JOSHUA VICENA (NPI# 1336347392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336347392 |
| Entity Type | Individual |
| Full Name | JOSHUA VICENA |
| Credential | D.O. |
| Practice Address |
10901 E 48th St Tulsa OK 74146-5830 |
| Practice Telephone | 9187498765 |
| Practice Fax Number | 9183922155 |
| Mailing Telephone | 9187498765 |
| Mailing Fax Number | 9183922155 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2020-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 5283 | OK | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 5101018195 | MI | Student, Health Care |
| Street Address |
10901 E 48TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74146-5830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013983741 | Kevin Joseph Gancarczyk | Urology | 10901 E 48th St, Tulsa, OK 74146-5830 | 2006-02-23 |
| 1326659368 | Allison Hagen | Nurse Practitioner | 10901 E 48th St, Tulsa, OK 74146-5830 | 2020-08-13 |
| 1346874799 | Angela Conrad | Nurse Practitioner | 10901 E 48th St, Tulsa, OK 74146-5830 | 2020-02-25 |
| 1184181026 | Lauren Ashley Deckelman | Physician Assistant | 10901 E 48th St, Tulsa, OK 74146-5830 | 2019-02-27 |
| 1134635469 | Jaquita Y Gardner | Clinical Nurse Specialist | 10901 E 48th St, Tulsa, OK 74146-5830 | 2017-12-22 |
| 1457885543 | Tiffani S Hicks | Nurse Practitioner | 10901 E 48th St, Tulsa, OK 74146-5830 | 2017-04-14 |
| 1639610710 | Osu Center for Health Sciences | Clinic/Center | 10901 E 48th St, Tulsa, OK 74146-5830 | 2017-03-09 |
| 1972764496 | Shaun Gobind Singh Grewal | Surgery | 10901 E 48th St, Tulsa, OK 74146-5830 | 2008-06-18 |
| 1194921486 | James B Mcgeady | Urology | 10901 E 48th St, Tulsa, OK 74146-5830 | 2007-06-22 |
| 1679694822 | Sean Michael Doyle | Urology | 10901 E 48th St, Tulsa, OK 74146-5830 | 2007-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
| 1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
| 1184158404 | Alexis Lauren Allen | Case Manager/Care Coordinator | 9820 E 41st St #400, Tulsa, OK 74146 | 2017-04-13 |
| 1578995908 | Adrian Gheorghe Butuc | Massage Therapist | 5635 S Mingo #b, Tulsa, OK 74146 | 2013-08-08 |
| 1336587088 | Tulsa Cancer Institute, Pllc | Obstetrics & Gynecology | 12697 E. 51st St. South, Tulsa, OK 74146 | 2013-06-04 |
| 1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
| 1619232972 | Diagnostic Imaging Associates | General Acute Care Hospital | 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 | 2012-07-11 |
| 1790046654 | Aundra Lamar Fuller | Behavioral Analyst | 10922 E. 39th St., Tulsa, OK 74146 | 2012-06-06 |
| 1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
| 1922307958 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5115 S. 122nd East Ave., Suite 204, Tulsa, OK 74146 | 2011-03-16 |
| Find all providers in zip 74146 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003159773 | Philip D. Diggdon Sr. | Urology | 3424 E. 65 St, Tulsa, OK 74136 | 2013-04-01 |
| 1811247885 | Melanie Nyeh Ketchandji | Urology | 1145 South Utica Avenue, Suite 202, Tulsa, OK 74104-4022 | 2012-09-17 |
| 1184818551 | Sunshine Murray | Urology | 10901 E. 48th Street S., Tulsa, OK 74146-5830 | 2007-08-29 |
| 1588685093 | Michael Burwell Smith | Urology | 10901 E 48 St S, Tulsa, OK 74146 | 2006-07-21 |
| 1013937911 | Bruce Carlton Stoesser | Urology | 10901 E 48th St S, Tulsa, OK 74146-5830 | 2006-07-20 |
| 1013983741 | Kevin Joseph Gancarczyk | Urology | 10901 E 48th St, Tulsa, OK 74146-5830 | 2006-02-23 |
| 1912978511 | Curtis Ryan Powell | Urology | 10901 E. 48th St. S., Tulsa, OK 74146-5830 | 2006-01-31 |
| 1750380085 | Thomas W. Rickner | Urology | 6585 S Yale Ave, Suite 720, Tulsa, OK 74136-8384 | 2005-07-19 |
| 1992068829 | Logan Campbell | Urology | 6585 S Yale Ave Ste 720, Tulsa, OK 74136 | 2012-06-15 |
| 1215299284 | Nora Baker | Urology | 6585 S Yale Ave Ste 720, Tulsa, OK 74136-8320 | 2012-06-14 |
| 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.