DR. ALEXANDROS MALLIOS (NPI# 1235477613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235477613 |
| Entity Type | Individual |
| Full Name | DR. ALEXANDROS MALLIOS |
| Credential | MD |
| Practice Address |
1919 S Wheeling Ave Suite 600 Tulsa OK 74104-5638 |
| Mailing Address |
450 W 7th St Tulsa OK 74119-1051 |
| Practice Telephone | 9187443908 |
| Mailing Telephone | 9185101735 |
| Enumeration Date | 2013-01-20 |
| Last Update Date | 2013-01-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
29519 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
1919 S WHEELING AVE SUITE 600 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-5638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942293097 | Michael S Charles | Surgery | 1919 S Wheeling Ave, Ste 606, Tulsa, OK 74104-5635 | 2005-08-24 |
| 1710540737 | Lacie Danielle Whinery | Student in an Organized Health Care Education/Training Program | 1919 S Wheeling Ave, Tulsa, OK 74104-5638 | 2019-04-16 |
| 1699134890 | Allyson Michelle Campbell | Physician Assistant | 1919 S Wheeling Ave, Suite 404, Tulsa, OK 74104-5638 | 2016-02-16 |
| 1205200789 | Aerial Chanel Anthony | Physician Assistant | 1919 S Wheeling Ave, Suite 200, Tulsa, OK 74104-5638 | 2015-11-19 |
| 1285018713 | Ob Gyn Specialists of Tulsa Pllc | Obstetrics & Gynecology | 1919 S Wheeling Ave, Ste. 700, Tulsa, OK 74104-5638 | 2015-07-14 |
| 1083025159 | Osu Center for Health Sciences | Clinic/Center | 1919 S Wheeling Ave, Suite 302, Tulsa, OK 74104-5638 | 2014-05-12 |
| 1548688757 | Robert Wittrock | Pediatrics | 1919 S Wheeling Ave, Ste 304, Tulsa, OK 74104-5632 | 2014-04-03 |
| 1841537859 | Jenny Marie Birks | Physician Assistant | 1919 S Wheeling Ave, Suite 402, Tulsa, OK 74104-5638 | 2013-01-10 |
| 1578836201 | Gajal Kumar | Surgery | 1919 S Wheeling Ave, Ste 606, Tulsa, OK 74104-5638 | 2012-02-10 |
| 1942571971 | Cindy Lu Pierce | Nurse Practitioner | 1919 S Wheeling Ave, Ste. Ll-100, Tulsa, OK 74104-5638 | 2012-01-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
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| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043209307 | Peter Richard Nelson | Surgery | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | 2005-10-19 |
| 1518258136 | Kimberly Cassendre Zamor | Surgery | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | 2011-04-30 |
| 1467776476 | Adel Barkat | Surgery | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2010-03-19 |
| 1972763704 | Kelly Kempe | Surgery | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104 | 2008-06-16 |
| 1811101132 | Kevin Taubman | Surgery | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | 2007-05-09 |
| 1083779813 | Giancarlo Piano | Surgery | 6465 S Yale Ave Ste 910, Tulsa, OK 74136-7823 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518378603 | Whitney Thorne | Surgery | 608 Nw 9th St Ste 2200, Oklahoma City, OK 73102 | 2014-05-12 |
| 1942304241 | Michael Olen Riggs | Surgery | 13901 Mcauley Blvd., Ste. 210, Oklahoma City, OK 73134-8705 | 2006-09-08 |
| 1861504490 | Vascular Associates of Southern Oklahoma | Surgery | 2002 12th Ave Nw Ste E, Ardmore, OK 73401-1206 | 2006-08-31 |
| 1386753200 | Advanced Surgical Associates, PC | Surgery | 3330 Nw 56th St., Ste 208, Oklahoma City, OK 73112 | 2006-08-30 |
| 1578676938 | Abbas Toughanipour | Surgery | 238 N Midwest Blvd, Suite 201, Midwest City, OK 73110-4311 | 2006-08-17 |
| 1124085139 | Philip A Floyd | Surgery | 2800 Nw 63rd St, Ste 900, Oklahoma City, OK 73116-4836 | 2006-04-26 |
| 1952388365 | Kevin Michael Mcmullen | Surgery | 11011 Hefner Pointe Dr, Ste A, Oklahoma City, OK 73120-5005 | 2005-12-28 |
| 1467456038 | John Nereus Carter | Surgery | 110 Nw 31st St, 3rd Floor, Lawton, OK 73505-6100 | 2005-06-10 |
| 1689678245 | Richard Jene Allgood | Surgery | 5404 Sw Lee Blvd, Lawton, OK 73505-9521 | 2005-06-10 |
| 1215324553 | Cardiovascular Health Clinic Pllc | Surgery | 3200 Quail Springs Parkway, Ste 200, Oklahoma City, OK 73134 | 2015-04-24 |
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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.