KAVEH KERMANSHAHI (NPI# 1134190358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134190358 |
| Entity Type | Individual |
| Full Name | KAVEH KERMANSHAHI |
| Credential | MD |
| Practice Address |
10507 E 91st St Suite 310 Tulsa OK 74133-5790 |
| Mailing Address |
10507 E 91st St Suite 310 Tulsa OK 74133-5589 |
| Practice Telephone | 9183073200 |
| Practice Fax Number | 9183073210 |
| Mailing Telephone | 9183073200 |
| Mailing Fax Number | 9183073209 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2015-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 17717 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100103360A | 05 |
| Street Address |
10507 E 91ST ST SUITE 310 |
| City | TULSA |
| State | OK |
| Zip Code | 74133-5790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659803120 | Eclucenta, Inc | Nurse Practitioner | 10507 E 91st St, # 560, Tulsa, OK 74133-5589 | 2017-04-03 |
| 1134660988 | Elizabeth Catherine Lucenta | Nurse Practitioner | 10507 E 91st St, # 560, Tulsa, OK 74133-5589 | 2017-03-13 |
| 1275984072 | Osu Center for Health Sciences | Clinic/Center | 10507 E 91st St, Suite 150, Tulsa, OK 74133-5589 | 2016-06-23 |
| 1649631367 | Ritter Pediatrics | Pediatrics | 10507 E 91st St, Ste. 150, Tulsa, OK 74133-5589 | 2016-03-08 |
| 1699154096 | Kelli Mcnees | Nurse Practitioner | 10507 E 91st St, Suite 220, Tulsa, OK 74133-5589 | 2015-05-19 |
| 1932542891 | Eun Ho Ko | Family Medicine | 10507 E 91st St, Suite 550, Tulsa, OK 74133-5589 | 2013-04-10 |
| 1912240052 | Bradley Dwight Hardy | Family Medicine | 10507 E 91st St, Suite 550, Tulsa, OK 74133-5589 | 2013-03-27 |
| 1841551934 | Lee Marvin E Ramos | Obstetrics & Gynecology | 10507 E 91st St, Suite 250, Tulsa, OK 74133-5589 | 2012-06-05 |
| 1437431178 | Marjan Adib-yazdi | Nurse Practitioner | 10507 E 91st St, Suite 420, Tulsa, OK 74133-5790 | 2011-09-19 |
| 1104082908 | Sheba M Joseph | Family Medicine | 10507 E 91st St, Suite 250, Tulsa, OK 74133-5589 | 2008-07-31 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992347355 | Next Level Primary Care, Pllc | Family Medicine | 8905 E 34th St, Tulsa, OK 74145-3403 | 2019-10-16 |
| 1740751445 | Ernest Kaara Maina | Family Medicine | 3606 M.l.k. Jr Blvd, Tulsa, OK 74106 | 2018-12-07 |
| 1801373659 | Hygiea Healthcare Solutions, Inc. | Family Medicine | 7220 E 41st St, Tulsa, OK 74145-4504 | 2018-07-24 |
| 1760970875 | Antidote Medical Partners LLC | Family Medicine | 9220 S Toledo Ct Ste B, Tulsa, OK 74137-2745 | 2018-04-24 |
| 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 |
| 1992224349 | Elite Family Medicine LLC | Family Medicine | 3336 E 32nd St Ste 205, Tulsa, OK 74135-4454 | 2017-09-18 |
| 1881114874 | Care Driven Senior Care, Pllc | Family Medicine | 5821 E 46th St, Tulsa, OK 74135-6830 | 2017-06-21 |
| 1346779816 | Herman Gonzalez | Family Medicine | 1919 S Wheeling Ave, Lower Level, Bernsen Medical Plaza Suite 100, Tulsa, OK 74104-5420 | 2017-06-08 |
| 1003343831 | Robert Capehart | Family Medicine | 1110 E 18th St, Tulsa, OK 74120-7409 | 2017-05-11 |
| 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.