WYATT HO (NPI# 1023245578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023245578 |
| Entity Type | Individual |
| Full Name | WYATT HO |
| Credential | MD |
| Practice Address |
6465 S Yale Ave Suite 101 Tulsa OK 74136-7823 |
| Mailing Address |
6600 S Yale Ave Suite 1400 Tulsa OK 74136-3347 |
| Practice Telephone | 9185027175 |
| Practice Fax Number | 9185027180 |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2018-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 27240 | OK | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 27240 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200294390A | 05 |
| Street Address |
6465 S YALE AVE SUITE 101 |
| City | TULSA |
| State | OK |
| Zip Code | 74136-7823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659372878 | Jere Davies Cravens | Pediatrics | 6465 S Yale Ave, #715, Tulsa, OK 74136-7822 | 2005-08-10 |
| 1063958130 | Angela Dawn July | Nurse Practitioner | 6465 S Yale Ave, Suite 507, Tulsa, OK 74136-7823 | 2017-01-13 |
| 1912378050 | Maryanne Bolt | Nurse Practitioner | 6465 S Yale Ave, Suite 1002, Tulsa, OK 74136-7823 | 2015-10-15 |
| 1558747295 | Jo Pongsatien | Optometrist | 6465 S Yale Ave, Ste 215, Tulsa, OK 74136-7823 | 2015-08-05 |
| 1376960799 | Monica Broussard | Physician Assistant | 6465 S Yale Ave, Suite 420, Tulsa, OK 74136-7823 | 2014-03-24 |
| 1114348422 | Tia Alexis Christ | Nurse Practitioner | 6465 S Yale Ave, Suite 704, Tulsa, OK 74136-7823 | 2014-01-05 |
| 1053740050 | Osteopathic Physicians of Tulsa, Inc | Internal Medicine | 6465 S Yale Ave, Ste 401, Tulsa, OK 74136-7823 | 2013-11-11 |
| 1063851863 | Jennifer Christina Craig | Specialist/Technologist, Other | 6465 S Yale Ave, Suite 900, Tulsa, OK 74136-7823 | 2013-06-14 |
| 1841546637 | Alexandria Nicole Fifer | Nurse Practitioner | 6465 S Yale Ave, Suite 704, Tulsa, OK 74136-7823 | 2012-07-30 |
| 1457618613 | Kristy Kay Martin | Clinical Nurse Specialist | 6465 S Yale Ave, Suite 507, Tulsa, OK 74136-7823 | 2012-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036521 | Tulsa Oklahoma Plastic Surgery | Plastic Surgery | 2448 E 81st St Ste 1000, Tulsa, OK 74137-4250 | 2020-09-03 |
| 1598087249 | Paul R Callegari Md PC | Plastic Surgery | 6585 S. Yale, Suite 1050, Tulsa, OK 74136-8330 | 2010-02-23 |
| 1134381684 | Timothy Lloyd Browne | Plastic Surgery | 6465 S Yale Ave Ste 101, Tulsa, OK 74136-7803 | 2008-06-26 |
| 1851598320 | Lesley Vaughn Landis | Plastic Surgery | 2000 S Wheeling Ave Ste 100, Williams Medical Plaza, Tulsa, OK 74104-5643 | 2007-06-28 |
| 1396772935 | Brian Kent | Plastic Surgery | 9206 S Toledo Ave, Suite 150, Tulsa, OK 74137-2755 | 2006-06-27 |
| 1508861378 | Eugene Bradley Garber Jr. | Plastic Surgery | 1784 S Utica Ave, Tulsa, OK 74104-5336 | 2005-06-16 |
| 1043613300 | Brian Kent Md Inc PC | Plastic Surgery | 9206 S Toledo Ave, Suite 150, Tulsa, OK 74137-2754 | 2014-10-01 |
| 1265871800 | Oklahoma Wound Care, P.C. | Plastic Surgery | 10912 E 14th St, Tulsa, OK 74128-4845 | 2013-06-17 |
| 1124150032 | Mark L Mathers | Plastic Surgery | 1844 E 15th St, Tulsa, OK 74104-4611 | 2007-03-09 |
| 1801937370 | Kevin Paul Kunkel | Plastic Surgery | 6465 S Yale Ave, Suite 811, Tulsa, OK 74136-7823 | 2007-02-09 |
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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.