DR. COTY WAYNE JEWELL (NPI# 1063621381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063621381 |
| Entity Type | Individual |
| Full Name | DR. COTY WAYNE JEWELL |
| Credential | MD |
| Practice Address |
5224 E I 240 Service Rd Ste 100 Oklahoma City OK 73135-2607 |
| Mailing Address |
7800 Nw 85th Ter Oklahoma City OK 73132-3385 |
| Practice Telephone | 4056083800 |
| Practice Fax Number | 4052425918 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
30973 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
5224 E I 240 SERVICE RD STE 100 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73135-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760588545 | Vivek J Bhaktaram | Internal Medicine | 5224 E I 240 Service Rd Ste 100, Oklahoma City, OK 73135-2607 | 2006-09-16 |
| 1083185813 | Anne Elizabeth Love | Registered Nurse | 5224 E I 240 Service Rd Ste 100, Oklahoma City, OK 73135-2607 | 2018-12-05 |
| 1467868349 | Carey Bartnicki | Registered Nurse | 5224 E I 240 Service Rd Ste 100, Oklahoma City, OK 73135-2607 | 2014-07-11 |
| 1831344662 | Paul James Garabelli | Internal Medicine | 5224 E I 240 Service Rd Ste 100, Oklahoma City, OK 73135-2607 | 2008-11-20 |
| 1215062799 | Nabhan Alnabhan | Internal Medicine | 5224 E I 240 Service Rd Ste 100, Oklahoma City, OK 73135-2607 | 2007-02-23 |
| 1902947534 | Soni J Zacharias | Internal Medicine | 5224 E I 240 Service Rd Ste 100, Oklahoma City, OK 73135-2607 | 2007-02-08 |
| 1932258803 | Kevin W Miller | Internal Medicine | 5224 E I 240 Service Rd Ste 100, Oklahoma City, OK 73135-2607 | 2007-01-09 |
| 1053409946 | Parker Kim Truong | Internal Medicine | 5224 E I 240 Service Rd Ste 100, Oklahoma City, OK 73135-2607 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182065 | Ifeoluwa Ochuwa Idode | Case Manager/Care Coordinator | 8135 Bigwood Drive, Oklahoma City, OK 73135 | 2020-10-19 |
| 1295359248 | Optimum Complete Care, Pllc | Emergency Medicine | 5200 E. Interstate 240 Service Rd., Oklahoma City, OK 73135 | 2020-06-05 |
| 1649802117 | Everest Rehabilitation Hospital Okc, LLC | Rehabilitation Hospital | 7900 Midamerica Blvd, Oklahoma City, OK 73135 | 2020-02-12 |
| 1225592496 | Crimson Spire Pharmacy | Pharmacy | 5600 S.e. 67 Str, Suite A, Okc, OK 73135 | 2019-01-22 |
| 1285174201 | Yizhen Elizabeth Liu | Student in an Organized Health Care Education/Training Program | 1040, 7050 S Air Depot Blvd, Tinker Afb, OK 73135 | 2017-02-24 |
| 1891149647 | Daniel Enriquez | General Practice | 1040 7050 S Air Depot Blvd, Oklahoma City, OK 73135 | 2016-04-18 |
| 1215302641 | Darryl English II | Case Management | 4328 S.e. 46th Street Apt#160, Oklahoma City, OK 73135 | 2015-12-10 |
| 1063838639 | Charles Lloyd Wilson | Hospitalist | Mercy South, 5200 E I-240 Service Road, Oklahoma City, OK 73135 | 2014-03-06 |
| 1669809877 | Bodyworx Physical Therapy, Pllc | Physical Therapist | 5617 S. E. 67th Street, Oklahoma City, OK 73135 | 2013-10-02 |
| 1578815262 | Kenyatta Lampley | Behavioral Analyst | 5712 Se 86th, Oklahoma City, OK 73135 | 2012-10-05 |
| Find all providers in zip 73135 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255560439 | Cliona Murphy | Internal Medicine | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2009-07-08 |
| 1770773491 | Sean Michael Halleran | Internal Medicine | 3433 Nw 56th St, Ste 400, Oklahoma City, OK 73112-4455 | 2007-07-30 |
| 1043350275 | Jack L. Collier | Internal Medicine | 4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120-8382 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013063635 | Royce Lee Bargas | Internal Medicine | 3839 S Boulevard Ste 100, Edmond, OK 73013 | 2007-01-26 |
| 1447269725 | Joseph J Gard | Internal Medicine | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2006-08-05 |
| 1730673906 | Royce L Bargas Do LLC | Internal Medicine | 3839 S Boulevard Ste 100, Edmond, OK 73013-5580 | 2018-06-20 |
| 1407016694 | Siva Kumar R. Soma | Internal Medicine | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 2008-06-11 |
| 1356472583 | Craig Steven Cameron | Internal Medicine | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 2007-03-08 |
| 1063541043 | Gregory Alexander Cogert | Internal Medicine | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 2007-03-05 |
| 1922023951 | Mark Milton | Internal Medicine | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2006-07-12 |
| 1750326682 | Heart Rhythm Institute of Oklahoma, P.C. | Internal Medicine | 6465 S Yale Ave, Suite 202, Tulsa, OK 74136-7822 | 2006-06-17 |
| City | OKLAHOMA CITY |
| Zip Code | 73135 |
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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.