AHS OKLAHOMA PHYSICIAN GROUP, LLC (NPI# 1972628352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972628352 |
| Entity Type | Organization |
| Organization Name | AHS OKLAHOMA PHYSICIAN GROUP, LLC |
| Practice Address |
562 S Elliott St Pryor OK 74361-6411 |
| Practice Telephone | 9188253389 |
| Practice Fax Number | 9188255505 |
| Mailing Telephone | 9188253389 |
| Mailing Fax Number | 9188255505 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PAUL E. BATTLES (PROVIDER) |
| Authorized Official Telephone | 9188253389 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
2080 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821308248 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 2400 N Highway 66 Ste B, Catoosa, OK 74015-3074 | 2010-10-19 |
| 1538366083 | Ahs Oklahoma Physician Group, LLC | Internal Medicine | 9245 South Mingo, Tulsa, OK 74133 | 2007-06-28 |
| 1578760021 | Ahs Oklahoma Physician Group, LLC | Pediatrics | 10512 North 110th E. Ave., Owasso, OK 74055 | 2007-06-28 |
| 1982729620 | Ahs Oklahoma Physician Group, LLC | Psychiatry & Neurology | 720 W 7th St, Tulsa, OK 74127-8948 | 2007-03-20 |
| 1891850137 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 10512 N. 110th E. Ave., Owasso, OK 74055 | 2006-12-27 |
| 1588728836 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 1551 N. 9th Street, Broken Arrow, OK 74012 | 2006-12-21 |
| 1427112424 | Ahs Oklahoma Physician Group, LLC | Pediatrics | 10512 N 110th E Ave, Owasso, OK 74055 | 2006-12-21 |
| 1710041009 | Ahs Oklahoma Physician Group, LLC | Nurse Practitioner | 2401 West Main, Henryetta, OK 74437 | 2006-12-20 |
| 1235293846 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 300 Boulder St, Pawnee, OK 74058-3801 | 2006-12-20 |
| 1548324965 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 4739 S Union Ave, Tulsa, OK 74107-7842 | 2006-12-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AHS OKLAHOMA PHYSICIAN GROUP, LLC | 1145 S Utica Ave Ste 115, Tulsa, OK 74104-4013 |
| Street Address |
562 S ELLIOTT ST |
| City | PRYOR |
| State | OK |
| Zip Code | 74361-6411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790719730 | Sharon Richards | Nurse Practitioner | 562 S Elliott St, Pryor, OK 74361-6411 | 2006-07-10 |
| 1134632037 | Ahs Pryor Hospital, LLC | Clinic/Center | 562 S Elliott St, Pryor, OK 74361 | 2017-11-14 |
| 1336451004 | Sarah J Johnston | Nurse Practitioner | 562 S Elliott St, Pryor, OK 74361-6411 | 2010-07-09 |
| 1699830935 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 562 S Elliott St, Pryor, OK 74361-6411 | 2006-12-27 |
| 1821153164 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 562 S Elliott St, Pryor, OK 74361-6411 | 2006-12-27 |
| 1659435949 | Ahs Oklahoma Physician Group, LLC | Nurse Practitioner | 562 S Elliott St, Pryor, OK 74361-6411 | 2006-12-20 |
| 1245394865 | Ahs Oklahoma Physician Group, LLC | Family Medicine | 562 S Elliott St, Pryor, OK 74361-6411 | 2006-12-20 |
| 1912061201 | Ahs Oklahoma Physician Group, LLC | Pediatrics | 562 S Elliott St, Pryor, OK 74361-6411 | 2006-12-20 |
| 1871516898 | David Roy Ring | Family Medicine | 562 S Elliott St, Pryor, OK 74361-6411 | 2006-07-25 |
| 1629091640 | John Fell | Family Medicine | 562 S Elliott St, Pryor, OK 74361-6411 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740787928 | Ahs Pryor Hospital, LLC | Clinic/Center | 1301 Ne 1st St Ste 400, Pryor, OK 74361 | 2018-04-12 |
| 1073029310 | Amber Bowman | Registered Nurse | 109 N. Fairland, Pryor, OK 74361 | 2017-12-22 |
| 1922361096 | Crystal Noel Parrett | Counselor | 215 N. Fairland, Pryor, OK 74361 | 2012-06-22 |
| 1447516703 | Rocky Mountain Holdings LLC | Ambulance | 591 Airport Rd, Pryor, OK 74361 | 2012-04-11 |
| 1356673180 | Tressa Fern Rice | Speech-Language Pathologist | 510 S. Elliott St. Suite C, Mayes County Speech Therapy, Pryor, OK 74361 | 2010-02-04 |
| 1083945208 | Ladena Carol Moore | Counselor | 212 S E 1st, Pryor, OK 74361 | 2010-01-28 |
| 1164753323 | Anita K Sanders | Counselor | 212 Se 1st, Pryor, OK 74361 | 2010-01-27 |
| 1619203775 | Sandra Kay Runnells | Psychologist | 109 South Fairland, Suite 101, Pryor, OK 74361 | 2009-10-26 |
| 1972838969 | Ramona L Whitehurst | Advanced Practice Midwife | 1400 Willow Road, Pryor, OK 74361 | 2009-10-08 |
| 1396971297 | Shauna Leann Jackson | Speech-Language Pathologist | 510 S. Elliott, Suite C, Pryor, OK 74361 | 2009-06-05 |
| Find all providers in zip 74361 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508464363 | Karen Elaine Howard | Family Medicine | 3410 State Highway 79, Waurika, OK 73573-5061 | 2020-10-14 |
| 1780634816 | Jerry David Whatley | Family Medicine | 509 Grand Ave, Ardmore, OK 73401-4338 | 2006-05-11 |
| 1043568538 | Blue Bayou Inc | Family Medicine | 100 Park Ave, Oklahoma City, OK 73102-8006 | 2012-08-15 |
| 1285603720 | Darren Thomas | Family Medicine | 6161 S Yale Ave, Tulsa, OK 74136 | 2006-03-16 |
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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.