MRS. DIANA KOFRON (NPI# 1386075794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386075794 |
| Entity Type | Individual |
| Full Name | MRS. DIANA KOFRON |
| Credential | CPNP |
| Practice Address |
7050 Air Depot Blvd 72 Mdg/sgoc Tinker Afb OK 73145-8716 |
| Mailing Address |
8324 Canyon Trail Dr Oklahoma City OK 73135-6240 |
| Practice Telephone | 4055826168 |
| Practice Fax Number | 4057363175 |
| Mailing Telephone | 4055826168 |
| Mailing Fax Number | 4057363175 |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
2013043971 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7050 AIR DEPOT BLVD 72 MDG/SGOC |
| City | TINKER AFB |
| State | OK |
| Zip Code | 73145-8716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902893084 | Michelle Marie Wueste | Pediatrics | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2005-10-04 |
| 1114486701 | James Neal Dillard IIi | Physician Assistant | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2019-03-14 |
| 1407313125 | Cindy Yie | Physician Assistant | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2019-02-28 |
| 1720501299 | William Moore | Student in an Organized Health Care Education/Training Program | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2017-07-17 |
| 1265954952 | Mark Gosnell Jr. | Military Health Care Provider | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2017-07-13 |
| 1245780170 | Mary Phillips | Social Worker | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2016-10-04 |
| 1528418175 | David Rodriguez | Family Medicine | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2016-06-14 |
| 1497120760 | Thaddeus Dwayne Mitcham | Physician Assistant | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2015-12-11 |
| 1659755064 | Benjamin Winston | Dentist | 7050 Air Depot Blvd, Sgdd, Tinker Afb, OK 73145-8716 | 2015-07-15 |
| 1063895068 | Andrea Theye | Psychologist | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2015-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922630946 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tinker Afb Exchange, 3360 N. Avenue Bldg. 685, Tinker Afb, OK 73145 | 2020-02-07 |
| 1578863437 | Stephanie Brushett | Audiologist | 8941 Entrance Road A, Bldg 3334, Rm 125, Tinker Afb, OK 73145 | 2010-10-26 |
| 1972530053 | Mark Robert Bacon | Physician Assistant | 72nd Medical Group, 5700 Arnold St, Tinker Afb, OK 73145 | 2006-06-26 |
| 1417945346 | Heather Renee' Ranger Kobel | Psychologist | 590 Mitchell Blvd, Tinker Afb, OK 73145 | 2005-10-13 |
| 1003332404 | Davis Brigman | Psychologist | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 | 2017-08-17 |
| 1801321393 | Carolyne Bangurah | Registered Nurse | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 | 2017-04-21 |
| 1558748491 | Caitlin Clare Stevens | General Practice | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 | 2015-04-29 |
| 1033498571 | Sarah Katherine Turbush | Dentist | 72d Medical Group, Tinker Afb, OK 73145 | 2011-08-16 |
| 1508000282 | Axelandra Tamar Sang | Military Health Care Provider | 5700 Arnold St, Bldg 5801, Tinker Afb, OK 73145 | 2009-04-27 |
| 1790936466 | William David Hinojosa | Surgery | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 | 2008-09-30 |
| Find all providers in zip 73145 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225097785 | Anne Tipay Magpuri | Nurse Practitioner | 5700 Arnold St, 72mdg/sgomp, Tinker Afb, OK 73145-8105 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396383378 | Lindsey Lauren Givens | Nurse Practitioner | 17513 Aragon Ln, Oklahoma City, OK 73170-9209 | 2019-12-20 |
| 1801453493 | Anna Pauline Reed | Nurse Practitioner | 110 Nw 31st St, Suite 201, Lawton, OK 73505-6100 | 2019-05-20 |
| 1639631781 | April Keith | Nurse Practitioner | 11204 Katie Beth Cir, Oklahoma City, OK 73170-8403 | 2019-04-05 |
| 1861950735 | Michelle Kathleen Spehr | Nurse Practitioner | 3231 Healthplex Dr., Norman, OK 73072 | 2019-03-08 |
| 1740756840 | Darshi Wickrama Edirisooriya | Nurse Practitioner | 1001 N Florence Ave, Claremore, OK 74017-6207 | 2018-10-17 |
| 1922518232 | Bryan Marshall Tison | Nurse Practitioner | 2000 E 15th St Ste 400a, Edmond, OK 73013-6673 | 2017-10-02 |
| 1326566001 | Minor Pediatrics Kristie Minor Aprn-cnp Pllc | Nurse Practitioner | 29334 N 3950 Rd, Ochelata, OK 74051-2485 | 2017-09-01 |
| 1235667833 | Bobbie Renee Stamps | Nurse Practitioner | 18216 S 410 Rd, Hulbert, OK 74441-1832 | 2017-05-25 |
| 1467984781 | Lauryn Kathleen Trepp | Nurse Practitioner | 2800 W 91st St, Tulsa, OK 74132-3510 | 2017-03-28 |
| 1760922678 | Carissa Declerck | Nurse Practitioner | 1200 Childrens Ave Ste 2f, Oklahoma City, OK 73104-4637 | 2017-02-27 |
| Find all providers with the same taxonomy | ||||
| City | TINKER AFB |
| Zip Code | 73145 |
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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.