CHOCTAW NATION HEALTH SERVICES AUTHORITY (NPI# 1780136705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780136705 |
| Entity Type | Organization |
| Organization Name | CHOCTAW NATION HEALTH SERVICES AUTHORITY |
| Practice Address |
109 Kerr Ave Poteau OK 74953-5270 |
| Mailing Address |
1 Choctaw Way Talihina OK 74571-2022 |
| Practice Telephone | 9186491100 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |
| Authorized Official Name | JASON HILL (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 9185677140 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT5210 | OK | Ambulatory Health Care Facilities |
| Street Address |
109 KERR AVE |
| City | POTEAU |
| State | OK |
| Zip Code | 74953-5270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134105059 | Frank Jay Smith | Physician Assistant | 109 Kerr Ave, Poteau, OK 74953-5270 | 2005-12-22 |
| 1134690944 | Crystal D Hensley | Registered Nurse | 109 Kerr Ave, Poteau, OK 74953-5270 | 2018-12-06 |
| 1174004139 | Alex Nevitt | Physical Therapist | 109 Kerr Ave, Poteau, OK 74953-5270 | 2018-08-27 |
| 1316493380 | Megan Schmidt | Pharmacist | 109 Kerr Ave, Poteau, OK 74953-5270 | 2016-08-30 |
| 1669838983 | Michelle Rene Dawson | Physician Assistant | 109 Kerr Ave, Poteau, OK 74953-5270 | 2016-01-04 |
| 1578938064 | Jammie Owens | Pharmacist | 109 Kerr Ave, Poteau, OK 74953-5270 | 2015-12-09 |
| 1457734063 | Jennifer Dillard | Optometrist | 109 Kerr Ave, Poteau, OK 74953-5270 | 2015-06-30 |
| 1063847556 | Stefanie Janine Terrell | Pharmacist | 109 Kerr Ave, Poteau, OK 74953 | 2013-09-04 |
| 1841549318 | Jessica Lois Hall | Physician Assistant | 109 Kerr Ave, Poteau, OK 74953-5270 | 2012-08-30 |
| 1689953929 | William Burt-lewis Matthews | Pharmacist | 109 Kerr Ave, Poteau, OK 74953-5270 | 2011-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235644550 | Kim Lynn Mcconnell | Case Manager/Care Coordinator | 907 Grace St., Poteau, OK 74953 | 2017-12-08 |
| 1356889745 | Brenda Stacy | Prevention Professional | 507 Drwey, Potesu, OK 74953 | 2017-02-06 |
| 1639621451 | Sabrina Danielle Minor | Case Manager/Care Coordinator | 15715 Greentop Road, Poteau, OK 74953 | 2016-10-27 |
| 1902352545 | Daniel Jesse Bruesch | Counselor | 600 Oklahoma Ave., Poteau, OK 74953 | 2016-09-01 |
| 1578912465 | Jo Ann Walden | Counselor | 507 Dewey Avenue, Poteau, OK 74953 | 2016-06-10 |
| 1154708477 | Kendal Repass | Specialist/Technologist | 17100 Nail Creek, Poteau, OK 74953 | 2015-05-06 |
| 1669891768 | Jennifer Branscum | Case Manager/Care Coordinator | 22681 Valley View Rd, Poteau, OK 74953 | 2014-04-16 |
| 1437582145 | Kim Loggains | Counselor | 2104 A-n. Broadway, Poteau, OK 74953 | 2013-08-16 |
| 1457783573 | Derek Morris | Counselor | 3111b N. Broadway St., Box 34, Poteau, OK 74953 | 2013-07-31 |
| 1568743177 | Carol Ann Oliver | Counselor | 34183 Country Club Lane, Poteau, OK 74953 | 2011-09-09 |
| Find all providers in zip 74953 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477751253 | Chitwood Physical Therapy Pllc | Clinic/Center | 24456 Kerr Rd, Poteau, OK 74953 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821604 | Body Smart Physio LLC | Clinic/Center | 1745a Nw 16th St Ste A, Oklahoma City, OK 73106-2067 | 2020-11-02 |
| 1417555699 | Turning Point Physical Therapy, Pllc | Clinic/Center | 913 Old Frisco Rd, Norman, OK 73069-6984 | 2020-10-11 |
| 1629684972 | Thera-brand Physical Therapy LLC | Clinic/Center | 24051 County Road 80, Perry, OK 73077-9214 | 2020-09-22 |
| 1851918353 | Doctorgthept, LLC | Clinic/Center | 6038 E 57th Street, Tulsa, OK 74135-8125 | 2020-06-30 |
| 1497371322 | Leah Diane Spurlock | Clinic/Center | 429 W Wilshire Blvd Ste B, Oklahoma City, OK 73116-7745 | 2020-06-16 |
| 1942829700 | Vitality Sports Physical Therapy, LLC | Clinic/Center | 3841 Riverside Dr, Tulsa, OK 74105-3045 | 2020-04-13 |
| 1972151280 | Sooner Health Services Pt, LLC | Clinic/Center | 2401 Tee Cir Ste 207, Norman, OK 73069-6207 | 2019-08-29 |
| 1548815558 | Healthy Spine and Body, Pllc | Clinic/Center | 2017 S Elm Pl Ste 1062017s, Broken Arrow, OK 74012-7034 | 2019-08-06 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1851854368 | Physical Therapy Services, LLC | Clinic/Center | 200 N Classen Blvd, Oklahoma City, OK 73106-7627 | 2019-04-11 |
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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.