 73942 | 2009-11-19 |
| 1245449339 | Judy Clemans | Registered Nurse | 5120 Hwy 54 Ne, Guymon, OK 73942 | 2007-05-22 |
| 1992828776 | United Discount Drug of Guymon, Inc. | Durable Medical Equipment & Medical Supplies | 1902 N. Academy Street, Guymon, OK 73942 | 2007-04-09 |
| Find all providers in zip 73942 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003139080 | Comprehensive Health Services | General Practice | 3255 Ne Hwy 54, Guymon, OK 73942 | 2010-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417565433 | Robinson Medical Clinic West, LLC | General Practice | 1900 W 2nd St Ste D, Elk City, OK 73644-4328 | 2020-07-15 |
| 1669080891 | Prairie Gardens Medical LLC | General Practice | 1213 Nw 122nd St Ste 401, Oklahoma City, OK 73114-7000 | 2020-07-14 |
| 1801431135 | Cristina Elisa Collazo-suarez | General Practice | 401 Nw 76th St, Lawton, OK 73505-5338 | 2019-11-11 |
| 1578117859 | Tulsa Wellness Management, LLC | General Practice | 3501 S Yale Ave Ste A, Tulsa, OK 74135-8014 | 2019-07-25 |
| 1053875781 | Oumi Clinics LLC | General Practice | 1200 Childrens Ave Ste 11200, Oklahoma City, OK 73104-4637 | 2019-01-28 |
| 1902396294 | Gail Renee Marchant | General Practice | 8784 E 105th Ct, Tulsa, OK 74133-7063 | 2018-05-13 |
| 1528578499 | Revive Medical LLC | General Practice | 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 | 2017-10-05 |
| 1992214548 | Lifestyle Medical Center, Pllc | General Practice | 4505 S Harvard Ave, Tulsa, OK 74135-2905 | 2017-09-27 |
| 1265884449 | Turning Point Health LLC | General Practice | 736 W Main St, Jenks, OK 74037-3519 | 2016-07-12 |
| 1891149647 | Daniel Enriquez | General Practice | 1040 7050 S Air Depot Blvd, Oklahoma City, OK 73135 | 2016-04-18 |
| 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.