LARRY D. MCKENZIE (NPI# 1003875212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003875212 |
Entity Type | Individual |
Full Name | LARRY D. MCKENZIE |
Credential | DO |
Practice Address |
10109 E 79th St Tulsa OK 74133-4564 |
Practice Telephone | 9182865000 |
Practice Fax Number | 9182497517 |
Mailing Telephone | 9182865000 |
Mailing Fax Number | 9182497532 |
Enumeration Date | 2006-03-17 |
Last Update Date | 2014-09-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
3116 | OK | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | 3116 | OK | Allopathic & Osteopathic Physicians |
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
3116 | OK | Allopathic & Osteopathic Physicians |
Street Address |
10109 E 79TH ST |
City | TULSA |
State | OK |
Zip Code | 74133-4564 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235127440 | Julia D Matejec | Pharmacist | 10109 E 79th St, Inpatient Pharmacy, Tulsa, OK 74133-4564 | 2005-10-11 |
1598388506 | Talitha Jacobs | Respiratory Therapist, Registered | 10109 E 79th St, Tulsa, OK 74133-4564 | 2020-05-26 |
1407475890 | Kathyrn Bandy | 10109 E 79th St, Tulsa, OK 74133-4564 | 2020-04-15 | |
1609429034 | Mark Van Holt | Pharmacist | 10109 E 79th St, Tulsa, OK 74133-4564 | 2019-07-24 |
1982160461 | Karlie Ann Collins | Counselor | 10109 E 79th St, Tulsa, OK 74133-4564 | 2019-02-20 |
1528539475 | Angel Marie Allen | Nurse Practitioner | 10109 E 79th St, Tulsa, OK 74133-4564 | 2018-12-17 |
1841775947 | Stacy Lynn Newberry | Nurse Practitioner | 10109 E 79th St, Tulsa, OK 74133-4564 | 2018-09-25 |
1922599133 | Steven Christopher Dobbs | Pharmacist | 10109 E 79th St, Tulsa, OK 74133-4564 | 2018-05-23 |
1184129991 | Kalli Castille | Dietitian, Registered | 10109 E 79th St, Tulsa, OK 74133-4564 | 2018-03-26 |
1538664289 | Jessica Smith | Dietitian, Registered | 10109 E 79th St, Tulsa, OK 74133-4564 | 2018-03-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
Find all providers in zip 74133 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013525898 | Adaptive Pain Management LLC | Pain Medicine | 6703 E 81st St Ste E-1, Tulsa, OK 74133-4153 | 2020-07-17 |
1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
1255810321 | Covenant Pain Management Clinic | Pain Medicine | 7615 E 63rd Pl Ste 104, Tulsa, OK 74133-1231 | 2018-08-09 |
1912297805 | Samuel Clayton Korbe | Pain Medicine | 6565 S Yale Ave Ste 803, Tulsa, OK 74136-8309 | 2011-04-12 |
1184606550 | Bhadresh L Bhakta | Pain Medicine | 8556 E 101st St, Suite A, Tulsa, OK 74133-7033 | 2005-11-18 |
1255941423 | Procedural Pain Management LLC | Pain Medicine | 9906 Riverside Pkwy, Tulsa, OK 74137-7409 | 2020-08-03 |
1235785593 | Oklahoma Commons Surgery Center, LLC | Pain Medicine | 1844 E 15th St, Tulsa, OK 74104-4611 | 2019-08-13 |
1194138412 | Advance Invasive Pain Management of Tulsa | Pain Medicine | 5018 E 68th St, 200, Tulsa, OK 74136-3367 | 2014-06-04 |
1174824304 | Tulsa Pain Consultants, Inc. | Pain Medicine | 2000 S Wheeling Ave, Suite 600, Tulsa, OK 74104-5649 | 2010-11-04 |
1841489333 | Pain Diagnosis and Treatment Center, Pllc | Pain Medicine | 8556 E 101st St, Suite A, Tulsa, OK 74133-7033 | 2007-10-19 |
Find all providers in TULSA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.