JANE PHILLIPS SPECIALTY PHYSICIANS (NPI# 1942488986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942488986 |
| Entity Type | Organization |
| Organization Name | JANE PHILLIPS SPECIALTY PHYSICIANS |
| Practice Address |
226 Se Debell Ave Bldg B Bartlesville OK 74006-2343 |
| Mailing Address |
Po Box 1089 Tulsa OK 74101-1089 |
| Practice Telephone | 9183311090 |
| Mailing Telephone | 9183311090 |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-04-11 |
| Authorized Official Name | SCOTT PHILLIPS (PRESIDENT) |
| Authorized Official Telephone | 9183311090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205014248 | Jane Phillips Specialty Physicians | Psychiatry & Neurology | 226 Se Debell Ave, Bldg A, Bartlesville, OK 74006-2343 | 2008-02-01 |
| 1770761710 | Jane Phillips Specialty Physicians | Orthopaedic Surgery | 222 Se Debell Ave, Bartlesville, OK 74006-2305 | 2008-02-01 |
| 1689727646 | Jane Phillips Specialty Physicians | Orthopaedic Surgery | 226 Se Debell Ave, Bldg. A, Bartlesville, OK 74006-2343 | 2007-01-20 |
| Street Address |
226 SE DEBELL AVE BLDG B |
| City | BARTLESVILLE |
| State | OK |
| Zip Code | 74006-2343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356340087 | Samuel Dean Brown | Internal Medicine | 226 Se Debell Ave, Bldg. B, Bartlesville, OK 74006-2300 | 2005-07-15 |
| 1285128090 | Elizabeth Martin | Nurse Practitioner | 226 Se Debell Ave, Bartlesville, OK 74006-2343 | 2018-06-15 |
| 1902277742 | Kimberly Little | Nurse Practitioner | 226 Se Debell Ave, Bartlesville, OK 74006-2343 | 2015-10-19 |
| 1831570910 | Nicole L. Cupp Dpm Pllc | Podiatrist | 226 Se Debell Ave, Bartlesville, OK 74006-2343 | 2015-06-14 |
| 1619298346 | Nicole Lynn Cupp | Podiatrist | 226 Se Debell Ave, Bartlesville, OK 74006-2343 | 2010-06-16 |
| 1730413790 | Garrett R Zelkind | Emergency Medicine | 226 Se Debell Ave, Bldg. A, Bartlesville, OK 74006-2343 | 2009-09-23 |
| 1578721650 | Robert D Oliver Md Inc | Clinic/Center | 226 Se Debell Ave, Bartlesville, OK 74006-2343 | 2008-05-27 |
| 1205014248 | Jane Phillips Specialty Physicians | Psychiatry & Neurology | 226 Se Debell Ave, Bldg A, Bartlesville, OK 74006-2343 | 2008-02-01 |
| 1235314345 | Deborah R Rozell | Nurse Practitioner | 226 Se Debell Ave, Bldg. A, Bartlesville, OK 74006-2343 | 2008-01-08 |
| 1730233974 | Mehedi Rehmetullah | Internal Medicine | 226 Se Debell Ave, Bldg. A, Bartlesville, OK 74006-2343 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646252 | Ntcob LLC | Family Medicine | 234 Se De Bell Ave, Bartlesville, OK 74006 | 2020-07-06 |
| 1053936815 | Priscella Ann Caron | Nurse Practitioner | 226 Se De Bell Ave Building B, Bartlesville, OK 74006 | 2020-06-08 |
| 1508390840 | Megan Christopher | Student in an Organized Health Care Education/Training Program | 3400 Se Frank Phillips Blvd, Suite 502, Bartlesville, OK 74006 | 2017-04-13 |
| 1518339811 | Dori Raycob | Registered Nurse | 3400 Se Frank Phillips Blvd Suite 300, Bartlesville, OK 74006 | 2015-10-26 |
| 1023487436 | Katherine Marie Anderson | Nurse Practitioner | 3500 Sw Frank Phillips, Bartlesville, OK 74006 | 2015-09-16 |
| 1033593207 | Quanisha Roberson | Clinical Nurse Specialist | 226 Se De Bell Avenue, Building A, Suite 101, Bartlesville, OK 74006 | 2015-07-16 |
| 1588064604 | Vance Wayne Blackwell Jr. | Counselor | 2200 Se Washinton Blvd., Bartlesville, OK 74006 | 2014-08-26 |
| 1619314937 | Scott Ethan Sonico | Dentist | 1224 Se Washington Blvd, Bartlesville, OK 74006 | 2013-05-28 |
| 1417229485 | Vernon Lee Newby | Veterinarian | 817 Madison Blvd., Bartlesville, OK 74006 | 2012-02-06 |
| 1306083720 | Sherry M Wilson | Counselor | 3925-g Frank Phillips Blvd., Bartlesville, OK 74006 | 2009-01-08 |
| Find all providers in zip 74006 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497223846 | Mind and Body Medical Clinic | Psychiatry & Neurology | 2216 Nw 164th St Ste A, Edmond, OK 73013-9078 | 2018-11-04 |
| 1306134929 | Kimberlee Van Wilson | Psychiatry & Neurology | 4851 Integris Parkway, Edmond, OK 73034 | 2011-07-17 |
| 1316124605 | Jorg Johannes Pahl | Psychiatry & Neurology | 3909 N Classen Blvd Ste 200, Oklahoma City, OK 73118-2650 | 2008-01-29 |
| 1164070314 | Lowell James Robertson | Psychiatry & Neurology | 1111 W 17th St, Tulsa, OK 74107-1886 | 2019-08-30 |
| 1588229033 | State of Oklahoma Osu Center for Health Sciences | Psychiatry & Neurology | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2019-05-09 |
| 1437683729 | F Clark Sauls, Md | Psychiatry & Neurology | 723 W Randolph Ave, Suite 6, Enid, OK 73701-3826 | 2017-04-13 |
| 1184981144 | Dustin O'leath Hayes | Psychiatry & Neurology | 817 S Elm Pl, Suite C, Broken Arrow, OK 74012-5369 | 2012-04-16 |
| 1467659953 | Samuel Gene Martin | Psychiatry & Neurology | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2007-06-28 |
| 1801966338 | Gayathri Dasharathy | Psychiatry & Neurology | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2006-11-09 |
| 1831281070 | Nicasio S Gutierrez Jr. | Psychiatry & Neurology | 909 Alameda St, Norman, OK 73071-5229 | 2006-09-28 |
| Find all providers with the same taxonomy | ||||
| City | BARTLESVILLE |
| Zip Code | 74006 |
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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.