MR. CALEB MCKENZIE SEVERNS (NPI# 1043671365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043671365 |
| Entity Type | Individual |
| Full Name | MR. CALEB MCKENZIE SEVERNS |
| Practice Address |
1705 E 19th St Ste 302 Tulsa OK 74104-5410 |
| Practice Telephone | 9187487585 |
| Practice Fax Number | 9184036352 |
| Mailing Telephone | 9187487585 |
| Mailing Fax Number | 9184036352 |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2019-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 6253 | OK | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 6253 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
1705 E 19TH ST STE 302 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-5410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437105400 | Ian L Carroll | Internal Medicine | 1705 E 19th St Ste 302, Tulsa, OK 74104-5410 | 2006-05-25 |
| 1922622869 | Emily Suku | Nurse Practitioner | 1705 E 19th St Ste 302, Tulsa, OK 74104-5410 | 2020-06-06 |
| 1720614373 | Michelle Diane Rivera | Nurse Practitioner | 1705 E 19th St Ste 302, Tulsa, OK 74104-5410 | 2020-03-16 |
| 1871134502 | Anita Raquel Ramirez | Physician Assistant | 1705 E 19th St Ste 302, Tulsa, OK 74104-5410 | 2019-10-03 |
| 1831740059 | Grant Avery Robison | Physician Assistant | 1705 E 19th St Ste 302, Tulsa, OK 74104-5410 | 2019-09-29 |
| 1235692443 | Andrew Michael Finley | Nurse Practitioner | 1705 E 19th St Ste 302, Tulsa, OK 74104-5410 | 2019-04-13 |
| 1154857043 | David Mcvay | Family Medicine | 1705 E 19th St Ste 302, Tulsa, OK 74104-5410 | 2017-05-11 |
| 1538695192 | Amritanshu Singh | Internal Medicine | 1705 E 19th St Ste 302, Tulsa, OK 74104-5410 | 2017-05-02 |
| 1134653926 | Ezekiel Wang | Family Medicine | 1705 E 19th St Ste 302, Tulsa, OK 74104-5410 | 2017-04-18 |
| 1922530716 | Elizabeth Tran | Hospitalist | 1705 E 19th St Ste 302, Tulsa, OK 74104-5410 | 2017-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
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| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598284424 | Zs Medical Services Inc | Hospitalist | 1145 S Utica Ave Ste 460, Tulsa, OK 74104-4041 | 2017-09-12 |
| 1487172623 | Tulsa Micro Hospital, LLC | Hospitalist | 717 West 71st Street, Tulsa, OK 74132 | 2017-09-08 |
| 1275069320 | Cassidy Weiheng Tang | Hospitalist | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2017-05-11 |
| 1922530716 | Elizabeth Tran | Hospitalist | 1705 E 19th St Ste 302, Tulsa, OK 74104-5410 | 2017-03-30 |
| 1346780988 | Kelly Eileen Natarajan | Hospitalist | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2017-03-01 |
| 1467907840 | Shoeb Mohammed | Hospitalist | 1145 S Utica Ave Ste 460, Tulsa, OK 74104-4041 | 2016-08-16 |
| 1043661499 | Yanming Chen | Hospitalist | 1145 S Utica Ave Ste 460, Tulsa, OK 74104-4041 | 2016-06-27 |
| 1295198620 | Dharshan K Lakshminarayan | Hospitalist | 1145 S Utica Ave, Ste 460, Tulsa, OK 74104-4041 | 2016-04-02 |
| 1134504129 | Gulshan Dangol | Hospitalist | 1145 S Utica Ave Ste 460, Tulsa, OK 74104-4041 | 2015-07-20 |
| 1912384066 | Amanda Lucashu | Hospitalist | 1705 E 19th St Ste 302, Tulsa, OK 74104-5410 | 2015-04-28 |
| Find all providers in TULSA | ||||
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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.