OKLAHOMA WOUND CARE, P.C. (NPI# 1265871800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265871800 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA WOUND CARE, P.C. |
| Practice Address |
10912 E 14th St Tulsa OK 74128-4845 |
| Mailing Address |
976 Mclean Ave Yonkers NY 10704-4105 |
| Practice Telephone | 9184382440 |
| Practice Fax Number | 9184399594 |
| Mailing Telephone | 9142376797 |
| Mailing Fax Number | 9142376790 |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-17 |
| Authorized Official Name | SPERO THEODOROU (SURGICAL DIRECTOR) |
| Authorized Official Telephone | 9142376797 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 228653 | NY | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | OKLAHOMA WOUND CARE, P.C. | 253 Cordial Rd, Yorktown Heights, NY 10598 |
| Street Address |
10912 E 14TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74128-4845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780687590 | Phoenix Healthcare LLC | Skilled Nursing Facility | 10912 E 14th St, Tulsa, OK 74128-4845 | 2005-05-24 |
| 1578741492 | City of Pauls Valley | Skilled Nursing Facility | 10912 E 14th St, Tulsa, OK 74128-4845 | 2008-02-01 |
| 1033391370 | Genevieve Dulan | Family Medicine | 10912 E 14th St, Tulsa, OK 74128 | 2007-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639720352 | Nicole Piggee | Technician | 10548 East 5th Street, Tulsa, OK 74128 | 2019-09-24 |
| 1598252884 | Beth Alison Peck | Social Worker | 10159 East 11th Street, Tulsa, OK 74128 | 2018-04-23 |
| 1821434523 | Ta'vionna Danielle Polley-davis (whayne) | Counselor | 1148 E. 20th St, Unit A, Tulsa, OK 74128 | 2013-05-21 |
| 1881753572 | Mashovin Home Health Care, Inc. | Home Health | 12131 East Skelly Drive, Tulsa, OK 74128 | 2006-12-08 |
| 1023064300 | Brookhaven Hospital Inc. | Rehabilitation Unit | 201 S Garnett Rd, Tulsa, OK 74128 | 2006-05-26 |
| 1841689189 | David L Hinman | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128 | 2015-01-09 |
| 1992019582 | Ryan John Wilson | Counselor | 2725 E. Skelly Dr., Suite 202, Tulsa, OK 74128 | 2010-08-06 |
| 1376786590 | Dana Furtado | Social Worker | Department of Veterans Affairs, 10159 E. 11th Street, Suite #100, Tulsa, OK 74128 | 2009-04-17 |
| 1215098017 | Paul Chesley Cochran | Psychiatry & Neurology | 141 S Garnett Rd, Tulsa, OK 74128 | 2006-12-13 |
| 1548700826 | Kristina Marcotte | Case Management | 9756 E 4th Pl, Tulsa, OK 74128-1247 | 2017-03-06 |
| Find all providers in zip 74128 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036521 | Tulsa Oklahoma Plastic Surgery | Plastic Surgery | 2448 E 81st St Ste 1000, Tulsa, OK 74137-4250 | 2020-09-03 |
| 1598087249 | Paul R Callegari Md PC | Plastic Surgery | 6585 S. Yale, Suite 1050, Tulsa, OK 74136-8330 | 2010-02-23 |
| 1134381684 | Timothy Lloyd Browne | Plastic Surgery | 6465 S Yale Ave Ste 101, Tulsa, OK 74136-7803 | 2008-06-26 |
| 1851598320 | Lesley Vaughn Landis | Plastic Surgery | 2000 S Wheeling Ave Ste 100, Williams Medical Plaza, Tulsa, OK 74104-5643 | 2007-06-28 |
| 1396772935 | Brian Kent | Plastic Surgery | 9206 S Toledo Ave, Suite 150, Tulsa, OK 74137-2755 | 2006-06-27 |
| 1508861378 | Eugene Bradley Garber Jr. | Plastic Surgery | 1784 S Utica Ave, Tulsa, OK 74104-5336 | 2005-06-16 |
| 1043613300 | Brian Kent Md Inc PC | Plastic Surgery | 9206 S Toledo Ave, Suite 150, Tulsa, OK 74137-2754 | 2014-10-01 |
| 1023245578 | Wyatt Ho | Plastic Surgery | 6465 S Yale Ave, Suite 101, Tulsa, OK 74136-7823 | 2009-06-11 |
| 1124150032 | Mark L Mathers | Plastic Surgery | 1844 E 15th St, Tulsa, OK 74104-4611 | 2007-03-09 |
| 1801937370 | Kevin Paul Kunkel | Plastic Surgery | 6465 S Yale Ave, Suite 811, Tulsa, OK 74136-7823 | 2007-02-09 |
| Find all providers in TULSA | ||||
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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.