JON C AXTON (NPI# 1265596969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265596969 |
| Entity Type | Individual |
| Full Name | JON C AXTON |
| Credential | MD |
| Practice Address |
5300 N Grand Blvd Suite 200 Oklahoma City OK 73112-5647 |
| Mailing Address |
Po Box 2263 Oklahoma City OK 73101-2263 |
| Practice Telephone | 4059428545 |
| Practice Fax Number | 4059476854 |
| Mailing Telephone | 4059428545 |
| Mailing Fax Number | 4059476854 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2017-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 10228 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100110970A | 05 |
| Street Address |
5300 N GRAND BLVD SUITE 200 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-5647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922003268 | Joe P Merritt | Obstetrics & Gynecology | 5300 N Grand Blvd, Ste 302, Oklahoma City, OK 73112-5517 | 2005-06-14 |
| 1366859423 | Thomas Foot and Ankle Pllc | Podiatrist | 5300 N Grand Blvd, Suite 300, Oklahoma City, OK 73112-5647 | 2014-07-21 |
| 1700011756 | Oscar Eugenio Masters IIi | Plastic Surgery | 5300 N Grand Blvd, #205, Oklahoma City, OK 73112-5647 | 2009-05-20 |
| 1902085087 | Surgical Specialists of Oklahoma Pllc | Durable Medical Equipment & Medical Supplies | 5300 N Grand Blvd, Ste 200, Oklahoma City, OK 73112-5647 | 2007-10-25 |
| 1326194432 | Joan Wiggins | Occupational Therapist | 5300 N Grand Blvd, Oklahoma City, OK 73112-5647 | 2007-01-25 |
| 1477594513 | Roy W. Bankhead | Urology | 5300 N Grand Blvd, Ste 200, Oklahoma City, OK 73112-5517 | 2006-06-09 |
| 1265492144 | Robert S Renouard | Urology | 5300 N Grand Blvd, Ste 200, Oklahoma City, OK 73112-5517 | 2006-03-24 |
| 1487614699 | Juan A Brou | Plastic Surgery | 5300 N Grand Blvd, Suite 205, Oklahoma City, OK 73112-5647 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194338426 | Davis Urology, Pllc | Urology | 13509 N Meridian Ave Ste 6, Oklahoma City, OK 73120-8396 | 2020-08-26 |
| 1073146304 | Roy W Bankhead Md PC | Urology | 5700 N Portland Ave Ste 100, Oklahoma City, OK 73112-1662 | 2020-02-14 |
| 1851877567 | Richard E. Herlihy Md, PC | Urology | 4140 W Memorial Rd Ste 611, Oklahoma City, OK 73120-8300 | 2018-07-16 |
| 1306383849 | Urology Affiliates of Oklahoma LLC | Urology | 5300 N Grand Blvd Ste 200, Oklahoma City, OK 73112-5517 | 2017-01-23 |
| 1285015057 | Caitlin Shepherd | Urology | 722 Nw 28th St, Oklahoma City, OK 73103-1009 | 2015-06-17 |
| 1295174969 | Joseph Fernando Rodriguez IIi | Urology | 920 Stanton L Young Blvd # Wp3150, Oklahoma City, OK 73104-5036 | 2013-06-17 |
| 1992055990 | Kathryn Griffin Cunningham | Urology | 4140 W Memorial Rd Ste 208, Oklahoma City, OK 73120 | 2012-09-17 |
| 1477847374 | Bhalaajee Meenakshi-sundaram | Urology | 1200 Childrens Ave # 7d, Oklahoma City, OK 73104 | 2011-06-08 |
| 1205157120 | Mohammad Omar Ramadan | Urology | Ssm Health Medical Group Urology, 608 Nw 9th St., Suite 5000, Oklahoma City, OK 73102 | 2010-06-15 |
| 1093959785 | Sanjay Govind Patel | Urology | 800 Ne 10th St Ste 4300, Oklahoma City, OK 73104-5418 | 2009-04-24 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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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.