DR. WESLEY M STOTLER


Address: 4802 S 109th East Ave, Tulsa, OK 74146-5822
Phone: 9183921400

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
3496 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK 100108290A 05
OK RAILROAD MEDICARE 200045047 01

Office Location

Street Address 4802 S 109TH EAST AVE
City TULSA
State OK
Zip Code 74146-5822

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207XX0004X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Foot and Ankle Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and state

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

Competitor

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City TULSA
Zip Code 74146

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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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