DR. CHARLES PAUL MIRABILE JR. (NPI# 1326063017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326063017 |
Entity Type | Individual |
Full Name | DR. CHARLES PAUL MIRABILE JR. |
Credential | MD |
Practice Address |
4140 W Memorial Rd Ste 321 Oklahoma City OK 73120 |
Mailing Address |
4140 W Memorial Rd Ste 321 Oklahoma City OK 73120-8300 |
Practice Telephone | 4057484726 |
Practice Fax Number | 4056078497 |
Mailing Telephone | 4057484726 |
Mailing Fax Number | 4056078497 |
Enumeration Date | 2006-07-13 |
Last Update Date | 2020-01-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
20629 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100821300A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780741249 | Charles S Mirabile Jr. | Psychiatry & Neurology | 18 Upper Main St, Sharon, CT 06069 | 2007-01-03 |
1912937764 | Charles John Mirabile | Internal Medicine | 100 New Hope Rd, Suite 104, Princeton, WV 24740-2143 | 2006-07-04 |
Street Address |
4140 W MEMORIAL RD STE 321 |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73120 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205832607 | Christian Ellis | Neuromusculoskeletal Medicine & OMM | 4140 W Memorial Rd, Ste. 621, Oklahoma City, OK 73120-8366 | 2005-06-22 |
1265989982 | Stacey Amanda Lytle | Nurse Practitioner | 4140 W Memorial Rd, Suite 215, Oklahoma City, OK 73120-8366 | 2016-09-10 |
1174983670 | Homer Clark Hyde Md, PC | Urology | 4140 W Memorial Rd, Suite 422, Oklahoma City, OK 73120-8366 | 2016-02-26 |
1508240516 | Nicole Greiner | Nurse Practitioner | 4140 W Memorial Rd, Suite 215, Oklahoma City, OK 73120-8366 | 2015-07-20 |
1801219225 | Steven D. Meltzner, Dmd, Pllc | Dentist | 4140 W Memorial Rd, Suite 201, Oklahoma City, OK 73120-8366 | 2014-01-22 |
1255673349 | Kathryn Marie Feisal | Physician Assistant | 4140 W Memorial Rd, Suite 208, Oklahoma City, OK 73120-8366 | 2013-03-26 |
1609137330 | Wesley Vaughan | Obstetrics & Gynecology | 4140 W Memorial Rd, Suite 215, Oklahoma City, OK 73120-8366 | 2012-05-29 |
1003182718 | Imari Elena Moore | Obstetrics & Gynecology | 4140 W Memorial Rd, Suite 215, Oklahoma City, OK 73120-8366 | 2012-03-27 |
1750675971 | Amanda Titus | Internal Medicine | 4140 W Memorial Rd, Suite 518, Oklahoma City, OK 73120-8366 | 2011-06-06 |
1396064176 | Vincent Olorunnisomo | Urology | 4140 W Memorial Rd, Suite 208, Oklahoma City, OK 73120-8366 | 2010-05-19 |
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 | 207VM0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Maternal & Fetal Medicine |
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659397677 | John Robert Stanley IIi | Obstetrics & Gynecology | 4140 W. Memorial Rd, Ste 321, Oklahoma City, OK 73120-8300 | 2006-07-14 |
1831552363 | Brianna Desire | Obstetrics & Gynecology | 800 Stanton L Young Blvd, Oklahoma City, OK 73104-5018 | 2016-04-01 |
1396122537 | Molly Elizabeth Dubois | Obstetrics & Gynecology | 800 Stanton L Young Blvd # 2475, Oklahoma City, OK 73104-5018 | 2015-04-27 |
1013278613 | Ronan Alexander Bakker | Obstetrics & Gynecology | 4140 W Memorial Rd Ste 321, Oklahoma City, OK 73120-8300 | 2012-05-31 |
1497042931 | Stephanie Lynn Pierce | Obstetrics & Gynecology | 1200 Childrens Ave Ste 1a, Oklahoma City, OK 73104-4637 | 2011-07-05 |
1942217815 | The Perinatal Center, Pllc | Obstetrics & Gynecology | 4140 W Memorial Rd Ste 321, Oklahoma City, OK 73120 | 2006-08-02 |
1265417687 | Jennifer G Smith | Obstetrics & Gynecology | 4140 W Memorial Rd, Suite 321, Oklahoma City, OK 73120-8366 | 2005-12-08 |
1336121169 | Marvin Williams | Obstetrics & Gynecology | 825 Ne 10th St, Oupb3200, Oklahoma City, OK 73104-5417 | 2005-11-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619294998 | Ericka Kay Domalakes | Obstetrics & Gynecology | 4502 E 41st St, Tulsa, OK 74135-9923 | 2010-04-27 |
1629014311 | David Matthew Gorenberg | Obstetrics & Gynecology | 6565 S Yale Ave, Suite 601, Tulsa, OK 74136-8327 | 2006-06-21 |
1114989753 | Joe Stephen Jones | Obstetrics & Gynecology | 6565 S Yale Ave, Suite 601, Tulsa, OK 74136-8327 | 2006-04-06 |
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.