HEAVEN LAX (NPI# 1992355994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992355994 |
| Entity Type | Individual |
| Full Name | HEAVEN LAX |
| Practice Address |
1229 Live Oak St Muskogee OK 74403-2542 |
| Practice Telephone | 9183609913 |
| Mailing Telephone | 9183609913 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | H083745167 | OK | Other Service Providers |
| Street Address |
1229 LIVE OAK ST |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74403-2542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861945602 | Mccall Dental Studio | Dentist | 2214 Chandler Rd, Muskogee, OK 74403 | 2016-07-28 |
| 1386047256 | Dr. Penny B. Smythe, Inc., PC | Optometrist | 1157 N. York St., Muskogee, OK 74403 | 2014-10-06 |
| 1841563210 | Peggy Hanson | Social Worker | 503 E. Cincinnati Avenue, Muskogee, OK 74403 | 2012-02-16 |
| 1467736736 | Crystal S Richardson | Behavioral Analyst | 502 E Cincinnati Ave., Muskogee, OK 74403 | 2011-10-05 |
| 1114109816 | Jennifer Irene Newton | Dietitian, Registered | 1001 S. 41st Street East, Muskogee, OK 74403 | 2007-12-04 |
| 1922290899 | Casey Farmer | Counselor | 501 Fredonia, Muskogee, OK 74403 | 2007-08-15 |
| 1609068501 | Brenda Lawson | Counselor | 501 Fredonia St, Muskogee, OK 74403 | 2007-08-14 |
| 1689888661 | Christy Janet Coggins | Physical Therapy Assistant | 3310 Chandler Road, Muskogee, OK 74403 | 2007-05-09 |
| 1376765412 | Magnolia Gardens | Assisted Living Facility | 3211 Chandler Road, Muskogee, OK 74403 | 2007-05-02 |
| 1841411972 | Country Gardens Assisted Living, LLC | Assisted Living Facility | 611 S. Country Club Road, Muskogee, OK 74403 | 2007-05-02 |
| Find all providers in zip 74403 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649441734 | Muskogee Urology Clinic | Specialist | 3336 W Okmulgee St, Muskogee, OK 74401-5069 | 2008-03-17 |
| 1003948290 | Naga M Javvaji Md PC | Specialist | 333 S 38th St Ste A, Muskogee, OK 74401-4937 | 2007-03-12 |
| 1699802389 | Jeffrey M Arnette | Specialist | 311 S York St, Muskogee, OK 74403-5954 | 2007-02-28 |
| 1750465506 | Mohamad Amer Mahayni | Specialist | 3701 W Broadway St, Muskogee, OK 74401-2142 | 2006-10-25 |
| 1538113881 | Richard A. Reutlinger | Specialist | 200 S 37th St, Muskogee, OK 74401-4928 | 2006-05-20 |
| 1174528806 | Fred Michael Ruefer | Specialist | 209 S 36th St, Muskogee, OK 74401-5043 | 2005-06-17 |
| 1821092164 | Scott Emory Pace | Specialist | 3369 W Broadway St, Muskogee, OK 74401-2134 | 2005-06-01 |
| 1700175155 | Muskogee Bone & Joint & Sports Medicine | Specialist | 209 S 36th St, Muskogee, OK 74401-5043 | 2011-04-06 |
| 1568777043 | Guy E. Grooms, M.d., P.C. | Specialist | 209 S 36th St, Muskogee, OK 74401-5043 | 2010-08-09 |
| 1326208083 | J David Wayman Md Pllc | Specialist | 3401 W Broadway St, Muskogee, OK 74401-2136 | 2008-06-16 |
| Find all providers in MUSKOGEE | ||||
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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.