SOUTHWESTEN OKLAHOMA STATE UNIVERSITY TRAINING ROOM (NPI# 1881974244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881974244 |
| Entity Type | Organization |
| Organization Name | SOUTHWESTEN OKLAHOMA STATE UNIVERSITY TRAINING ROOM |
| Practice Address |
100 Campus Dr Weatherford OK 73096-3001 |
| Mailing Address |
Po Box 819020 Dallas TX 75381-9020 |
| Practice Telephone | 9726871893 |
| Mailing Telephone | 9726871893 |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |
| Authorized Official Name | EDWIN DETWEILER (HEAD ATHLETIC TRAINER) |
| Authorized Official Telephone | 5807743073 |
| Authorized Official Credential | MA, ATC, LAT, PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Street Address |
100 CAMPUS DR |
| City | WEATHERFORD |
| State | OK |
| Zip Code | 73096-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144857533 | Tracey Marie Oliver | Pharmacist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2020-03-25 |
| 1386271146 | Rachel Elizabeth Cook | Pharmacy Technician | 100 Campus Dr, Weatherford, OK 73096-3001 | 2020-03-23 |
| 1508496803 | Brianne N Kirchgessner | Student in an Organized Health Care Education/Training Program | 100 Campus Dr, Weatherford, OK 73096-3001 | 2020-01-25 |
| 1750928768 | Morgan Brook Corona | Music Therapist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2019-12-09 |
| 1518512235 | Tatum Jones | Specialist/Technologist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2019-08-08 |
| 1568022861 | Sarah Yount | Pharmacist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2019-06-18 |
| 1871068486 | Brianna Neely | Specialist/Technologist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2018-10-10 |
| 1235631128 | Southwestern Oklahoma State University | Orthopaedic Surgery | 100 Campus Dr, Weatherford, OK 73096-3001 | 2018-03-06 |
| 1235631623 | Joseph Leven | Specialist/Technologist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2018-03-01 |
| 1568979623 | Brandon Joe Pounds | Specialist/Technologist | 100 Campus Dr, Weatherford, OK 73096-3001 | 2018-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316433170 | Weatherford Hospital Authority | Clinic/Center | 1315 N Washington, Weatherford, OK 73096 | 2018-07-05 |
| 1174030530 | Lacey Bailey | Case Manager/Care Coordinator | 101 E University Dr Apt B2, Weatherford, OK 73096 | 2018-01-08 |
| 1972962066 | Shayli Hill | Physical Therapist | 3730 Legacy Dr, Weatherford, OK 73096 | 2016-02-17 |
| 1396144622 | Xpress Wellness LLC | Family Medicine | 1303 N Washington, Weatherford, OK 73096 | 2014-08-22 |
| 1881942654 | Weatherford Dental Care Pllc | Dentist | 1325 N. Washington Street, Weatherford, OK 73096 | 2012-08-27 |
| 1326352204 | Weatherford Hospital Authority | General Acute Care Hospital | 3727 Legacy, Weatherford, OK 73096 | 2010-08-03 |
| 1316148505 | Janet Vega | Case Manager/Care Coordinator | 1413 Kase St Apt. 1, Weatherford, OK 73096 | 2007-05-29 |
| 1326259797 | Amy Michelle Estes IIi | Case Manager/Care Coordinator | 90 North 31st., Clinton, OK 73096 | 2007-05-25 |
| 1427260256 | Paul C. Tisdal, O.d., P.C. | Optometrist | 1545 N. Washington Ave, Weatherford, OK 73096 | 2007-05-04 |
| 1386786663 | William W Uraneck | Dentist | 617 E Tom Stafford, Weatherford, OK 73096 | 2007-02-13 |
| Find all providers in zip 73096 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063706406 | Langston University | Clinic/Center | 1233 Highway 33 East, C.f. Gayles Fieldhouse Room 161, Langston, OK 73050 | 2011-06-02 |
| 1740385657 | Maryetta School | Clinic/Center | Rr 6 Box 2840, Stilwell, OK 74960-9452 | 2006-09-14 |
| 1427166495 | Barnsdall School | Clinic/Center | 200 South Eighth St., Barnsdall, OK 74002-0629 | 2006-08-29 |
| 1477524593 | Krebs Public Schools | Clinic/Center | 20 Sw 5th, Krebs, OK 74554-0067 | 2006-01-27 |
| 1639591639 | Oklahoma City University Campus Health | Clinic/Center | 2501 N Blackwelder Ave, Oklahoma City, OK 73106-1402 | 2014-01-09 |
| 1588946578 | Redlands Community College | Clinic/Center | 1300 S Country Club Rd, El Reno, OK 73036-5304 | 2011-09-15 |
| 1083913131 | Oklahoma Baptist University | Clinic/Center | 500 W University St, Shawnee, OK 74804-2522 | 2011-03-15 |
| 1699932228 | Oklahoma City University | Clinic/Center | 2501 N Blackwelder Ave, Oklahoma City, OK 73106-1402 | 2008-05-21 |
| 1598827776 | Oklahoma State University | Clinic/Center | 1202 W Farm Rd, Stillwater, OK 74078-2036 | 2006-12-14 |
| 1548372626 | Board of Regents of The University of Oklahoma--ou Health Services | Clinic/Center | 620 Elm Ave, Norman, OK 73019-3142 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
| City | WEATHERFORD |
| Zip Code | 73096 |
Please comment or provide details below to improve the information on SOUTHWESTEN OKLAHOMA STATE UNIVERSITY TRAINING ROOM.
| 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.