Healthcare Express, LLP
Organization Active NPI Family Medicine Physician · Choctaw, OK
NPI 1033666151 · NPPES record last updated Dec 13, 2017
Key facts
- NPI
- 1033666151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- HEALTHCARE EXPRESS, LLP
- Practice address
- 14321 NE 23Rd Street
Choctaw, OK 73020 - Phone
- (405) 342-0255
- NPI assigned
- Sep 7, 2016
- Organization subpart
- No
Authorized official
- Name
- Timothy L. Reynolds, MD
- Title
- Managing Partner
- Phone
- (903) 791-9355
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 6
Practitioners 73
-
Cora Elizabeth Davis, ARNP, FNP-C
-
Joan Elizabeth Kloske, FNP-BC
-
Alana Christine McKinney, FNP-C
-
Leah Sitton, PA
-
Monica Dawn Symes, NP-C
-
Breanna Marie Wesselhoft, APRN FNPC
-
Sean Kelly Baker, CNP
-
Cherity Dawn Burrows, APRN-CNP
-
James D Commander, APRN- FNP
-
Madison Darwent, CNP-DNP
-
Lindsey Dashner, PA-C
-
Stephanie Green, APRN
-
John Josiah Harrison, D.O.
-
Austin Duke Hatfield, N.P.
-
Angela Christine McCoy, APRN
-
Jayci L Purvis, PA-C
-
Marlana Marie Travis, DNP APRN
-
Cinda Dawn Williams, APRN
-
Raven Shelby Ayers, PA-C
-
John Robert Dean Bailey, APRN-CNP, FNP-BC
-
Tashina Mariah Bevill, FNP-C
-
Angela L Bowen, APRN, NP-C
-
Michael K. Brandon II, APRN-CNP
-
Jerry Bob Browning, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2120433 | Healthcare Express-Choctaw | Certificate of waiver | Aug 31, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150514000414 | OK | Part B Supplier - Clinic/Group Practice | 9739131442 |
Receives reassigned benefits from 38 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Choctaw, OK; Moore, OK; Edmond, OK; Midwest City, OK |
| O20180328003154 | OK | DME Supplier - Physician - General Practice | 9739131442 | Practice locations: Choctaw, OK |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | OK | Yes | |
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
14321 NE 23Rd Street
Choctaw, OK 73020
Mailing address
3515 Richmond Rd
Texarkana, TX 75503-0711
Phone (903) 831-7270
Other providers in Choctaw, OK
- Jessica H Guthrie
- Shelley Dawn Hall
- Cara Michelle Hammon
- Anna M Hatchell
- Easton Hays
- Kelly Ann Hearn
- Will D Heise
- Kaitlin Nicole Heon
- Stephanie Herndon
- Andrew E Heuser
All providers in Choctaw, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.