MONICA BROUSSARD


Address: 6465 S Yale Ave, Suite 420, Tulsa, OK 74136-7823
Phone: 9185028810

MONICA BROUSSARD (NPI# 1376960799) 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) 1376960799
Entity Type Individual
Full Name MONICA BROUSSARD
Credential P.A. - C
Practice Address 6465 S Yale Ave
Suite 420
Tulsa
OK 74136-7823
Mailing Address 6767 South Yale Avenue
Suite A
Tulsa
OK 74136
Practice Telephone 9185028810
Enumeration Date 2014-03-24
Last Update Date 2017-07-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 2365 OK Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6465 S YALE AVE
SUITE 420
City TULSA
State OK
Zip Code 74136-7823

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659372878 Jere Davies Cravens Pediatrics 6465 S Yale Ave, #715, Tulsa, OK 74136-7822 2005-08-10
1063958130 Angela Dawn July Nurse Practitioner 6465 S Yale Ave, Suite 507, Tulsa, OK 74136-7823 2017-01-13
1912378050 Maryanne Bolt Nurse Practitioner 6465 S Yale Ave, Suite 1002, Tulsa, OK 74136-7823 2015-10-15
1558747295 Jo Pongsatien Optometrist 6465 S Yale Ave, Ste 215, Tulsa, OK 74136-7823 2015-08-05
1114348422 Tia Alexis Christ Nurse Practitioner 6465 S Yale Ave, Suite 704, Tulsa, OK 74136-7823 2014-01-05
1053740050 Osteopathic Physicians of Tulsa, Inc Internal Medicine 6465 S Yale Ave, Ste 401, Tulsa, OK 74136-7823 2013-11-11
1063851863 Jennifer Christina Craig Specialist/Technologist, Other 6465 S Yale Ave, Suite 900, Tulsa, OK 74136-7823 2013-06-14
1841546637 Alexandria Nicole Fifer Nurse Practitioner 6465 S Yale Ave, Suite 704, Tulsa, OK 74136-7823 2012-07-30
1457618613 Kristy Kay Martin Clinical Nurse Specialist 6465 S Yale Ave, Suite 507, Tulsa, OK 74136-7823 2012-04-12
1215209358 Erika Marie Allison Physician Assistant 6465 S Yale Ave, Suite 420, Tulsa, OK 74136-7823 2012-02-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912520883 Esmeralda Rosales Behavior Technician 7306 S. Yale Ave, Tulsa, OK 74136 2020-05-26
1851939631 Kenneth Aaron Pohl Behavior Technician 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 2019-12-12
1578109195 Brett Ray Weaver Chiropractor Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 2019-11-19
1477194488 Adhd and Mood Center of Oklahoma Clinic/Center 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 2019-10-01
1093272510 Whitney Christine Pilkenton Registered Nurse 6161 S. Yale Ave., Tulsa, OK 74136 2019-02-21
1538639190 Osu Center for Health Sciences Clinic/Center 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 2018-11-27
1043786304 Saint Francis Hospital, Inc. Hospice Care, Community Based 6600 South Yale Ave Suite 350, Tulsa, OK 74136 2018-10-15
1891282877 Premier Rheumatology of Oklahoma Internal Medicine 6114 E. 61st Street, Tulsa, OK 74136 2018-04-16
1679092175 Grace Eloise Evans Counselor 6655 S. Yale Ave, Tulsa, OK 74136 2017-09-15
1598283756 David Oladipo Abioye Counselor 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 2017-09-07
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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 74136

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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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