Todd Robertson
Individual provider Active NPI Case Manager/Care Coordinator · Stilwell, OK
NPI 1164839155 · NPPES record last updated Jul 22, 2014
Key facts
- NPI
- 1164839155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 614 1/2 W Olive St
Stilwell, OK 74960-2839 - Phone
- (918) 696-2181
- Fax
- (918) 696-2182
- NPI assigned
- Jul 22, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| A Healing Path | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
614 1/2 W Olive St
Stilwell, OK 74960-2839
Mailing address
614 1/2 W Olive St
Stilwell, OK 74960-2839
Phone (918) 696-2181
Other providers in Stilwell, OK
- Jack Ritchie
- Robert Bryan Crittenden DDS PC
- Candi Roxanna Roberts
- Heath Roberts
- Melissa Joy Roberts
- Alexis Michelle Robinette
- Rocky Mountain School District No 24
- Julie Rogers
- Clinton Sago
- Mathew Martin Samargis
All providers in Stilwell, 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 Jul 22, 2014. 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.