DIVERSITY FAMILY HEALTH PLLLP


Address: 1211 N Shartel Ave Ste 606, Oklahoma City, OK 73103-2425
Phone: 4058480026

DIVERSITY FAMILY HEALTH PLLLP (NPI# 1962044750) 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) 1962044750
Entity Type Organization
Organization Name DIVERSITY FAMILY HEALTH PLLLP
Practice Address 1211 N Shartel Ave Ste 606
Oklahoma City
OK 73103-2425
Practice Telephone 4058480026
Practice Fax Number 8004909811
Mailing Telephone 4058480026
Enumeration Date 2019-10-13
Last Update Date 2019-10-13
Authorized Official Name CHRISTINE COOPER (PHYSICIAN)
Authorized Official Telephone 4058480026
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OK PENDING 05

Office Location

Street Address 1211 N SHARTEL AVE STE 606
City OKLAHOMA CITY
State OK
Zip Code 73103-2425

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811227911 Okwapeds Nurse Practitioner 1211 N Shartel Ave Ste 606, Oklahoma City, OK 73103-2425 2010-01-12
1255799912 Dr Christine Cooper Pllc Obstetrics & Gynecology 1211 N Shartel Ave Ste 606, Oklahoma City, OK 73103-2425 2016-02-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568946846 Medical Center Pain Clinic, LLC Pain Medicine 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103 2018-09-21
1801321369 Jessica Reed Community Health Worker 432 Nw11th St, Oklahoma City, OK 73103 2017-04-21
1982070975 Retinal Care Diagnostics LLC Ophthalmology 1111 N Lee Ave Ste 210, Oklahoma City, OK 73103 2015-08-13
1316329063 Nurturing Positive Solutions Marriage & Family Therapist 307 N. W. 21st Street, Oklahoma City, OK 73103 2015-06-18
1871916700 Good Shepherd Ministries Clinic/Center 222 Nw 12th Street, Oklahoma City, OK 73103 2014-01-29
1275973448 Christine Donnette Jeffers Case Manager/Care Coordinator 433 Nw 25 #10, Oklahoma, OK 73103 2013-07-02
1629327358 Kelly Rose Whelan Social Worker 416 Nw 23rd St, Oklahoma City, OK 73103 2012-09-10
1801160585 Susan Elizabeth Bigbie Registered Nurse 1214 N Hudson, Oklahoma City, OK 73103 2012-02-28
1548533441 Doris Gayle Poteet Licensed Practical Nurse 1214 N. Hudson, Oklahoma, OK 73103 2012-02-23
1538440698 Wendi J Rollins Case Manager/Care Coordinator 600 Nw 23, Suite 108, Oklahoma City, OK 73103 2011-09-02
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235757071 Equality Health Group LLC Clinic/Center 4301 Nw 63rd St Ste 109, Oklahoma City, OK 73116-1548 2020-07-08
1104458231 Osu Center for Health Sciences Clinic/Center 6501 S Western Ave Ste 101, Oklahoma City, OK 73139-1709 2020-02-06
1144882325 Focused Adult LLC Clinic/Center 5900 Mosteller Dr Unit 3, Oklahoma City, OK 73112-4640 2019-07-08
1518460047 Revive Clinic LLC Clinic/Center 13316 S Western Ave Ste F, Oklahoma City, OK 73170-7309 2018-03-12
1881144095 Osu Center for Health Sciences Clinic/Center 9821 S May Ave, Suite B, Oklahoma City, OK 73159-7042 2016-10-12
1760884886 Oklahoma Neurodiagnostics, LLC Clinic/Center 5350 S Western Ave Ste 732, Oklahoma City, OK 73109-4535 2014-09-19
1396151171 Board of Regents of The Univ of Okla-stephenson Specialty Pharmacy Clinic/Center 800 Ne 10th St Ste 1044, Oklahoma City, OK 73104-5418 2014-07-01
1023354842 Amattco LLC Clinic/Center 3705 West Memorial Rd Suite 601, Oklahoma City, OK 73134 2012-12-26
1932462603 Precision Health Services Inc/urgent Care Clinic/Center 7250 Nw Expressway Ste 202, Oklahoma City, OK 73132-1522 2012-06-19
1578855409 Anibal Avila Md Professional Corporation PC Clinic/Center 1111 Sw 44th St, Oklahoma City, OK 73109-3601 2011-05-11
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Competitor

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City OKLAHOMA CITY
Zip Code 73103

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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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