AMY K BROOKOVER


Address: 4802 S 109th East Ave, Tulsa, OK 74146-5822
Phone: 9183921400

AMY K BROOKOVER (NPI# 1346201050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346201050
Entity Type Individual
Full Name AMY K BROOKOVER
Credential PA
Practice Address 4802 S 109th East Ave
Tulsa
OK 74146-5822
Practice Telephone 9183921400
Practice Fax Number 9183921488
Mailing Telephone 9183921400
Mailing Fax Number 9183921488
Enumeration Date 2006-03-31
Last Update Date 2011-06-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 949 OK Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4802 S 109TH EAST AVE
City TULSA
State OK
Zip Code 74146-5822

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275500415 Jaafar M Bazih Orthopaedic Surgery 4802 S 109th East Ave, Tulsa, OK 74146-5822 2006-03-07
1285294710 Tbj Advanced Care LLC Orthopaedic Surgery 4802 S 109th East Ave, Tulsa, OK 74146-5822 2019-06-17
1003391905 Rebecca Holland Physician Assistant 4802 S 109th East Ave, Tulsa, OK 74146-5822 2018-09-27
1730685314 Johnathon David Millwee Specialist/Technologist 4802 S 109th East Ave, Tulsa, OK 74146 2018-04-03
1124400064 Craig Stewart Physical Therapist 4802 S 109th East Ave, Tulsa, OK 74146-5822 2015-06-28
1396155222 Rey Amezquita Orthotist 4802 S 109th East Ave, Brace Shop, Tulsa, OK 74146-5822 2014-04-30
1700223070 Thomas Calvin Blair IIi Physical Therapist 4802 S 109th East Ave, Tulsa, OK 74146-5822 2013-05-28
1396082137 Ashley Linn Legg Physician Assistant 4802 S 109th East Ave, Tulsa, OK 74146-5822 2013-01-14
1417251372 Luis Hernandez Physician Assistant 4802 S 109th East Ave, Tulsa, OK 74146-5822 2011-01-06
1720306277 Jason Griffin Orthopaedic Surgery 4802 S 109th East Ave, Tulsa, OK 74146-5822 2010-05-07
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720620487 Taehee Strauss Physician Assistant 5229 S Harvard Ave Apt H, Tulsa, OK 74135-3551 2019-10-15
1871134163 Claire Anne Kifer Physician Assistant 155 E 29th Pl, Tulsa, OK 74114-5201 2019-10-08
1033750328 Jazmine Denise Nicole Manns Physician Assistant 9132 E 37th Ct, Tulsa, OK 74145-3415 2019-10-08
1295376523 Emily Montana Bergeron Physician Assistant 1417 W 78th St Apt 1213, Tulsa, OK 74132-4633 2019-10-08
1295376325 Reagan Hahn Physician Assistant 7746 Riverside Pkwy Apt 203, Tulsa, OK 74136-7677 2019-09-30
1881245082 Miranda Hamilton Physician Assistant 3726 E 43rd St, Tulsa, OK 74135-2743 2019-09-27
1205487493 Christopher Thibeault Physician Assistant 10326 S Oswego Ave, Tulsa, OK 74137 2019-09-27
1831740018 Savannah Payne Physician Assistant 7734 Riverside Pkwy Apt 207f, Tulsa, OK 74136-7371 2019-09-27
1366093759 Garrett Blubaugh Physician Assistant 8307 E 60th St Apt 2127, Tulsa, OK 74145-5014 2019-09-26
1649821547 Madison Snow Physician Assistant 7734 Riverside Pkwy # 207, Tulsa, OK 74136-7670 2019-09-23
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Competitor

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City TULSA
Zip Code 74146

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Dataset Information

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.

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