SUBRAMANIA JEGATHESAN (NPI# 1346292802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346292802 |
| Entity Type | Individual |
| Full Name | SUBRAMANIA JEGATHESAN |
| Credential | MD |
| Practice Address |
1705 E 19th St Ste 701 Tulsa OK 74104-5405 |
| Mailing Address |
1515 N Harvard Ave Ste E Tulsa OK 74115-4957 |
| Practice Telephone | 9187487878 |
| Practice Fax Number | 9187487806 |
| Mailing Telephone | 9188326049 |
| Mailing Fax Number | 9188326055 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2011-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
10214 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100049650B | 05 |
| Street Address |
1705 E 19TH ST STE 701 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-5405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518955483 | Brett J Bennett | Physician Assistant | 1705 E 19th St, Suite 302, Tulsa, OK 74104-5405 | 2005-10-13 |
| 1831687961 | Judith Rae Muskrat | Nurse Practitioner | 1705 E 19th St, Ste 302, Tulsa, OK 74104-5410 | 2018-04-24 |
| 1215471263 | Tiffany Schaudt | Nurse Practitioner | 1705 E 19th St, Ste 302, Tulsa, OK 74104-5405 | 2016-12-09 |
| 1194184226 | Meghan Elise Saliba | Physician Assistant | 1705 E 19th St, 302, Tulsa, OK 74104-5405 | 2016-02-17 |
| 1558727164 | Mindi Henry | Nurse Practitioner | 1705 E 19th St, Holliman Medical Building Suite 302, Tulsa, OK 74104-5405 | 2016-01-12 |
| 1598139875 | Jaymie Wilson | Nurse Practitioner | 1705 E 19th St, Ste 302, Tulsa, OK 74104-5405 | 2015-11-24 |
| 1982076642 | Valerie Hazlip | Nurse Practitioner | 1705 E 19th St, Ste 302, Tulsa, OK 74104-5405 | 2015-10-21 |
| 1598152191 | Grisel Yuliana Quiroz | Family Medicine | 1705 E 19th St, Ste 302, Tulsa, OK 74104-5410 | 2015-04-21 |
| 1417341181 | Sarah Mccullough Washatka | Hospitalist | 1705 E 19th St, Ste 302, Tulsa, OK 74104-5410 | 2015-03-20 |
| 1932591989 | Kayla Day Warner | Registered Nurse | 1705 E 19th St, Suite 302, Tulsa, OK 74104-5405 | 2015-02-28 |
| Find all providers in the same location | ||||
| 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 | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609829431 | Richard D Ranne | Surgery | 1919 S Wheeling Ave Ste 606, Tulsa, OK 74104 | 2006-05-19 |
| 1790700649 | Pediatric Surgery, Inc. | Surgery | 6151 S Yale Ave, Suite 305, Tulsa, OK 74136-1907 | 2006-07-13 |
| 1083668826 | Mary H Li | Surgery | 6151 S Yale Ave, Suite 305, Tulsa, OK 74136-1907 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932162021 | Robert Warren Letton Jr. | Surgery | 103 Deer Creek Rd, Edmond, OK 73003-9370 | 2006-04-10 |
| 1295969053 | Michael Loyd Megison | Surgery | 1200 Everett Dr, Chnp 2320, Oklahoma City, OK 73104-5047 | 2009-05-08 |
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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.