Amy Dawn Humphrey (NPI# 1235359431, PAC ID# 4486804317) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
Nation Provider ID (NPI) | 1235359431 |
PAC ID by PECOS | 4486804317 |
Professional Enrollment ID | I20121030000303 |
Full Name | Amy Dawn Humphrey |
Organization Legal Name | GRAND LAKE MENTAL HEALTH CENTER, INC. |
Address |
138 S Main Afton OK 74331-1822 |
Phone Number | 9182574244 |
Gender | F |
Graduation Year | 2004 |
Primary Specialty | CLINICAL SOCIAL WORKER |
Group Practice PAC ID | 4688711534 |
Number of Group Practice Members | 15 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
138 S Main, Afton, OK 74331-1822 | 9182574244 | GRAND LAKE MENTAL HEALTH CENTER, INC. |
Organization Legal Name | GRAND LAKE MENTAL HEALTH CENTER, INC. |
Physicians | 28 |
Name | Specialty | Organization | Address |
---|---|---|---|
Allie Beth Craig | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 604 S Walnut St, Stillwater, OK 74074-4222 |
Phyllis A Emery | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 700 Sw Penn Ave, Bartlesville, OK 74003-4331 |
Mania Hill-u | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 109 N Fairland St, Pryor, OK 74361-4203 |
Brent J Brewer | Physician Assistant | Grand Lake Mental Health Center, Inc. | 111 S Treaty Rd, Miami, OK 74354-5327 |
Shannon Antoinette Rowland | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 231 E Graham Ave, Pryor, OK 74361-2436 |
Stephanie Heaton | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 1115 Harbor Rd, Grove, OK 74344-3505 |
Greg Salzer | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 405 E Excelsior Ave, Vinita, OK 74301-4226 |
Julie D Finney | Physician Assistant | Grand Lake Mental Health Center, Inc. | 12005 E 470 Rd, Claremore, OK 74017-3737 |
Weldon J Mallgren | Psychiatry | Grand Lake Mental Health Center, Inc. | 17599 S Hwy 88, Claremore, OK 74017-0801 |
Sheri Lyn Scott | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 12005 E 470 Rd, Claremore, OK 74017-3737 |
Street Address |
138 S MAIN |
City | AFTON |
State | OK |
Zip | 74331-1822 |
Name | Specialty | Organization | Address |
---|---|---|---|
Billy R Evans | Physician Assistant | Community Health Center of Northeast Oklahoma Inc | 21965 Bison Dr, Afton, OK 74331-0705 |
Melinda K Bailey | Nurse Practitioner | Community Health Center of Northeast Oklahoma Inc | 21965 Bison Dr, Afton, OK 74331-0705 |
Russell A Peters | Nurse Practitioner | Community Health Center of Northeast Oklahoma Inc | 138 S Main St, Afton, OK 74331-1822 |
Kimberly M Wirths | Family Practice | Community Health Center of Northeast Oklahoma | 138 Sn Main St, Afton, OK 74331-1822 |
Natalie Brooke Sydebotham | Speech Language Pathologist | Saint Francis Hospital Vinita, Inc. | 26300 S Hwy 125, Afton, OK 74331-6282 |
City | AFTON |
Zip Code | 74331 |
Specialty | CLINICAL SOCIAL WORKER |
City + Specialty | AFTON + CLINICAL SOCIAL WORKER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.