DALLAS EDWARD BUCK (NPI# 1336500701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336500701 |
| Entity Type | Individual |
| Full Name | DALLAS EDWARD BUCK |
| Credential | APRN-CNP |
| Practice Address |
1919 S Wheeling Ave Ste 606 Tulsa OK 74104-5635 |
| Mailing Address |
1919 S Wheeling Ave Ste 606 Tulsa OK 74104-5635 |
| Practice Telephone | 9187487676 |
| Mailing Telephone | 9187487676 |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
79145 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
79145 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
79145 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1919 S WHEELING AVE STE 606 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-5635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609829431 | Richard D Ranne | Surgery | 1919 S Wheeling Ave Ste 606, Tulsa, OK 74104 | 2006-05-19 |
| 1164072534 | Melissa Dawn White | Nurse Practitioner | 1919 S Wheeling Ave Ste 606, Tulsa, OK 74104-5635 | 2019-09-17 |
| 1851717003 | Lauren Anne Watkinson | Nurse Practitioner | 1919 S Wheeling Ave Ste 606, Tulsa, OK 74104-5635 | 2014-03-12 |
| 1588007884 | Brandon King | Nurse Practitioner | 1919 S Wheeling Ave Ste 606, Tulsa, OK 74104-5635 | 2013-04-17 |
| 1427379577 | Janice Te | Internal Medicine | 1919 S Wheeling Ave Ste 606, Tulsa, OK 74104-5635 | 2010-06-11 |
| 1912167867 | Kelley M Struble | Internal Medicine | 1919 S Wheeling Ave Ste 606, Tulsa, OK 74104-5635 | 2008-06-13 |
| 1881758563 | Heather Linette Bell | Internal Medicine | 1919 S Wheeling Ave Ste 606, Tulsa, OK 74104-5635 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457824161 | Dawn Medi Spa, Inc | Nurse Practitioner | 1243 South Harvard Ave, Dawn Medi Spa, Inc, Tulsa, OK 74112 | 2019-01-04 |
| 1568969632 | A&m Healthcare Clinic | Nurse Practitioner | 3606 North Mlk Blvd, Tulsa, OK 74106 | 2018-04-06 |
| 1659770915 | Wanda S Guerrero | Nurse Practitioner | 1831 E 71st St Ste 305, Tulsa, OK 74136-3922 | 2014-08-21 |
| 1013359298 | Lori Ann Maxwell | Nurse Practitioner | 1245 S Utica Ave Fl 1, Tulsa, OK 74104-4214 | 2013-07-29 |
| 1750679585 | Abigail J Laymon | Nurse Practitioner | 1124 S Saint Louis Ave Ste 2, Tulsa, OK 74120-5413 | 2011-07-13 |
| 1265616064 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Nurse Practitioner | 4444 E 41st St 1st Floor Ste B, Ou Physicians Tulsa Pediatric Diabetes Center & Ha, Tulsa, OK 74135-2527 | 2007-12-28 |
| 1396783908 | Sandra Marie Mellor | Nurse Practitioner | 8316 E 61st St Ste 101a, Tulsa, OK 74133-1908 | 2006-06-04 |
| 1699757138 | Jennifer Lynn Graves | Nurse Practitioner | 5906 E 31st St, Tulsa, OK 74135-5110 | 2005-11-18 |
| 1164072534 | Melissa Dawn White | Nurse Practitioner | 1919 S Wheeling Ave Ste 606, Tulsa, OK 74104-5635 | 2019-09-17 |
| 1558828004 | Laura Diane Orrick | Nurse Practitioner | 4444 E 41st St, Tulsa, OK 74135-2527 | 2019-02-20 |
| 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.