Stephen M Treadwell

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2909 Issued in OK

Legal business name

STEPHEN M TREADWELL

Doing business as

Stephen Treadwell, DO

Practice address

11053 State Highway 76
Healdton, OK 73438

Phone

(580) 229-0313

Fax

(580) 229-2045

NPI assigned

Dec 28, 2006

Last updated

Jun 21, 2018By 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

Stephen Treadwell, DO

Title

Owner

Phone

(580) 229-0313

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stephen Treadwell, DO Doing business as

Locations

Practitioners 2

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.

• Kelsey Lynn Bates, APRN-CNP

  • Family Nurse Practitioner
  • Healdton, OK
  • NPI 1912510777
  NPD (past)
• Heather L Easley, PA-C

  • Physician Assistant
  • Dallas, TX
  • NPI 1790721934
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1982760658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276",
            "city": "HEALDTON",
            "state": "OK",
            "postal_code": "734380276",
            "telephone_number": "580-229-0313",
            "fax_number": "580-229-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11053 STATE HIGHWAY 76",
            "city": "HEALDTON",
            "state": "OK",
            "postal_code": "73438",
            "telephone_number": "580-229-0313",
            "fax_number": "580-229-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN M TREADWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "TREADWELL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-229-0313",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4456897818",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen Treadwell, DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassie Joann Morrow
• Mark Wayne Newey, D.O.
• Jessica Jeannine Perkins, APRN-CNP
• Julie Ann Sigl, PA-C
• McKotah Brice Smith, PA
• TPCH PLLC
• Stephen Treadwell, DO
• Vanchai Vongchanyakul, PA

• Family Medicine Physician in Healdton, OK
• Providers in Healdton, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.