JEREMY BEARDEN (NPI# 1154380780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154380780 |
| Entity Type | Individual |
| Full Name | JEREMY BEARDEN |
| Credential | DO |
| Practice Address |
4500 S Garnett Rd Ste 919 Tulsa OK 74146-5229 |
| Practice Telephone | 9187286145 |
| Mailing Telephone | 9187286145 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2009-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4053 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
4500 S GARNETT RD STE 919 |
| City | TULSA |
| State | OK |
| Zip Code | 74146-5229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043205453 | Jonathan D Friend | Anesthesiology | 4500 S Garnett Rd, Ste 919, Tulsa, OK 74146-5229 | 2005-09-13 |
| 1326484163 | Charles Johnson | Radiology Practitioner Assistant | 4500 S Garnett Rd, Tulsa, OK 74146-5229 | 2013-05-20 |
| 1821355694 | Randy Scott Jordan | Radiology Practitioner Assistant | 4500 S Garnett Rd, Tulsa, OK 74146-5229 | 2012-04-18 |
| 1528370319 | Sindhura Alapati | Radiology | 4500 S Garnett Rd, Suite 919, Tulsa, OK 74146-5229 | 2010-07-08 |
| 1275776965 | Marcus Michael Brown | Radiology | 4500 S Garnett Rd, 300, Tulsa, OK 74146-5229 | 2009-04-11 |
| 1821233420 | Joel Evan Blackwood | Radiology Practitioner Assistant | 4500 S Garnett Rd, Suite 919, Tulsa, OK 74146-5229 | 2008-12-10 |
| 1053567784 | Christos Eugene Vassiliou | Radiology | 4500 S Garnett Rd, Ste 919, Tulsa, OK 74146-5229 | 2008-08-13 |
| 1588824759 | David L Carlston | Psychologist | 4500 S Garnett Rd, Suite 900, Tulsa, OK 74146-5229 | 2008-06-11 |
| 1518134352 | Patrick O'hayre II | Radiology | 4500 S Garnett Rd, Suite 300, Tulsa, OK 74146-5229 | 2008-05-12 |
| 1255537304 | Jeremy Scott Fullingim | Radiology | 4500 S Garnett Rd, Tulsa, OK 74146-5229 | 2007-06-25 |
| Find all providers in the same location | ||||
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457715799 | John Carl Sacra | Emergency Medicine | 7911 S. Hudson Pl, Tulsa, OK 74136 | 2016-04-13 |
| 1730568965 | Brianne C Roepke | Emergency Medicine | 744 West 9th St, Tulsa, OK 74127-9028 | 2015-05-20 |
| 1164818993 | Theresa Jackson | Emergency Medicine | 4629 E 13th Pl, Tulsa, OK 74112-6103 | 2015-04-08 |
| 1710371448 | Medexpress Urgent Care, PC - Oklahoma | Emergency Medicine | 2140 S Yale Avenue, Tulsa, OK 74114-2122 | 2015-03-19 |
| 1992148407 | Kevin Thomas Kierl | Emergency Medicine | 1145 S Utica Ave Fl 6, Tulsa, OK 74104-4000 | 2013-04-15 |
| 1467715300 | Mednow Urgent Care Center LLC | Emergency Medicine | 7127 S Olympia, Tulsa, OK 74132 | 2012-06-15 |
| 1437457009 | Matthew Jenkins | Emergency Medicine | 20 E 5th St Ste 620, Tulsa, OK 74103-4441 | 2011-03-07 |
| 1073819314 | Shane Marshall | Emergency Medicine | 4813 S 187th East Ave, Tulsa, OK 74134-7203 | 2011-02-03 |
| 1316178874 | Wyatt-dean Avery Pickering | Emergency Medicine | 1223 S Lawton Ave, Tulsa, OK 74127-9173 | 2009-08-01 |
| 1891959581 | Michael Richard Schiesel | Emergency Medicine | 1923 S Knoxville Ave, Tulsa, OK 74112-6841 | 2008-07-11 |
| 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.