MS. AUDRA SUZANNE BALL (NPI# 1841337631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841337631 |
Entity Type | Individual |
Full Name | MS. AUDRA SUZANNE BALL |
Credential | PAC |
Practice Address |
4805 E Highway 37 Tuttle OK 73089-8791 |
Practice Telephone | 4053819979 |
Practice Fax Number | 4053819130 |
Mailing Telephone | 4053819979 |
Mailing Fax Number | 4053819130 |
Enumeration Date | 2007-01-31 |
Last Update Date | 2009-02-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
OK | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 200110730A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811155484 | Audra Lynlee Ball | Physical Therapy Assistant | 7595 Baymeadows Cir W Apt 1501, Jacksonville, FL 32256-1858 | 2008-05-29 |
Street Address |
4805 E HIGHWAY 37 |
City | TUTTLE |
State | OK |
Zip Code | 73089-8791 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659342947 | Cynthia Kay Brown | Physician Assistant | 4805 E Highway 37, Tuttle, OK 73089-8723 | 2006-01-27 |
1093290785 | Local Med LLC | Family Medicine | 4805 E Highway 37, Tuttle, OK 73089-8791 | 2018-09-27 |
1003147851 | Andrea Leu-henthorn | Physician Assistant | 4805 E Highway 37, Tuttle, OK 73089-8791 | 2010-01-19 |
1184802605 | Julie B Utley | Physician Assistant | 4805 E Highway 37, Tuttle, OK 73089-8791 | 2008-02-06 |
1750439394 | Donna D Bowers | Physician Assistant | 4805 E Highway 37, Tuttle, OK 73089-8791 | 2007-01-08 |
1407932981 | Urgent Medcare Clinic | Family Medicine | 4805 E Highway 37, Tuttle, OK 73089-8791 | 2006-10-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124455795 | Tuttle Public Schools 26-i 097 | Local Education Agency (LEA) | 515 E. Main St., Tuttle, OK 73089 | 2013-09-27 |
1629275714 | Brian Gene Chastain | Dentist | 4800 E. Hwy. 37, Tuttle, OK 73089 | 2007-07-02 |
1073619383 | Dura-med Solutions LLC | Durable Medical Equipment & Medical Supplies | 7516 E Highway 37, Tuttle, OK 73089 | 2006-09-15 |
1225031826 | City of Tuttle | Emergency Medical Technician, Intermediate | 4 Se 2nd St., Tuttle, OK 73089 | 2005-05-27 |
1174911416 | Tammy Stone | Speech-Language Pathologist | 515 E. Main St., Tuttle, OK 73089 | 2015-01-08 |
1962702555 | Absolute Smiles Family Dentistry | Dentist | 4800 E. Hwy. 37, Tuttle, OK 73089 | 2010-10-28 |
1528373867 | Absolute Smiles Family Dentistry | Exclusive Provider Organization | 4800 E. Hwy. 37, Tuttle, OK 73089 | 2010-08-11 |
1922355189 | Empowering Life Therapy, Pllc | Occupational Therapist | 783 County Street 2981, Tuttle, OK 73089-1109 | 2012-08-07 |
1568706216 | Kelly Lange Torrez | Counselor | 919 County Street 2934, Tuttle, OK 73089-2433 | 2012-11-19 |
1083246169 | Samantha J Rumley | Nurse Practitioner | 2401 County Road 1196, Tuttle, OK 73089-2436 | 2020-02-06 |
Find all providers in zip 73089 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659342947 | Cynthia Kay Brown | Physician Assistant | 4805 E Highway 37, Tuttle, OK 73089-8723 | 2006-01-27 |
1184802605 | Julie B Utley | Physician Assistant | 4805 E Highway 37, Tuttle, OK 73089-8791 | 2008-02-06 |
1750439394 | Donna D Bowers | Physician Assistant | 4805 E Highway 37, Tuttle, OK 73089-8791 | 2007-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790392868 | James Scott Turner | Physician Assistant | 924 Nw 14th St, Moore, OK 73160-1610 | 2020-09-23 |
1386283679 | Cody Rice Chambers | Physician Assistant | 2002 12th Ave Nw Ste B, Ardmore, OK 73401-1206 | 2020-01-03 |
1073154647 | Haley Nicole Beaird | Physician Assistant | 8907 E 93rd St, Tulsa, OK 74133-5634 | 2019-10-03 |
1568920924 | Direct2u Urgent Care Pllc | Physician Assistant | 2417 County Road 1263, Blanchard, OK 73010-3123 | 2019-03-05 |
1538625660 | Symachia LLC | Physician Assistant | 115 N. Main St., Cashion, OK 73106 | 2019-02-13 |
1982172029 | William Landon Ross | Physician Assistant | 3705 W Memorial Rd Ste 101, Oklahoma City, OK 73134-1508 | 2018-11-07 |
1639646656 | Jacob Allbritton | Physician Assistant | 10824 Admiral Dr, Oklahoma City, OK 73162-6843 | 2018-10-29 |
1316420086 | Lauren Anto | Physician Assistant | 2824 Classen Blvd Ste 100, Norman, OK 73071-4059 | 2018-09-10 |
1073004768 | Shelby Teel | Physician Assistant | 1200 Everett Dr # 8305, Oklahoma City, OK 73104-5047 | 2018-05-29 |
1093240749 | Green's Country Clinic, LLC | Physician Assistant | 223 E Blackwell Ave, Blackwell, OK 74631-2909 | 2017-05-01 |
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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.