LARRY D. MCKENZIE


Address: 10109 E 79th St, Tulsa, OK 74133-4564
Phone: 9182865000

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 10109 E 79TH ST
City TULSA
State OK
Zip Code 74133-4564

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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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City TULSA
Zip Code 74133

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Dataset Information

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.

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