DR. MARCUS JAMES FIDEL (NPI# 1306983218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306983218 |
Entity Type | Individual |
Full Name | DR. MARCUS JAMES FIDEL |
Credential | MD |
Practice Address |
4502 E 41st St Tulsa OK 74135-2553 |
Mailing Address |
7122 S Sheridan Rd Suite 2 -175 Tulsa OK 74133-2748 |
Practice Telephone | 9186194600 |
Mailing Telephone | 9186194600 |
Enumeration Date | 2007-01-31 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 24062 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | OK STATE LICENSE NUMBER | 24062 | 01 |
Street Address |
4502 E 41ST ST |
City | TULSA |
State | OK |
Zip Code | 74135-2553 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659378735 | Nancy C. Brahm | Pharmacist | 4502 E 41st St, Tulsa, OK 74135-2553 | 2005-07-05 |
1285247056 | Mason Alexander Kennon | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-08-31 |
1578186656 | Scott Louis Puckett | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-05-22 |
1861012247 | Emily Ann Bolender | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-25 |
1760002513 | Nadeem Toujjo El-kouri | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-22 |
1962022749 | John Thomas Hiett | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-21 |
1245859578 | Liuyi Chen | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-16 |
1255950713 | Stuart Andrew Jack | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-14 |
1447879366 | Thomas Stewart | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-10 |
1689293672 | Ekene Ezenwa | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
Find all providers in zip 74135 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992347355 | Next Level Primary Care, Pllc | Family Medicine | 8905 E 34th St, Tulsa, OK 74145-3403 | 2019-10-16 |
1740751445 | Ernest Kaara Maina | Family Medicine | 3606 M.l.k. Jr Blvd, Tulsa, OK 74106 | 2018-12-07 |
1801373659 | Hygiea Healthcare Solutions, Inc. | Family Medicine | 7220 E 41st St, Tulsa, OK 74145-4504 | 2018-07-24 |
1760970875 | Antidote Medical Partners LLC | Family Medicine | 9220 S Toledo Ct Ste B, Tulsa, OK 74137-2745 | 2018-04-24 |
1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
1992224349 | Elite Family Medicine LLC | Family Medicine | 3336 E 32nd St Ste 205, Tulsa, OK 74135-4454 | 2017-09-18 |
1881114874 | Care Driven Senior Care, Pllc | Family Medicine | 5821 E 46th St, Tulsa, OK 74135-6830 | 2017-06-21 |
1346779816 | Herman Gonzalez | Family Medicine | 1919 S Wheeling Ave, Lower Level, Bernsen Medical Plaza Suite 100, Tulsa, OK 74104-5420 | 2017-06-08 |
1003343831 | Robert Capehart | Family Medicine | 1110 E 18th St, Tulsa, OK 74120-7409 | 2017-05-11 |
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.