PHILLIP LEE KIZZIA (NPI# 1932256476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932256476 |
Entity Type | Individual |
Full Name | PHILLIP LEE KIZZIA |
Practice Address |
347 S 37th St Muskogee OK 74401-4906 |
Practice Telephone | 9186839729 |
Practice Fax Number | 9186831012 |
Mailing Telephone | 9186839729 |
Mailing Fax Number | 9186831012 |
Enumeration Date | 2007-01-05 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
701503 | OK | Technologists, Technicians & Other Technical Service Providers |
Street Address |
347 S 37TH ST |
City | MUSKOGEE |
State | OK |
Zip Code | 74401-4906 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346577798 | Pk Imaging Center | Clinic/Center | 347 S 37th St, Muskogee, OK 74401-4906 | 2009-11-05 |
1508998808 | Pk Xray Inc | Radiologic Technologist | 347 S 37th St, Muskogee, OK 74401-4906 | 2007-03-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
Find all providers in zip 74401 |
Taxonomy Code | 2471C3402X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Radiography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295173698 | Kevin Milam | Radiologic Technologist | 806 S Harvey St, Coalgate, OK 74538-3818 | 2013-06-06 |
1376735415 | Samuel Grady Lewis | Radiologic Technologist | 308 Fairview Ave, Ponca City, OK 74601-2001 | 2007-08-13 |
1417073271 | Sharon Gerards | Radiologic Technologist | 14 Juel Dr, Shawnee, OK 74804-3302 | 2007-03-22 |
1861564874 | Health Link Mobile X-ray LLC | Radiologic Technologist | 1918 Indian Dr, Enid, OK 73703 | 2006-11-14 |
1780777417 | Cbs Mobile Xra & Ekg | Radiologic Technologist | 4505 Copperwood, Duncan, OK 73533 | 2006-10-02 |
1922011121 | Contract Xray Services Inc | Radiologic Technologist | 8181 E 46th St, Tulsa, OK 74145-4801 | 2006-08-15 |
1134661887 | Rhonda Phillips | Radiologic Technologist | 2807 Lorrie Ln, Durant, OK 74701-1660 | 2016-11-12 |
1316382930 | Norman Regional Health System | Radiologic Technologist | 901 N Porter Ave, Norman, OK 73071-6404 | 2013-05-09 |
1639399124 | Susan Jones Castillo | Radiologic Technologist | 5900 Mosteller Dr, Suite 150, Oklahoma City, OK 73112-4600 | 2007-04-26 |
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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.