DR. WESLEY M STOTLER (NPI# 1013984251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013984251 |
Entity Type | Individual |
Full Name | DR. WESLEY M STOTLER |
Credential | DO |
Practice Address |
4802 S 109th East Ave Tulsa OK 74146-5822 |
Mailing Address |
4802 S 109th E Avenue Tulsa OK 74146 |
Practice Telephone | 9183921400 |
Practice Fax Number | 9183921488 |
Mailing Telephone | 9183921400 |
Mailing Fax Number | 9183921488 |
Enumeration Date | 2006-03-07 |
Last Update Date | 2016-04-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
3496 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100108290A | 05 | |
OK | RAILROAD MEDICARE | 200045047 | 01 |
Street Address |
4802 S 109TH EAST AVE |
City | TULSA |
State | OK |
Zip Code | 74146-5822 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275500415 | Jaafar M Bazih | Orthopaedic Surgery | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2006-03-07 |
1285294710 | Tbj Advanced Care LLC | Orthopaedic Surgery | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2019-06-17 |
1003391905 | Rebecca Holland | Physician Assistant | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2018-09-27 |
1730685314 | Johnathon David Millwee | Specialist/Technologist | 4802 S 109th East Ave, Tulsa, OK 74146 | 2018-04-03 |
1124400064 | Craig Stewart | Physical Therapist | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2015-06-28 |
1396155222 | Rey Amezquita | Orthotist | 4802 S 109th East Ave, Brace Shop, Tulsa, OK 74146-5822 | 2014-04-30 |
1700223070 | Thomas Calvin Blair IIi | Physical Therapist | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2013-05-28 |
1396082137 | Ashley Linn Legg | Physician Assistant | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2013-01-14 |
1417251372 | Luis Hernandez | Physician Assistant | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2011-01-06 |
1720306277 | Jason Griffin | Orthopaedic Surgery | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2010-05-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
1184158404 | Alexis Lauren Allen | Case Manager/Care Coordinator | 9820 E 41st St #400, Tulsa, OK 74146 | 2017-04-13 |
1578995908 | Adrian Gheorghe Butuc | Massage Therapist | 5635 S Mingo #b, Tulsa, OK 74146 | 2013-08-08 |
1336587088 | Tulsa Cancer Institute, Pllc | Obstetrics & Gynecology | 12697 E. 51st St. South, Tulsa, OK 74146 | 2013-06-04 |
1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
1619232972 | Diagnostic Imaging Associates | General Acute Care Hospital | 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 | 2012-07-11 |
1790046654 | Aundra Lamar Fuller | Behavioral Analyst | 10922 E. 39th St., Tulsa, OK 74146 | 2012-06-06 |
1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
1922307958 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5115 S. 122nd East Ave., Suite 204, Tulsa, OK 74146 | 2011-03-16 |
Find all providers in zip 74146 |
Taxonomy Code | 207XX0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Foot and Ankle Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689876435 | Joel Mark Davis | Orthopaedic Surgery | 941 W I 35 Frontage Rd Ste 164, Edmond, OK 73034-7375 | 2007-06-04 |
1316987217 | John Ryan Gallagher | Orthopaedic Surgery | 3216 N Main St, Altus, OK 73521-1307 | 2006-06-08 |
1063045516 | Joel M Davis Md Phd Pllc | Orthopaedic Surgery | 941 W I 35 Frontage Rd Ste 164, Edmond, OK 73034-7375 | 2020-02-12 |
1477653293 | Ryan Gallagher Pllc | Orthopaedic Surgery | 3216 N Main St, Altus, OK 73521-1307 | 2006-09-22 |
1306854765 | Orthopaedic and Sports Medicine Center-norman, P.C. | Orthopaedic Surgery | 825 E Robinson St, Norman, OK 73071-6610 | 2006-08-03 |
1598761736 | Joseph Grillo | Orthopaedic Surgery | 1044 S.w. 44th St., Oklahoma City, OK 73109 | 2005-06-22 |
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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.