LDS SPINE PLLC (NPI# 1316251507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316251507 |
| Entity Type | Organization |
| Organization Name | LDS SPINE PLLC |
| Practice Address |
4050 W Memorial Rd Third Floor Oklahoma City OK 73120-8382 |
| Practice Telephone | 4056508607 |
| Mailing Telephone | 4056508607 |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2010-07-30 |
| Authorized Official Name | DR. LENNY STUBBS (PHYSICIAN/ OWNER) |
| Authorized Official Telephone | 4056508607 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
21272 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
4050 W MEMORIAL RD THIRD FLOOR |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-8382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617005 | Oklahoma Heart Hospital, LLC | Special Hospital | 4050 W Memorial Rd, Oklahoma City, OK 73120-8382 | 2005-05-23 |
| 1497375679 | Lauren Jones | Perfusionist | 4050 W Memorial Rd, Oklahoma City, OK 73120-8358 | 2020-04-17 |
| 1215587506 | Bhumiben Thakorbhai Patel | Physician Assistant | 4050 W Memorial Rd, Oklahoma City, OK 73120-8382 | 2019-09-18 |
| 1932756863 | Benitta John Philip | Family Medicine | 4050 W Memorial Rd, Oklahoma City, OK 73120-8382 | 2019-08-26 |
| 1780237552 | Heidi Danae Macha | Pharmacist | 4050 W Memorial Rd, Oklahoma City, OK 73120-8358 | 2019-07-22 |
| 1750845012 | Jordyn Kittle | Registered Nurse | 4050 W Memorial Rd, Oklahoma City, OK 73120-8358 | 2019-01-30 |
| 1043784820 | Candice Hester | Nurse Practitioner | 4050 W Memorial Rd, Oklahoma City, OK 73120-8358 | 2019-01-15 |
| 1932693520 | Natalie Taylor | Registered Nurse | 4050 W Memorial Rd, Oklahoma City, OK 73120 | 2018-06-18 |
| 1194262261 | Ryan Butler | Registered Nurse | 4050 W Memorial Rd, Oklahoma City, OK 73120 | 2017-01-26 |
| 1639528938 | Maya Susan Joseph | Registered Nurse | 4050 W Memorial Rd, Oklahoma City, OK 73120-8382 | 2016-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1386753200 | Advanced Surgical Associates, PC | Surgery | 3330 Nw 56th St., Ste 208, Oklahoma City, OK 73112 | 2006-08-30 |
| 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 |
| 1215324553 | Cardiovascular Health Clinic Pllc | Surgery | 3200 Quail Springs Parkway, Ste 200, Oklahoma City, OK 73134 | 2015-04-24 |
| 1881000941 | Saints Medical Group LLC | Surgery | 608 Nw 9th St, Suite 5010, Oklahoma City, OK 73102-1068 | 2014-07-09 |
| 1033408497 | Ssm Healthcare of Oklahoma, Inc | Surgery | 608 Nw 9th St, Suite 5204, Oklahoma City, OK 73102-1068 | 2011-04-06 |
| 1750513230 | Jgm Spine, Pllc | Surgery | 3200 Quail Springs Pkwy, Ste 200, Oklahoma City, OK 73134-2612 | 2009-08-17 |
| 1487814653 | Kautilya A Mehta Md Pllc | Surgery | 608 Nw 9th St, Oklahoma City, OK 73102-1068 | 2008-06-11 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
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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.