LABIB SAM MUSALLAM (NPI# 1942247879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942247879 |
| Entity Type | Individual |
| Full Name | LABIB SAM MUSALLAM |
| Credential | M.D. |
| Practice Address |
4400 Nw 63rd St Oklahoma City OK 73116-1545 |
| Mailing Address |
Po Box 30589 Midwest City OK 73140-3589 |
| Practice Telephone | 4059420090 |
| Practice Fax Number | 4049428055 |
| Mailing Telephone | 4059420090 |
| Mailing Fax Number | 4049428055 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2018-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 11815 | OK | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | EIN NUMBER | 731549243 | 01 |
| Street Address |
4400 NW 63RD ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73116-1545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003858416 | Hefner West Medical Clinic, P.C. | Legal Medicine | 4400 Nw 63rd St, Oklahoma City, OK 73116-1545 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1861058877 | Dental Depot of 63rd & Nw Expressway, Pllc | Clinic/Center | 4025 Nw 63rd Street, Oklahoma City, OK 73116 | 2019-05-15 |
| 1073001756 | Oklahoma Clinical Management LLC | Prevention Professional | 4301 Nw 63rd St Ste 107, Oklahoma City, OK 73116 | 2018-04-27 |
| 1235658261 | Heinen Physical Therapy, PC | Clinic/Center | 7710 N May Ave, Oklahoma City, OK 73116 | 2017-09-11 |
| 1235657842 | Jacque S Komers | Counselor | 6501 N Broadway Ext Suite 180, Oklahoma City, OK 73116 | 2017-09-04 |
| 1164943874 | Jo Ann Cole-johnson | Counselor | 6505 N. Shawnee Ave, Oklahoma, OK 73116 | 2017-07-03 |
| 1548790793 | Zachary Wayne Skates | Case Manager/Care Coordinator | North 6501 Broadway Extention Highway #180, Oklahoma City, OK 73116 | 2017-06-19 |
| 1548622673 | Jessica Defiore | Case Manager/Care Coordinator | 6501 N Broadway Extension, Oklahoma City, OK 73116 | 2016-03-28 |
| 1093173247 | Patrice Ann Cook | Specialist/Technologist, Other | 7700 N. Hudson Ave, Suite Number 9, Oklahoma City, OK 73116 | 2016-02-03 |
| 1467880708 | Abrina Marie Kneeland | Occupational Therapy Assistant | 6525 N. Meridian #311, Therapists Unlimited Division of Career Staff, Oklahoma City, OK 73116 | 2013-10-24 |
| Find all providers in zip 73116 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003858416 | Hefner West Medical Clinic, P.C. | Legal Medicine | 4400 Nw 63rd St, Oklahoma City, OK 73116-1545 | 2006-06-11 |
| 1417955063 | Clinton Bradshaw Webster | Legal Medicine | 3705 Nw 63rd St, Suite 204, Oklahoma City, OK 73116-1935 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609339753 | Jeremiah Mathew Cozby I | Legal Medicine | 27440 Potts Mtn Rd, Heavener, OK 74937-3698 | 2019-04-07 |
| 1508128216 | James Stephen Beck | Legal Medicine | 1639 Pine Dr, Grove, OK 74344-5503 | 2012-06-10 |
| 1386812345 | Spectra Family Medical Clinic LLC | Legal Medicine | 6520 E Reno, Suite A, Midwest City, OK 73110-2109 | 2008-02-13 |
| 1689875213 | Microvas Treatment Centers of America | Legal Medicine | 6130 S Memorial Dr, Tulsa, OK 74133-1933 | 2007-05-30 |
| 1528001344 | David A Porter | Legal Medicine | 1407 N Porter Ave, Norman, OK 73071-6606 | 2006-06-13 |
| 1831332956 | Vivian Viera, Md, Plc | Legal Medicine | 900 N Porter Ave, Suite 105, Norman, OK 73071-6425 | 2009-04-20 |
| 1245353713 | Tricities Medical & Surgical | Legal Medicine | 1509 S Indian Rd, Wewoka, OK 74884-9781 | 2007-04-09 |
| 1881756740 | Medical Associates of Cushing, P.C. | Legal Medicine | 1030 E Cherry St, Cushing, OK 74023-4102 | 2006-12-15 |
| 1184739765 | John D Sutton | Legal Medicine | 1818 Kansas Ave, Woodward, OK 73801-2912 | 2006-08-21 |
| 1023034824 | G. Bryant Boyd | Legal Medicine | 6565 S Yale Ave, Ste 1003, Tulsa, OK 74136-8378 | 2006-07-14 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73116 |
Please comment or provide details below to improve the information on LABIB SAM MUSALLAM.
| 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.