DR. DEREK A. IRWIN (NPI# 1184603300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184603300 |
| Entity Type | Individual |
| Full Name | DR. DEREK A. IRWIN |
| Credential | MD |
| Practice Address |
225 Ne 97th St Oklahoma City OK 73114-6302 |
| Mailing Address |
14275 Midway Rd Suite 400 Addison TX 75001-3614 |
| Practice Telephone | 4058422061 |
| Practice Fax Number | 4058423146 |
| Mailing Telephone | 2149328029 |
| Mailing Fax Number | 6102714245 |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2015-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
19794 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | BCBS | 731193626002 | 01 |
| AR | 154966001 | 05 | |
| OK | 100824700A | 05 |
| Street Address |
225 NE 97TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73114-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245219450 | Peter F Brumbaugh | Pathology | 225 Ne 97th St, Oklahoma City, OK 73114-6302 | 2006-01-16 |
| 1548412331 | Christine Vanbeek | Pathology | 225 Ne 97th St, #600, Oklahoma City, OK 73114-6302 | 2008-10-13 |
| 1861565533 | Jeffrey Don Bivens | Physician Assistant | 225 Ne 97th St, Suite 600, Oklahoma City, OK 73114-6302 | 2006-11-17 |
| 1851363253 | Diagnostic Pathology Services, Inc. | Clinical Medical Laboratory | 225 Ne 97th St, Suite 600, Oklahoma City, OK 73114-6302 | 2006-02-02 |
| 1467422683 | Paula J Rogers | Pathology | 225 Ne 97th St, Oklahoma City, OK 73114-6302 | 2006-01-23 |
| 1780663849 | Madhusudan G Rao | Pathology | 225 Ne 97th St, Oklahoma City, OK 73114-6302 | 2006-01-17 |
| 1396724464 | Alan J Stransky | Pathology | 225 Ne 97th St, Oklahoma City, OK 73114-6302 | 2006-01-17 |
| 1700865920 | Randal C Juengel | Pathology | 225 Ne 97th St, Oklahoma City, OK 73114-6302 | 2006-01-16 |
| 1780663906 | You Lu | Pathology | 225 Ne 97th St, Suite 234, Oklahoma City, OK 73114-6302 | 2006-01-16 |
| 1821077041 | Maria J Ochoa | Pathology | 225 Ne 97th St, Oklahoma City, OK 73114-6302 | 2006-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124669783 | Heather Williams | Occupational Therapist | 1404 Nw122nd St, Oklahoma City, OK 73114 | 2019-10-04 |
| 1477194033 | Shonta Jones | Technician | 10723 Norh Western, Apartment G, Oklahoma City, OK 73114 | 2019-10-04 |
| 1023537644 | Tracye Carter | Registered Nurse | 812 Nw 121 Terr, Oklahom City, OK 73114 | 2017-09-14 |
| 1003362849 | Randy Joshua Williamson | Behavioral Analyst | 101 Bainbridge Rd, Oklahoma City, OK 73114 | 2016-08-31 |
| 1427413368 | John Adrian Howard | Physical Therapist | 13100 N Western Ave Ste 302, Oklahoma City, OK 73114 | 2015-12-18 |
| 1497150197 | Payam Ishani Afousi | Dentist | 9405 N. Penn Place, Casady Square, Oklahoma City, OK 73114 | 2014-10-24 |
| 1922407386 | Kelvin Hughes | Counselor | 1400 Nw 105th Ter, Oklahoma City, OK 73114 | 2014-08-21 |
| 1285056887 | Malarie Jackson | Nurse Practitioner | 609 W. Memorial Rd., Oklahoma City, OK 73114 | 2014-01-16 |
| 1508108705 | Adam Liberty | Community/Behavioral Health | 428 N.w 81st, Oklahoma City, OK 73114 | 2013-03-26 |
| 1780926345 | Michelle D Hardimon | Behavioral Analyst | 700 Ne 122nd Apt 4509, Oklahoma City, OK 73114 | 2013-03-21 |
| Find all providers in zip 73114 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241481 | Sara Abu Mehsen | Pathology | 940 Stanton L Young Blvd Ste 451, Oklahoma City, OK 73104-5020 | 2020-07-02 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1457795270 | Wenyi Luo | Pathology | 1122 Ne 13th St # Ori236, Oklahoma City, OK 73117-1039 | 2013-04-23 |
| 1629399662 | Justin D. Jenkins | Pathology | 940 Sl Young Blvd, Wp 451, Oklahoma City, OK 73104-5020 | 2010-06-14 |
| 1366603953 | Rebecca S Simstein | Pathology | 940 Stanton L Young Blvd # 453, Oklahoma City, OK 73104-5020 | 2008-06-17 |
| 1083874168 | Chrystal Marjenhoff Pauley | Pathology | 940 Stanton L Young Blvd # 451, Oklahoma City, OK 73104-5020 | 2008-06-12 |
| 1619184900 | Xiao-cong Peng | Pathology | 840 Research Parkway, Dept. of Pathology, Labcorp At Okc, Oklahoma City, OK 73104 | 2007-05-17 |
| 1457327678 | Vasantha Kosaraju Rao | Pathology | 5900 Mosteller Drive, Suite 116, Oklahoma City, OK 73112 | 2006-02-27 |
| 1861465361 | J Russell | Pathology | 225 Ne 97th St # 600, Oklahoma City, OK 73114-6302 | 2006-02-07 |
| 1245219450 | Peter F Brumbaugh | Pathology | 225 Ne 97th St, Oklahoma City, OK 73114-6302 | 2006-01-16 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73114 |
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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.