Derek Ethan Webber
Individual provider Active NPI Case Manager/Care Coordinator · Midwest City, OK
NPI 1093084352 · NPPES record last updated Dec 15, 2011
Key facts
- NPI
- 1093084352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 316 S Midwest Blvd
Midwest City, OK 73110-4642 - Phone
- (405) 733-5437
- Fax
- (405) 732-7741
- NPI assigned
- Dec 15, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-del Youth & Family Center, Inc. | Past | Accepting new patients | |
| Mid-del Youth and Family Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
316 S Midwest Blvd
Midwest City, OK 73110-4642
Mailing address
316 S Midwest Blvd
Midwest City, OK 73110-4642
Phone (405) 733-5437
Other providers in Midwest City, OK
- Watson Fed Comp Specialist Inc
- Jessica Lynn Watson
- Cantrell Eugene Watts
- Brandi Weathers
- Joseph Paul Webb
- Fanee Webster
- Stuart Camden Wegenka
- John N Weidemann
- Jonathan Weissbach
- Damon Wells
All providers in Midwest City, OK · Case Manager/Care Coordinator 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 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.