JESUS E MEDINA (NPI# 1033187513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033187513 |
| Entity Type | Individual |
| Full Name | JESUS E MEDINA |
| Credential | MD |
| Practice Address |
825 Ne 10th St # 4200 Oklahoma City OK 73104-5417 |
| Mailing Address |
1122 Ne 13th St Ori236 Oklahoma City OK 73117-1039 |
| Practice Telephone | 4052717559 |
| Mailing Telephone | 4052711515 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2018-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | 14989 | OK | Allopathic & Osteopathic Physicians |
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
14989 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831394972 | Jesus Tomas Medina Jr. | Chiropractor | 1111 N 10th St Ste C, Mcallen, TX 78501-4307 | 2007-06-19 |
| 1134214067 | Jesus Medina Jr. | Dentist | 2911 N Tenaya Way Ste 101, Las Vegas, NV 89128-0488 | 2006-10-04 |
| 1497855563 | Jesus M Medina | Dentist | 11868 Bandera Rd, Helotes, TX 78023-4132 | 2006-09-25 |
| 1215592357 | Jesus Medina IIi | Pharmacist | 1550 E Lincoln Way, Sparks, NV 89434-8989 | 2019-05-03 |
| 1245740323 | Jesus Medina | Counselor | 225 37th Ave, San Mateo, CA 94403-4324 | 2017-10-03 |
| 1922169085 | Jesus Miguel Medina | Rehabilitation Counselor | 2858 Olive Highway, Suites A B & C, Oroville, CA 95966 | 2006-12-13 |
| Street Address |
825 NE 10TH ST # 4200 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-5417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962697987 | Perry M. Santos Md | Otolaryngology | 3435 Nw 56th St, Bldg A, Suite 412, Oklahoma City, OK 73112-4448 | 2007-09-12 |
| 1982721098 | Jose Antonio Sanclement | Otolaryngology | 825 Ne 10th, Suite 4200, Oklahoma City, OK 73104 | 2007-03-23 |
| 1457441180 | Oklahoma City Ear, Nose & Throat Clinic, PC | Otolaryngology | 535 Nw 9th St, Suite 300, Oklahoma City, OK 73102-1068 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811058407 | W Wes Mcfarland | Otolaryngology | 4444 S Harvard Ave, #100, Tulsa, OK 74135-2634 | 2006-12-13 |
| 1518028125 | Ear Nose & Throat Clinic of Tulsa, Inc | Otolaryngology | 4444 S Harvard Ave, #100, Tulsa, OK 74135-2634 | 2006-12-13 |
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
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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.