DANIEL JAMES BOEDEKER (NPI# 1225086945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225086945 |
| Entity Type | Individual |
| Full Name | DANIEL JAMES BOEDEKER |
| Credential | MD |
| Practice Address |
6767 S Yale Ave Suite A Tulsa OK 74136-3302 |
| Practice Telephone | 9184927587 |
| Mailing Telephone | 9184927587 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2009-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 24729 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851357149 | Daniel E Boedeker | Dentist | 527 W Platte Ave, Fort Morgan, CO 80701-2654 | 2006-04-25 |
| Street Address |
6767 S YALE AVE SUITE A |
| City | TULSA |
| State | OK |
| Zip Code | 74136-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336137967 | Benjamin G. Benner | Neurological Surgery | 6767 S Yale Ave, Suite A, Tulsa, OK 74136-3302 | 2005-10-07 |
| 1487010823 | Taylor E Tatum | Physician Assistant | 6767 S Yale Ave, Tulsa, OK 74136-3302 | 2016-01-14 |
| 1952646473 | Jennifer E York | Physical Therapist | 6767 S Yale Ave, Suite B, Tulsa, OK 74136-3302 | 2012-12-10 |
| 1720351331 | Angela Lynn Averill | Occupational Therapy Assistant | 6767 S Yale Ave, Suite B, Tulsa, OK 74136-3302 | 2012-02-13 |
| 1730452376 | Merrill V Sapp | Physician Assistant | 6767 S Yale Ave, Suite A, Tulsa, OK 74136-3302 | 2012-02-13 |
| 1942589270 | Erin Elizabeth Boone | Physical Therapist | 6767 S Yale Ave, Suite B, Tulsa, OK 74136-3302 | 2011-08-04 |
| 1326352717 | Rebecca A Wilcox | Physical Therapist | 6767 S Yale Ave, Suite B, Tulsa, OK 74136-3302 | 2010-07-28 |
| 1689901852 | Tulsa Pt Consultants, LLC | Clinic/Center | 6767 S Yale Ave, # B, Tulsa, OK 74136-3302 | 2009-11-10 |
| 1992946420 | Amber Diane Ward | Respiratory Therapist, Registered | 6767 S Yale Ave, Tulsa, OK 74136-3302 | 2009-03-12 |
| 1083773980 | Melanie Ann Trook | Occupational Therapist | 6767 S Yale Ave, Suite B, Tulsa, OK 74136-3302 | 2006-12-06 |
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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 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114560554 | Secure Interpretation, LLC | Neurological Surgery | 5561 South Lewis Ave, Tulsa, OK 74105 | 2019-10-17 |
| 1811222094 | John Albert Coates | Neurological Surgery | 6416 S Quebec Ave, Tulsa, OK 74136-1611 | 2009-10-06 |
| 1003050493 | Tyler Sean Auschwitz | Neurological Surgery | 2000 South Wheeling, Ste 200, St. Johns Neuroscience Institute, Tulsa, OK 74104 | 2009-04-29 |
| 1881867547 | Rongsheng Cai | Neurological Surgery | 6151 S Yale Ave Ste 2403, Tulsa, OK 74136-1907 | 2008-04-02 |
| 1235322595 | Oklahoma Neurosurgical Associates | Neurological Surgery | 1809 E 13th St Ste 405, Tulsa, OK 74104-4431 | 2007-08-21 |
| 1932241742 | Ryan C Rahhal | Neurological Surgery | 6767 South Yale Avenue, Suite A, Tulsa, OK 74136-3303 | 2007-02-12 |
| 1508967811 | Alm Pllc | Neurological Surgery | 7702 E 91st St, Suite 220, Tulsa, OK 74133-6054 | 2006-09-26 |
| 1447264205 | L. Keith Simmons | Neurological Surgery | 9709 E 79th St S, Tulsa, OK 74133-4566 | 2006-07-28 |
| 1790722239 | Neurologic Services of Oklahoma LLC | Neurological Surgery | 5563 S Lewis Ave, Tulsa, OK 74105-7103 | 2006-06-01 |
| 1942247788 | Neurosurgical Specialists of Tulsa Inc | Neurological Surgery | 2128 S Atlanta Pl, Tulsa, OK 74114-1755 | 2006-06-01 |
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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.