Ila Seaton, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

ILA SEATON, LLC

Doing business as

Willow Haven

Practice address

1301 N 5TH St
Tonkawa, OK 74653-1513

Phone

(580) 628-2529

Fax

(580) 628-9066

NPI assigned

Aug 27, 2009

Last updated

Sep 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ila M Seaton

Title

Member

Phone

(918) 645-5905

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Willow Haven Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rodger Brannon Spillars, M.D.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1679508568
  NPD (past)

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1689807414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 990",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730830990",
            "telephone_number": "405-285-8166",
            "fax_number": "405-285-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N 5TH ST",
            "city": "TONKAWA",
            "state": "OK",
            "postal_code": "746531513",
            "telephone_number": "580-628-2529",
            "fax_number": "580-628-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILA SEATON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "SEATON",
        "authorized_official_first_name": "ILA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "918-645-5905"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200255140A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Haven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gipson and Base at Willow Haven LLC
• Genevieve E Glasgow, RN
• Patricia Ann Marie Hall, LADC, CM
• Harold R Hutton II, D.PH.
• Hutton Pharmacy #2 Inc
• JT Health LLC (JT Health Clinic)
• Jenna-Lyn Klufa, NP-C
• Rachel Ann Kreger, RN
• Deann Dae Lanman, MSN, APRN, FNP, BC
• Summer McClure, LAT, ATC

• Nursing Facility/Intermediate Care Facility in Tonkawa, OK
• Providers in Tonkawa, OK by specialty
• Nursing Facility/Intermediate Care Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.