DR. JERRY D RENFROE


Address: 3435 Nw 56, #711a, Oklahoma City, OK 73112
Phone: 4059454222

DR. JERRY D RENFROE (NPI# 1386744761) 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) 1386744761
Entity Type Individual
Full Name DR. JERRY D RENFROE
Credential MD
Practice Address 3435 Nw 56
#711a
Oklahoma City
OK 73112
Practice Telephone 4059454222
Practice Fax Number 4059454322
Mailing Telephone 4059454222
Mailing Fax Number 4059454322
Enumeration Date 2006-09-25
Last Update Date 2008-07-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 8729 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RR MEDICARE 040004091 01
OK 100187980A 05

Office Location

Street Address 3435 NW 56
#711A
City OKLAHOMA CITY
State OK
Zip Code 73112

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NPI Name Taxonomy Address Enumeration
1972145886 Crystopher J Long Physical Therapist Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 2019-10-11
1700448974 Joy Healthcare Services of Okc LLC Home Health 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 2019-07-08
1801380159 Crysten Cheatwood Do, PC Obstetrics & Gynecology 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 2018-06-20
1306352521 Victoria Ann Kappel Thoracic Surgery (Cardiothoracic Vascular Surgery) 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 2017-12-26
1871014886 Tanesia Michelle Smith Case Management 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 2017-06-29
1619414257 Edwige Gwanyama Student in an Organized Health Care Education/Training Program 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 2017-01-20
1619424017 Jennifer Beaver Peer Specialist 2808 Nw 31st, Oklahoma City, OK 73112 2016-09-02
1417305368 Gabriel Plank Counselor 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 2016-06-01
1912364365 Sams East Inc Durable Medical Equipment & Medical Supplies 4101 N May Ave, Oklahoma City, OK 73112 2016-01-15
1679938922 Portland Anesthesia Associates LLC Nurse Anesthetist, Certified Registered 5501 N Porland Ave, Oklahoma City, OK 73112 2015-12-30
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871056671 Perry Santos, M.d., P.C. Otolaryngology 3435 Nw 56th St, Bldg A, Suite 412, Oklahoma City, OK 73112-4448 2019-04-09
1598292419 Vikram Gopal Ramjee Otolaryngology 800 Stanton L Young Blvd Ste 1464, Oklahoma City, OK 73104-5018 2017-05-23
1649657263 Lindsey B Stull Otolaryngology 800 Stanton L Young Blvd # 1464, Oklahoma City, OK 73104-5018 2015-05-04
1457768376 Keren Bartal Otolaryngology G. Rainey Williams Pavilion 1290, Oklahoma City, OK 73126 2014-07-14
1518233758 Edward T El Rassi Otolaryngology 800 Stanton L Young Blvd Ste 1400, Oklahoma City, OK 73104 2012-03-30
1023032612 Oklahoma City Ear, Nose & Throat Clinic, PC Otolaryngology 535 Nw 9th Street, Suite 300, Oklahoma City, OK 73102 2006-07-27
1063463669 Richard D Orgill Otolaryngology 10958 N May Ave, Oklahoma City, OK 73120-6202 2006-05-16
1700841145 Jason Brandt Sigmon Otolaryngology 10960 N May Ave, Oklahoma City, OK 73120-6202 2006-04-19
1538121843 German Paul Digoy Otolaryngology 9900 Broadway Ext Ste 200, Oklahoma City, OK 73114-6323 2006-04-03
1134198260 Ivan Wayne Otolaryngology 13904 Quailbrook Dr, Oklahoma City, OK 73134-1718 2006-03-14
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City OKLAHOMA CITY
Zip Code 73112

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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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