EASTERN OKLAHOMA EAR, NOSE & THROAT INC (NPI# 1205052149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205052149 |
| Entity Type | Organization |
| Organization Name | EASTERN OKLAHOMA EAR, NOSE & THROAT INC |
| Practice Address |
5020 E 68th St Tulsa OK 74136-3307 |
| Practice Telephone | 9184923636 |
| Practice Fax Number | 9184948915 |
| Mailing Telephone | 9184923636 |
| Mailing Fax Number | 9184948915 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2010-12-09 |
| Authorized Official Name | SUSAN WEATHERLY (CREDENTIALING CLERK) |
| Authorized Official Telephone | 9184913314 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0012X |
Otolaryngology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100805560B | 05 |
| Street Address |
5020 E 68TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74136-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528065331 | Anthony Edward Loehr | Otolaryngology | 5020 E 68th St, Tulsa, OK 74136-3307 | 2005-07-07 |
| 1730797143 | Akhilandeshwari Sivaswami | Audiologist | 5020 E 68th St, Tulsa, OK 74136-3307 | 2020-07-22 |
| 1790298115 | Mary Michelle Ballard | Audiologist-Hearing Aid Fitter | 5020 E 68th St, Tulsa, OK 74136-3307 | 2017-11-07 |
| 1033633078 | Kyle Andrew Harber | Audiologist-Hearing Aid Fitter | 5020 E 68th St, Tulsa, OK 74136-3307 | 2017-08-01 |
| 1497282826 | Eastern Oklahoma Ear, Nose, and Throat | Audiologist | 5020 E 68th St, Tulsa, OK 74136-3307 | 2017-05-16 |
| 1356898712 | Megan D. Ellwood | Audiologist | 5020 E 68th St, Tulsa, OK 74136-3307 | 2016-09-02 |
| 1194114884 | Megan Laine Moritz | Physician Assistant | 5020 E 68th St, Tulsa, OK 74136-3307 | 2015-01-18 |
| 1497169734 | Landon Joseph Massoth | Otolaryngology | 5020 E 68th St, Tulsa, OK 74136-3307 | 2014-06-15 |
| 1306283635 | Jessica Bever | Audiologist | 5020 E 68th St, Tulsa, OK 74136-3307 | 2013-05-28 |
| 1790044980 | Osu Center for Health Sciences | Clinic/Center | 5020 E 68th St, Tulsa, OK 74136-3307 | 2012-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| Taxonomy Code | 207YS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Sleep Medicine |
| An Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
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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.