EASTERN OKLAHOMA EAR NOSE AND THROAT INC (NPI# 1205829025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205829025 |
| Entity Type | Organization |
| Organization Name | EASTERN OKLAHOMA EAR NOSE AND THROAT INC |
| Practice Address |
5020 E 68th St Tulsa OK 74136-3307 |
| Practice Telephone | 9184293636 |
| Practice Fax Number | 9184948915 |
| Mailing Telephone | 9184293636 |
| Mailing Fax Number | 9184948915 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHARLES E HEINBERG (PRESIDENT) |
| Authorized Official Telephone | 9184923636 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 1008055608 | 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 |
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| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922572809 | Endovascular Consulting Solutions | Clinic/Center | 1705 E 19th St Ste 410, Tulsa, OK 74104-5415 | 2019-01-14 |
| 1730584509 | Digital Diagnostic Solutions LLC | Clinic/Center | 5017 S Frontage Road, Tulsa, OK 74107-8976 | 2014-10-23 |
| 1912211475 | Osu Center for Health Sciences | Clinic/Center | 8803 S 101st East Ave Ste 245, Tulsa, OK 74133-5730 | 2010-07-27 |
| 1295059400 | Care Clinic | Clinic/Center | 3528 N Lansing Ave, Tulsa, OK 74106-1939 | 2010-03-16 |
| 1558559468 | Douglas M. Vaughn, D.o., P.C. | Clinic/Center | 4629 S Harvard Ave, Suite A, Tulsa, OK 74135-2948 | 2007-10-05 |
| 1881753358 | State of Oklahoma - Osu Center for Health Sciences College of Osteopat | Clinic/Center | 446 W Latimer St, Tulsa, OK 74106-5106 | 2006-12-08 |
| 1114092012 | Osu Center for Health Sciences | Clinic/Center | 9001 S 101 E Ave, Suite 300, Tulsa, OK 74133 | 2006-11-24 |
| 1225102866 | Osu Center for Health Sciences | Clinic/Center | 4500 S Garnett Rd Ste 919, Tulsa, OK 74146-5229 | 2006-11-17 |
| 1982777637 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave Ste 500, Tulsa, OK 74127-9060 | 2006-11-17 |
| 1467526046 | Osu Center for Health Sciences | Clinic/Center | 4444 S Harvard Ave Ste 100, Tulsa, OK 74135-2611 | 2006-11-17 |
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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.