LAMONT EDWARD CAVANAGH (NPI# 1336111210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336111210 |
| Entity Type | Individual |
| Full Name | LAMONT EDWARD CAVANAGH |
| Credential | MD |
| Practice Address |
5005 S Darlington Ave # 100 Tulsa OK 74135-7307 |
| Mailing Address |
Po Box 268838 Oklahoma City OK 73126-8838 |
| Practice Telephone | 9186194400 |
| Practice Fax Number | 9186194639 |
| Mailing Telephone | 9186194400 |
| Mailing Fax Number | 9186194639 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2016-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 18457 | OK | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
18457 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100137310C | 05 |
| Street Address |
5005 S DARLINGTON AVE # 100 |
| City | TULSA |
| State | OK |
| Zip Code | 74135-7307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245471630 | Rocky Sowards | Physical Therapist | 5005 S Darlington Ave # 100, Tulsa, OK 74135-7307 | 2009-03-13 |
| 1386783553 | Thomas J Kern | Internal Medicine | 5005 S Darlington Ave # 100, Tulsa, OK 74135-7307 | 2007-02-05 |
| 1306808316 | Eric W Sherburn | Neurological Surgery | 5005 S Darlington Ave # 100, Tulsa, OK 74135-7307 | 2006-04-05 |
| 1689646655 | Thomas Wesley Allen | Family Medicine | 5005 S Darlington Ave # 100, Tulsa, OK 74135-7307 | 2006-02-03 |
| 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 | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205836244 | T Jeffrey Emel | Family Medicine | 6475 S Yale Ave Ste 301, Tulsa, OK 74136 | 2005-07-29 |
| 1629334701 | Nicholas K Thompson | Family Medicine | 6475 S Yale Ave Ste 200, Tulsa, OK 74136-7816 | 2012-04-03 |
| 1710277207 | Oklahoma Pain & Rehab LLC | Family Medicine | 2121 S Columbia Ave, Suite 501, Tulsa, OK 74114-3505 | 2011-04-18 |
| 1043509474 | Britney Else | Family Medicine | 9645 Riverside Pkwy, Suite C, Tulsa, OK 74137-7423 | 2011-04-06 |
| 1841333002 | Donald Ralph Barney | Family Medicine | 5906 E 31st St, Suite 2, Tulsa, OK 74135-5110 | 2007-02-15 |
| 1104830090 | Gilcrease Medical Center PC | Family Medicine | 7125 S. Braden Ave., Tulsa, OK 74136 | 2006-07-28 |
| 1992773188 | Keith L Stanley | Family Medicine | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679936348 | Bryce Rudek | Family Medicine | 591 Pendleton St, Tahlequah, OK 74464-2271 | 2016-03-31 |
| 1619355849 | Leslie Beaty | Family Medicine | 4227 Macys Pl, Moore, OK 73160-2879 | 2015-05-07 |
| 1396044764 | Michelle Rockwell | Family Medicine | 2950 S Elm Pl Ste 120, Broken Arrow, OK 74012-7816 | 2011-03-23 |
| 1902078298 | Steve Eric Randall | Family Medicine | 5104 S Sooner Rd, Oklahoma City, OK 73135-5440 | 2008-03-27 |
| 1407035447 | Steven D. King, D.o., P.c | Family Medicine | 501 E 15th St Ste 400b, Edmond, OK 73013-5040 | 2007-10-26 |
| 1356314603 | Ryan A Pitts | Family Medicine | 301 N Broadway St Ste 301, Poteau, OK 74953-3355 | 2006-02-08 |
| 1518967561 | Steven R Hardage | Family Medicine | 1110 W Will Rogers Blvd, Claremore, OK 74017 | 2005-07-29 |
| 1699311308 | Acellerated Interventional Orthopedics | Family Medicine | 1002 Ne Highway 66 Ste 3, Sayre, OK 73662-9312 | 2019-11-18 |
| 1154845501 | Osumc Professional Services LLC | Family Medicine | 514 Plaza Ct, Sand Springs, OK 74063-7915 | 2017-07-27 |
| 1104219385 | Avenstar Pain Specialists, Pllc | Family Medicine | 5104 S Sooner Rd, Oklahoma City, OK 73135-5440 | 2015-03-11 |
| Find all providers with the same taxonomy | ||||
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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.