JAMES L KNECHT D.O., INC. (NPI# 1871764373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871764373 |
| Entity Type | Organization |
| Organization Name | JAMES L KNECHT D.O., INC. |
| Other Organization Name | JIM KNECHT D.O., INC. |
| Practice Address |
505 N 14th St Perry OK 73077-5021 |
| Practice Telephone | 5803362209 |
| Practice Fax Number | 5803364584 |
| Mailing Telephone | 5803362209 |
| Mailing Fax Number | 5803364584 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-06-03 |
| Authorized Official Name | DR. JIM KNECHT (OWNER) |
| Authorized Official Telephone | 5803362209 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 2238 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA NUMBER | 37D0719246 | 01 | |
| OK | 100100500A | 05 |
| Other Name | Type Code |
|---|---|
| Jim Knecht D.O., Inc. | Other Name - Individual/Organization |
| Street Address |
505 N 14TH ST |
| City | PERRY |
| State | OK |
| Zip Code | 73077-5021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982607743 | Blake Allen Baird | Family Medicine | 505 N 14th St, Perry, OK 73077-5000 | 2005-05-24 |
| 1720561939 | Stillwater Medical Center Authority | Clinic/Center | 505 N 14th St, Perry, OK 73077-5021 | 2018-09-13 |
| 1356383335 | Bryan Chrz | Dentist | 505 N 14th St, Perry, OK 73077-5000 | 2006-06-12 |
| 1114991122 | James Lee Knecht | General Practice | 505 N 14th St, Perry, OK 73077-5021 | 2006-02-15 |
| 1457354201 | Michael Dean Hartwig | Family Medicine | 505 N 14th St, Perry, OK 73077-5021 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477009090 | Oklahoma State Deptartment of Health | Public Health or Welfare | 804 N. 7th St, Perry, OK 73077 | 2016-09-01 |
| 1538581699 | David Martin Reed | Physical Therapist | 1016 Fir Street, Perry, OK 73077 | 2014-01-09 |
| 1790034007 | Kayla Y. Wedel-lobsinger | Rehabilitation Counselor | 502 N. 14th St., Perry, OK 73077 | 2012-08-31 |
| 1841411683 | Angela Dawn Brand | Physical Therapist | 501 14th St N, Perry, OK 73077 | 2007-05-01 |
| 1063520260 | Perry Family Practice | Family Medicine | 505 14th St, Perry, OK 73077 | 2006-08-28 |
| 1629608641 | Brittaney Erin Ward | Peer Specialist | 501 Holly St, Perry, OK 73077-3421 | 2020-01-17 |
| 1356880876 | Bolay Speech Therapy, LLC | Speech-Language Pathologist | 804 N 7th St, Perry, OK 73077-4230 | 2017-02-16 |
| 1962941492 | Jordan L Bolay | Speech-Language Pathologist | 804 N 7th St, Perry, OK 73077-4230 | 2017-02-16 |
| 1265781488 | Jan Lanell Kukuk | Licensed Practical Nurse | 800 Fir St, Perry, OK 73077-4239 | 2012-09-04 |
| 1558475665 | Perry Pharmacy Inc | Pharmacy | 800 Fir St, Perry, OK 73077-4239 | 2006-08-18 |
| Find all providers in zip 73077 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598964793 | James Alton Rawls Jr. | General Practice | 1 Buckeye Dr, Perry, FL 32348-7702 | 2007-07-17 |
| 1720483043 | Coastal Complete Care, Pa | General Practice | 100 Plantation Rd, Perry, FL 32348-6000 | 2014-10-29 |
| 1740611433 | Florida Medical Practice Plan Inc | General Practice | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2013-12-05 |
| 1467757948 | Karen Ronquillo | General Practice | 402 E Ash St, Perry, FL 32347-2105 | 2011-01-14 |
| 1114991122 | James Lee Knecht | General Practice | 505 N 14th St, Perry, OK 73077-5021 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 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.