Grant David Neugin
Case Manager/Care Coordinator in Tahlequah, OK. Individual provider (NPI-1).
NPI number1013548486
StatusActive
Last updated in NPPESFeb 4, 2020
Details
- NPI
- 1013548486
- Entity type
- Individual (NPI-1)
- Name
- Grant David Neugin
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 4, 2020
- Certification date
- Feb 4, 2020
- Last updated
- Feb 4, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
22758 S 494 RdTahlequah, OK 74464-1631
Phone 918-772-0696
Mailing address
22758 S 494 RdTahlequah, OK 74464-1631
Phone 918-772-0696
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 101 Case Manager/Care Coordinator providers in Tahlequah · All 1,444 providers in Tahlequah
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