MAUREEN LEE CROTTY (NPI# 1073511648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073511648 |
Entity Type | Individual |
Full Name | MAUREEN LEE CROTTY |
Credential | DPM |
Practice Address |
3627 S Harvard Ave Tulsa OK 74135-2227 |
Practice Telephone | 9184942902 |
Practice Fax Number | 9184942905 |
Mailing Telephone | 9184942902 |
Mailing Fax Number | 9184942905 |
Enumeration Date | 2005-07-08 |
Last Update Date | 2017-06-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
154 | OK | Podiatric Medicine & Surgery Service Providers |
N | 213ER0200X |
Podiatrist Specialization: Radiology |
154 | OK | Podiatric Medicine & Surgery Service Providers |
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
154 | OK | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | DME NPI | 1720467483 | 01 |
OK | 100780270A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942205331 | Maureen A Crotty | Pediatrics | 2 Meehan Ln, Cumberland, RI 02864-1413 | 2005-06-14 |
Street Address |
3627 S HARVARD AVE |
City | TULSA |
State | OK |
Zip Code | 74135-2227 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720467483 | Metro Tulsa Foot & Ankle Specialist Pllc | Durable Medical Equipment & Medical Supplies | 3627 S Harvard Ave, Tulsa, OK 74135-2227 | 2015-05-27 |
1972608115 | Green Country Podiatry Center, P.C. | Podiatrist | 3627 S Harvard Ave, Tulsa, OK 74135-2227 | 2006-09-13 |
1134129158 | David Alan Francis | Podiatrist | 3627 S Harvard Ave, Tulsa, OK 74135 | 2005-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
Find all providers in zip 74135 |
Taxonomy Code | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013915701 | Jeff Robert Finkenstaedt | Podiatrist | 3540 East 31st, Suite 2, Tulsa, OK 74135-1526 | 2005-07-07 |
1588184014 | Newstep Plc | Podiatrist | 9306 S Toledo Ct Ste 200, Tulsa, OK 74137-2746 | 2017-06-26 |
1871783373 | Nathaniel E. Applegate | Podiatrist | 6160 S Yale Ave, Tulsa, OK 74136-1930 | 2007-07-31 |
1134129158 | David Alan Francis | Podiatrist | 3627 S Harvard Ave, Tulsa, OK 74135 | 2005-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235677121 | Brayderik Consulting | Podiatrist | 1607 S Muskogee Ave Ste C, Tahlequah, OK 74464-5440 | 2017-02-10 |
1669799441 | Patrick Paul Branagan | Podiatrist | 101 Rockefeller Dr Ste 204, Muskogee, OK 74401-5050 | 2010-05-03 |
1669642351 | John James Ditmars, Jr. Dpm PC | Podiatrist | 47 N Kimbell Rd, Yukon, OK 73099-2251 | 2008-03-10 |
1043496409 | John Andrew Maupin Jr. | Podiatrist | 705 Nw 57th St, Oklahoma City, OK 73118-5905 | 2008-01-16 |
1629072376 | Clifford D. Mcentire | Podiatrist | 1700 Exchange Ave, Oklahoma City, OK 73108-3021 | 2005-06-10 |
1699339804 | Oklahoma Mobile Podiatry Services LLC | Podiatrist | 3001 S Telephone Rd, Moore, OK 73160-2942 | 2019-04-24 |
1508117698 | Glacier Podiatry Clinics LLC | Podiatrist | 416 W 15th St, Suite 400b, Edmond, OK 73013-3747 | 2012-09-28 |
1407025323 | John K Cauthon D P M | Podiatrist | 1314 N Harville Rd, Duncan, OK 73533-1514 | 2008-02-25 |
1023286382 | John James Ditmars, Jr. Dpm, PC | Podiatrist | 1620 W Elm St, El Reno, OK 73036-4202 | 2008-02-20 |
1639137516 | Mike P Martin | Podiatrist | 1 Choctaw Way, Talihina, OK 74571-2022 | 2006-05-02 |
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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.