Stephanie Heaton (NPI# 1730511684, PAC ID# 9739470386) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1730511684 |
| PAC ID by PECOS | 9739470386 |
| Professional Enrollment ID | I20160629000549 |
| Full Name | Stephanie Heaton |
| Organization Legal Name | GRAND LAKE MENTAL HEALTH CENTER, INC. |
| Address |
1115 Harbor Rd Grove OK 74344-3505 |
| Phone Number | 9187864434 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 4688711534 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1115 Harbor Rd, Grove, OK 74344-3505 | 9187864434 | 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 |
| Greg Salzer | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 405 E Excelsior Ave, Vinita, OK 74301-4226 |
| Amy Dawn Humphrey | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 138 S Main, Afton, OK 74331-1822 |
| 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 |
1115 HARBOR RD |
| City | GROVE |
| State | OK |
| Zip | 74344-3505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shanda Leigh Holenda | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 1115 Harbor Rd, Grove, OK 74344-3505 |
| Julie Marie Harris | Nurse Practitioner | Grand Lake Mental Health Center, Inc. | 1115 Harbor Rd, Grove, OK 74344-3505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luke R Leming | Family Medicine | Integris Ambulatory Care Corporation | 1001 E 18th St, Integris Grove Hospital, Grove, OK 74344-2097 |
| Samuel J Ratermann | Family Medicine | Integris Ambulatory Care Corporation | 1001 E 18th St, Integris Grove Hospital, Grove, OK 74344-2097 |
| Samantha L Chamberlain | Physical Therapy | Redbud Physical Therapy LLC | 1118 S Main St, Grove, OK 74344-2800 |
| Michael Andrew Williams | Physical Therapy | Redbud Physical Therapy LLC | 1118 S Main St, Grove, OK 74344-2800 |
| Sue Marie Montgomery | Physical Therapy | Redbud Physical Therapy LLC | 1118 S Main St, Grove, OK 74344-2800 |
| Robert F Burke | Optometry | 1105 S Main St, Grove, OK 74344-2801 | |
| Shawn M Anderson | Family Medicine | 700 S Main St, Grove, OK 74344-2841 | |
| Gail L Offermann | Emergency Medicine | Rapid Remedy Urgent Care Center Pllc | 700 S Main St, Grove, OK 74344-2841 |
| Marcia K Matthews | Family Practice | Rapid Remedy Urgent Care Center Pllc | 700 S Main St, Grove, OK 74344-2841 |
| Burness R Yandell | Optometry | Ramie Lay Od PC | 1013 S Main St, Grove Eye Center, Grove, OK 74344-2847 |
| Find all physicians in zip 74344 | |||
| City | GROVE |
| Zip Code | 74344 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | GROVE + 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.