PEGGY J MINER (NPI# 1790922334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790922334 |
| Entity Type | Individual |
| Full Name | PEGGY J MINER |
| Other Name | PEGGY J WILLIAMS |
| Credential | COMF, ROA |
| Practice Address |
6052 S Sheridan Rd Tulsa OK 74145-9212 |
| Practice Telephone | 9184880400 |
| Practice Fax Number | 9184880422 |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | ROA1 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6052 S SHERIDAN RD |
| City | TULSA |
| State | OK |
| Zip Code | 74145-9212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083788947 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 6052 S Sheridan Rd, Tulsa, OK 74145-9212 | 2006-11-20 |
| 1720515810 | Elizabeth Marie Devries | Orthotist | 6052 S Sheridan Rd, Tulsa, OK 74145-9212 | 2017-05-19 |
| 1487181673 | Stephen Garrett Silva | Orthotic Fitter | 6052 S Sheridan Rd, Tulsa, OK 74145-9212 | 2017-05-18 |
| 1326359316 | Daniel Ray Brooks | Pedorthist | 6052 S Sheridan Rd, Tulsa, OK 74145-9212 | 2010-06-24 |
| 1922245679 | James E Yount | Orthotist | 6052 S Sheridan Rd, Tulsa, OK 74145-9212 | 2009-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015606 | Grayson Elaine Kirk | Social Worker | 7028 E 32nd St, Tulsa, OK 74145 | 2018-05-31 |
| 1407378060 | Matthew Ryan Lazar | Case Manager/Care Coordinator | 3405 S 95th East Ave, Tulsa, OK 74145 | 2017-07-14 |
| 1770014243 | Sarah Truman | Counselor | 5332 S. Memorial Dr., Tulsa, OK 74145 | 2017-03-25 |
| 1265977615 | Tsaw LLC | Chiropractor | 6949-51 E. 71st St., Tulsa, OK 74145 | 2016-12-21 |
| 1740722115 | Green Country Pain Management | Internal Medicine | 6048-a S Sheridan Rd, Tulsa, OK 74145 | 2016-11-16 |
| 1790234003 | Joy Home Care Services LLC | In Home Supportive Care | 9434 E 51st Street, Tulsa, OK 74145 | 2016-09-27 |
| 1407302821 | Tammera Mcclenton | Counselor | 7225 E 58th St., Tulsa, OK 74145 | 2016-08-26 |
| 1366839482 | Tesia D. Wells | Marriage & Family Therapist | 7226 E 41st St, Tulsa, OK 74145 | 2015-04-16 |
| 1942613427 | Kevin Bonifield | Counselor | 5327 S Sheridan Rd, Tulsa, OK 74145 | 2014-06-03 |
| 1518208040 | Kelsee Lane Mccutchen | Counselor | 7477 E. 46th Place, Tulsa, OK 74145 | 2013-03-07 |
| Find all providers in zip 74145 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013093236 | Jenar Inc | Orthotic Fitter | 3936 S Hudson, Tulsa, OK 74135-5608 | 2006-10-31 |
| 1487181673 | Stephen Garrett Silva | Orthotic Fitter | 6052 S Sheridan Rd, Tulsa, OK 74145-9212 | 2017-05-18 |
| 1639316383 | Kory Sams | Orthotic Fitter | 2116 E 15th St, Tulsa, OK 74104-4614 | 2009-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093209629 | Billy Joe James | Orthotic Fitter | 425 Eagle Creek Way, Oklahoma City, OK 73117-1045 | 2018-06-18 |
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| 1881696177 | Anthony W Layton | Orthotic Fitter | 15 Sw B Ave, Lawton, OK 73501-4006 | 2005-06-01 |
| 1326340639 | Jamie H Meltzner | Orthotic Fitter | 2601 Edinburgh Dr, Edmond, OK 73013-9019 | 2010-11-19 |
| 1053559310 | Marc Richard Bostian | Orthotic Fitter | 3545 Nw 58th St Ste 330, Oklahoma City, OK 73112-4718 | 2009-01-25 |
| 1811134851 | Benjamin J Lawson | Orthotic Fitter | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2009-01-13 |
| 1164677456 | Tanika Ashee' Henderson | Orthotic Fitter | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2008-12-01 |
| 1790938223 | Willie Montgomery | Orthotic Fitter | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2008-10-28 |
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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.