DR. BRADLEY RUSSELL MONS (NPI# 1134336373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134336373 |
Entity Type | Individual |
Full Name | DR. BRADLEY RUSSELL MONS |
Credential | D.O. |
Practice Address |
2000 S Wheeling Ave Ste 900 Tulsa OK 74104-5647 |
Practice Telephone | 9184033065 |
Practice Fax Number | 9184036284 |
Mailing Telephone | 9184033065 |
Mailing Fax Number | 9184036284 |
Enumeration Date | 2007-05-17 |
Last Update Date | 2018-10-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Y00000X | Otolaryngology | 57565 | WI | Allopathic & Osteopathic Physicians |
N | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
OS014959 | PA | Allopathic & Osteopathic Physicians |
Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
5413 | OK | Allopathic & Osteopathic Physicians |
N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
57565 | WI | Allopathic & Osteopathic Physicians |
Street Address |
2000 S WHEELING AVE STE 900 |
City | TULSA |
State | OK |
Zip Code | 74104-5647 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013132299 | Sally E Harris | Nurse Practitioner | 2000 S Wheeling Ave Ste 900, Tulsa, OK 74104-5647 | 2007-04-14 |
1679128672 | Blake Alexander Hanson | Physician Assistant | 2000 S Wheeling Ave Ste 900, Tulsa, OK 74104-5647 | 2019-08-06 |
1467821009 | Changxing Liu | Otolaryngology | 2000 S Wheeling Ave Ste 900, Tulsa, OK 74104-5647 | 2015-09-24 |
1497151922 | Blake Wesley Johnson | Physician Assistant | 2000 S Wheeling Ave Ste 900, Tulsa, OK 74104-5647 | 2014-11-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
Find all providers in zip 74104 |
Taxonomy Code | 207YS0123X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Facial Plastic Surgery |
An otolaryngologist who specializes in facial plastic surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972817054 | Scott P. Reeder | Otolaryngology | 9001 S 101st East Ave Ste 280, Tulsa, OK 74133-5711 | 2010-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356674451 | Wendy D Mcconnell | Otolaryngology | 1608 Professional Cir, Yukon, OK 73099-6314 | 2009-09-08 |
1285667295 | Premal Khetia | Otolaryngology | 1023 E Cherry St, Suite B, Cushing, OK 74023-4105 | 2006-07-10 |
1578865416 | Patrick Cody Buchanan | Otolaryngology | 800 W Boise Cir, Suite 320, Broken Arrow, OK 74012-4906 | 2010-11-29 |
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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.