Amelia Leigh Poitevint

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

202 E Cherokee Ave
Sallisaw, OK 74955-4600

Phone

(918) 223-3664

NPI assigned

Mar 18, 2011

Last updated

Mar 21, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sallisaw Medical Clinic LLC

  • Family Medicine Physician
  • Sallisaw, OK
  • NPI 1306118377
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1427357243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 622",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749550622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E CHEROKEE AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749554600",
            "telephone_number": "918-223-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POITEVINT",
        "first_name": "AMELIA",
        "middle_name": "LEIGH",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Platte Dialysis LLC (Redbird Smith Dialysis)
• Pluma Care Private Duty Services, LLC.
• Pmo Medical PLLC
• Ava Lee Poindexter, FWSP
• Shellie Poindexter
• Jamie Pool
• Barbara Poor
• Professional Provider Care, Inc. (Professional Provider Care)
• Progressive Therapy Solutions LLC
• Purvell Inc (Focus Behavioral Health)

• Contractor in Sallisaw, OK
• Providers in Sallisaw, OK by specialty
• Contractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.