NEUROLOGY CARE, PC (NPI# 1760584577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760584577 |
| Entity Type | Organization |
| Organization Name | NEUROLOGY CARE, PC |
| Practice Address |
1115 Walnut Dr Ardmore OK 73401-2354 |
| Practice Telephone | 5802265775 |
| Practice Fax Number | 5802265743 |
| Mailing Telephone | 5802265775 |
| Mailing Fax Number | 5802265743 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ARVO KANNA (MD) |
| Authorized Official Telephone | 5802265775 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
23163 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | SSN # | $$$$$$$$$ | 01 |
| OK | OK LICENSE # | 23163 | 01 |
| OK | 20003140A | 05 | |
| OK | BCBS 12 DIGIT # | 548436293001 | 01 |
| Street Address |
1115 WALNUT DR |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-2354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780667378 | Lauren Brooks Southward | Family Medicine | 1115 Walnut Dr, Ardmore, OK 73401-2354 | 2005-11-28 |
| 1497227078 | Stephanie Zeiders Oliver | Nurse Practitioner | 1115 Walnut Dr, Ardmore, OK 73401-2354 | 2018-12-20 |
| 1861677254 | Kerri Ann Farmer | Nurse Practitioner | 1115 Walnut Dr, Ardmore, OK 73401-2354 | 2008-01-03 |
| 1962510032 | Southward Family Medicine | Clinic/Center | 1115 Walnut Dr, Ardmore, OK 73401-2354 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356436000 | David Jonathan Siegler | Psychiatry & Neurology | 6465 South Yale Avenue, Suite 320, Tulsa, OK 74136 | 2006-10-04 |
| 1679572358 | Amy Zajaczkowski Stauffer | Psychiatry & Neurology | 8110 S Yale Ave, Tulsa, OK 74137-2210 | 2005-07-15 |
| 1346660149 | Andrew Patrick Cease | Psychiatry & Neurology | 3330 Nw 56th St, Oklahoma City, OK 73112-4479 | 2014-04-18 |
| 1396065165 | Daniel Arrington | Psychiatry & Neurology | 711 Stanton L Young Blvd, Suite 215, Oklahoma City, OK 73104-5023 | 2010-06-03 |
| 1437325438 | Jennifer Kay Norman | Psychiatry & Neurology | 3330 Nw 56th St Ste 500, Oklahoma City, OK 73112-4470 | 2008-04-30 |
| 1487685715 | George Steve Miller | Psychiatry & Neurology | 8803 S 101st East Ave, Suite 280, Tulsa, OK 74133-5726 | 2006-07-05 |
| 1922097724 | Marc R Hille | Psychiatry & Neurology | 3330 Nw 56th St, Ste. 305, Oklahoma City, OK 73112-4479 | 2005-10-14 |
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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.