REBECCA R WELLINGTON


Address: 2900 S Telephone Rd, Ste. 250, Moore, OK 73160-2968
Phone: 4052377507

REBECCA R WELLINGTON (NPI# 1942218755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942218755
Entity Type Individual
Full Name REBECCA R WELLINGTON
Credential PA-C
Practice Address 2900 S Telephone Rd
Ste. 250
Moore
OK 73160-2968
Practice Telephone 4052377507
Mailing Telephone 8102803297
Enumeration Date 2006-08-04
Last Update Date 2016-08-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 2125 OK Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant 5601004125 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI STATE LISC RW004125 01

Office Location

Street Address 2900 S TELEPHONE RD
STE. 250
City MOORE
State OK
Zip Code 73160-2968

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851869283 Brittney Jolene Roberts Emergency Medicine 2900 S Telephone Rd, Moore, OK 73160-2968 2018-11-03
1588014724 Renee Short Nurse Practitioner 2900 S Telephone Rd, Ste 250, Moore, OK 73160-2968 2016-06-19
1073967246 Marysue Elizabeth Farris Registered Nurse 2900 S Telephone Rd, Suite 250, Moore, OK 73160-2968 2016-04-14
1437512266 Daniel Joshua Traum Emergency Medicine 2900 S Telephone Rd, Moore, OK 73160-2968 2016-03-30
1851750277 Jolene Traum Nurse Practitioner 2900 S Telephone Rd, Moore, OK 73160-2968 2016-02-12
1487044541 Marissa Buckner Nurse Practitioner 2900 S Telephone Rd, Suite 250, Moore, OK 73160-2968 2015-01-28
1508268442 Kasey Cory Green Nurse Practitioner 2900 S Telephone Rd, Suite 250, Moore, OK 73160-2968 2014-09-23
1093116170 Jennifer Ann Barber Nurse Practitioner 2900 S Telephone Rd, Moore, OK 73160-2968 2014-09-09
1043620388 Nusrat Rumana Family Medicine 2900 S Telephone Rd, Moore, OK 73160-2968 2014-05-07
1912332099 Elizabeth Anne Magann Emergency Medicine 2900 S Telephone Rd, Moore, OK 73160-2968 2013-09-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225678576 Crystal Amanda Pitts Student in an Organized Health Care Education/Training Program 628 Allison Ln, Moore, OK 73160 2020-01-14
1982247623 Tammie Lee Haworth Occupational Therapy Assistant Quest, 400 N Eastern Ave, Moore, OK 73160 2019-10-25
1477102580 Php Management Group, LLC Non-Pharmacy Dispensing Site 1110 Magnolia Court, Moore, OK 73160 2019-09-11
1477117893 Pharmology Moore LLC Pharmacy 1280 N Eastern Ave, Suite F, Moore, OK 73160 2019-05-01
1154891943 Leah Cordell Nurse Practitioner 1280 North Eastern Ave., Suite F, Moore, OK 73160 2018-12-05
1467962332 Healthcare Express, LLP Clinic/Center 551 Se 4th Street, Moore, OK 73160 2017-10-05
1306379557 Dicarlo Venegas Behavior Technician 716 Wood Hollow Ln, Moore, OK 73160 2017-04-05
1073050167 Tyron Dorrell Cosby Sr. Case Manager/Care Coordinator 1416 Penn Ln., Moore, OK 73160 2017-01-26
1326592650 Kristin Kelley Counselor 1113 S Avery Dr, Moore, OK 73160 2016-08-03
1376912600 Allison Kay Griffiths Counselor 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 2015-09-16
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669968954 United Surgical Associates, Pllc Physician Assistant 2119 Riverwalk Dr # 115, Moore, OK 73160-2700 2018-07-10
1023553187 Jessica Elise Jackson Physician Assistant 2109 S Santa Fe Ave, Moore, OK 73160-2807 2016-12-28
1114188232 Cassandra Gentry Physician Assistant 1105 Sw 30th Ct, Moore, OK 73160-2887 2008-06-20
1265597553 Neneth Oakley Phung Physician Assistant 2733 South I-35 Service Road, Moore, OK 73160 2006-12-27
1831258516 Thompson Healthcare Provider Services LLC Physician Assistant 16444 Interstate Highway 35 South, Moore, TX 78057 2006-12-08
1720010416 Marcia Jean Ricketson Physician Assistant 216 Ne 12th St, Moore, OK 73160-5830 2006-07-06
1730115577 Iftikhar A Sandhu Physician Assistant 2212 N Broadway St, Moore, OK 73160-4303 2006-06-23
1104440619 Kaitlin Elizabeth Shaw Physician Assistant 2900 S Telephone Rd Ste 250, Moore, OK 73160-2969 2020-05-31
1295241339 Mitchell Williams Physician Assistant 2109 S Santa Fe Ave, Moore, OK 73160-2807 2017-12-27
1497281455 Jennifer Kay Dunning Physician Assistant 1105 Sw 30th Ct, Moore, OK 73160-2887 2017-05-11
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Competitor

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City MOORE
Zip Code 73160

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Dataset Information

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.

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