DISCOVERY WELLNESS LLC (NPI# 1932578762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932578762 |
| Entity Type | Organization |
| Organization Name | DISCOVERY WELLNESS LLC |
| Practice Address |
17625 Lead Ln Edmond OK 73012-6959 |
| Practice Telephone | 4052101662 |
| Mailing Telephone | 4052101662 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2016-02-24 |
| Authorized Official Name | ANDREW BLAKEMAN (OPERATIONS MANAGER) |
| Authorized Official Telephone | 4052101662 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | DEA | MC2226620 | 01 |
| OK | OKLAHOMA NURSING LISCENSE | 78861 | 01 |
| OK | 200294910A | 05 |
| Street Address |
17625 LEAD LN |
| City | EDMOND |
| State | OK |
| Zip Code | 73012-6959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013912 | Ashley Lambert | Counselor | 19501 N Pennsylvia, Apt 210, Edmond, OK 73012 | 2020-08-13 |
| 1699316083 | First Rate Eye Care Pllc | Optometrist | 1140 Nw 192nd St., Suite A, Edmond, OK 73012 | 2019-10-07 |
| 1659869881 | Brent Byers | Registered Nurse | 3040 Nw 179th Ct, Edmond, OK 73012 | 2018-04-24 |
| 1386173672 | John A Hale | Respiratory Therapist, Certified | 19100 Meadows Crossing Drive, Edmond, OK 73012 | 2017-06-08 |
| 1740715598 | Ryan Hays | Counselor | 620 Nw 178 St., Apt. 4c, Edmond, OK 73012 | 2017-04-28 |
| 1245691336 | Jessica Collins | Behavioral Analyst | 18217 Sandhurst Ct, Edmond, OK 73012 | 2016-03-16 |
| 1538545801 | Cynthia Ann Thompson | Case Manager/Care Coordinator | 1732 Kelly, Edmond, OK 73012 | 2015-08-10 |
| 1538564224 | Function Physical Therapy, LLC | Physical Therapist | 16502 N Pennsylvania Ave, Suite C, Edmond, OK 73012 | 2014-10-24 |
| 1003227414 | Deer Creek Family Healthcare and Wellness Clinic LLC | Clinic/Center | 19401 N. Portland, Edmond, OK 73012 | 2014-05-20 |
| 1316383649 | Ralphs Family Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Nw178th Street, Suite A, Edmond, OK 73012 | 2013-05-14 |
| Find all providers in zip 73012 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990097 | Lauren Heim | Physician Assistant | 7324 Bucks Xing, Edmond, OK 73034-3520 | 2020-10-19 |
| 1679132823 | Amy Nguyen | Physician Assistant | 3800 Four Winns Strait, Edmond, OK 73013-8742 | 2019-06-11 |
| 1295393965 | Emily Maria Carro | Physician Assistant | 716 Fox Bend Trl, Edmond, OK 73034-7355 | 2019-05-29 |
| 1679041800 | Global Health Assists, LLC | Physician Assistant | 2011 W Danforth Rd # 222, Edmond, OK 73003-4685 | 2018-11-06 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1124521851 | Roeza Pllc | Physician Assistant | 15100 Traditions Blvd Ste 2, Edmond, OK 73013-1183 | 2018-03-08 |
| 1285141028 | Jordan B. Matli | Physician Assistant | 18505 Auburn Meadows Dr, Edmond, OK 73012-0612 | 2018-01-02 |
| 1972016756 | Precision Surgical Care, Pllc | Physician Assistant | 1050 E 2nd St #296, Edmond, OK 73034-5313 | 2017-11-15 |
| 1518498906 | Charles Michael Braden | Physician Assistant | 3108 Jamin Paul Circle, Edmond, OK 73013-8025 | 2017-03-27 |
| 1790106227 | Jennifer Lueb | Physician Assistant | 18416 Abierto Dr, Edmond, OK 73012-9618 | 2013-12-31 |
| Find all providers in EDMOND | ||||
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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.