DR. KEVIN SUE WEIBEL (NPI# 1104864016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104864016 |
| Entity Type | Individual |
| Full Name | DR. KEVIN SUE WEIBEL |
| Credential | D.O. |
| Practice Address |
12697 E 51st St Tulsa OK 74146-6236 |
| Practice Telephone | 9185053200 |
| Practice Fax Number | 9185053253 |
| Mailing Telephone | 9185053200 |
| Mailing Fax Number | 9185053253 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2014-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
2559 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
12697 E 51ST ST |
| City | TULSA |
| State | OK |
| Zip Code | 74146-6236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437148954 | Nathan Wilson Uy I | Radiology | 12697 E 51st St, Tulsa, OK 74146-6236 | 2005-10-18 |
| 1366904740 | Lisa Ann Bloxham | Registered Nurse | 12697 E 51st St, Tulsa, OK 74146-6236 | 2019-04-03 |
| 1093286635 | Monica Lee Davis | Dietitian, Registered | 12697 E 51st St, Tulsa, OK 74146-6236 | 2018-12-07 |
| 1558839472 | Rhonda Hilger | Nurse Practitioner | 12697 E 51st St, Tulsa, OK 74146-6236 | 2018-11-08 |
| 1871078535 | Cynthia Wise | Nurse Practitioner | 12697 E 51st St, Tulsa, OK 74146-6236 | 2018-09-28 |
| 1346790300 | Grace Ballew | Dietitian, Registered | 12697 E 51st St, Tulsa, OK 74146-6236 | 2016-10-13 |
| 1700245420 | Osu Center for Health Sciences | Clinic/Center | 12697 E 51st St, Tulsa, OK 74146-6236 | 2016-02-23 |
| 1962876045 | Oklahoma Cancer Specialists and Research Institute LLC | Obstetrics & Gynecology | 12697 E 51st St, Tulsa, OK 74146-6236 | 2015-11-30 |
| 1851773444 | Sara Elizabeth White | Clinical Nurse Specialist | 12697 E 51st St, Tulsa, OK 74146-6236 | 2015-06-19 |
| 1659767549 | Taimezhaki Parker | Nurse Practitioner | 12697 E 51st St, Tulsa, OK 74146-6236 | 2015-04-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
| 1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
| 1184158404 | Alexis Lauren Allen | Case Manager/Care Coordinator | 9820 E 41st St #400, Tulsa, OK 74146 | 2017-04-13 |
| 1578995908 | Adrian Gheorghe Butuc | Massage Therapist | 5635 S Mingo #b, Tulsa, OK 74146 | 2013-08-08 |
| 1336587088 | Tulsa Cancer Institute, Pllc | Obstetrics & Gynecology | 12697 E. 51st St. South, Tulsa, OK 74146 | 2013-06-04 |
| 1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
| 1619232972 | Diagnostic Imaging Associates | General Acute Care Hospital | 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 | 2012-07-11 |
| 1790046654 | Aundra Lamar Fuller | Behavioral Analyst | 10922 E. 39th St., Tulsa, OK 74146 | 2012-06-06 |
| 1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
| 1922307958 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5115 S. 122nd East Ave., Suite 204, Tulsa, OK 74146 | 2011-03-16 |
| Find all providers in zip 74146 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730403882 | Oklahoma Oncology and Hematology, P.C. | Internal Medicine | 1810 E 15th St, Tulsa, OK 74104-4611 | 2010-03-18 |
| 1093782245 | John L. Eckenrode | Internal Medicine | 11212 E 48th St, Tulsa, OK 74146 | 2006-03-07 |
| 1255334496 | Barry Clinton Mirtsching | Internal Medicine | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2005-05-23 |
| 1376969378 | Oncology Physicians LLC | Internal Medicine | 7107 S Yale Ave, No,198, Tulsa, OK 74136-6308 | 2014-03-14 |
| 1568721033 | Jessica Ann Kreitzberg | Internal Medicine | 11212 E 48th St, Tulsa, OK 74146-5824 | 2012-05-03 |
| 1336406685 | Chelsea Nicole Thomas | Internal Medicine | 11212 E 48th St, Tulsa, OK 74146 | 2012-04-11 |
| 1669745667 | Amara Gayathri Nandikolla | Internal Medicine | 1245 S Utica Ave, Ste 100, Tulsa, OK 74104 | 2012-02-22 |
| 1083920425 | Nikhil Mukhi | Internal Medicine | 11212 E 48th St, Tulsa, OK 74146-5824 | 2010-08-24 |
| 1235398066 | Laura K Brett | Internal Medicine | 1809 E 13th St, Suite 402, Tulsa, OK 74104-4419 | 2008-06-06 |
| 1770790289 | Supriya Koya | Internal Medicine | 1919 S Wheeling Ave, Ste 204, Tulsa, OK 74104-5638 | 2007-05-16 |
| 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.