CLELL W POND (NPI# 1093795510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093795510 |
| Entity Type | Individual |
| Full Name | CLELL W POND |
| Credential | DO |
| Practice Address |
8801 S 101st East Ave Tulsa OK 74133-5716 |
| Mailing Address |
Po Box 5358 Norman OK 73070-5358 |
| Practice Telephone | 9182944000 |
| Mailing Telephone | 8663218433 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
3484 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100096560C | 05 |
| Street Address |
8801 S 101ST EAST AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74133-5716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972509727 | Wayne Joseph Gartner | Nurse Anesthetist, Certified Registered | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2005-06-27 |
| 1932727047 | Ashley Rae Flowers | Student in an Organized Health Care Education/Training Program | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2020-07-07 |
| 1023669694 | Heather Nicole Chase | Physician Assistant | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2019-09-25 |
| 1194285825 | Kerri Francis | Dietitian, Registered | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2019-03-20 |
| 1194227744 | Ashley L Wallace | Registered Nurse | 8801 S 101st East Ave, Tulsa, OK 74133 | 2018-02-28 |
| 1174034003 | Teresa Kathryn Hundley | Nurse Practitioner | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2017-10-18 |
| 1043751241 | Mallory Crutchfield | Dietitian, Registered | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2017-03-20 |
| 1548701949 | Jennifer T Watkins | Dietitian, Registered | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2017-03-17 |
| 1013456326 | Ahs Southcrest Hospital, LLC | Dietitian, Registered | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2017-02-20 |
| 1124564075 | Emily Hutchinson | Nurse Practitioner | 8801 S 101st East Ave, Tulsa, OK 74133-5716 | 2017-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326149048 | Nadim N Daher | Emergency Medicine | 802 S Jackson Ave Ste 310, Tulsa, OK 74127-9057 | 2006-09-26 |
| 1134186299 | Boyd David Burns | Emergency Medicine | 4502 E. 41st St, Tulsa, OK 74135-9923 | 2006-05-01 |
| 1649235532 | Stephen R Gilliland | Emergency Medicine | 8813 S 71st East Ave, Tulsa, OK 74133-5056 | 2006-04-20 |
| 1841260015 | Joseph M. Nicholson IIi | Emergency Medicine | 1435 S Utica Ave, Tulsa, OK 74104-4649 | 2006-01-23 |
| 1225018757 | Stanley R Stacy | Emergency Medicine | 7153 S Yale Ave, Tulsa, OK 74136-6308 | 2006-01-19 |
| 1255321162 | Joe D Sagely | Emergency Medicine | 1217 E 48th St, Tulsa, OK 74105 | 2005-10-24 |
| 1245220144 | Jason A. Logan | Emergency Medicine | 7600 S Lewis Ave, Tulsa, OK 74136-6836 | 2005-10-24 |
| 1558359505 | Richard P Holsopple II | Emergency Medicine | 1717 S Utica Ave Ste A, Tulsa, OK 74104-5346 | 2005-10-12 |
| 1508424755 | Tulsa Ep, Pllc | Emergency Medicine | 717 W. 71st Street, Tulsa, OK 74132 | 2019-06-03 |
| 1063801660 | John Clay Bowen | Emergency Medicine | 1717 S Utica Ave Ste A, Tulsa, OK 74104-5346 | 2015-01-20 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on CLELL W POND.
| 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.