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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | 8729 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RR MEDICARE | 040004091 | 01 | |
OK | 100187980A | 05 |
Street Address |
3435 NW 56 #711A |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73112 |
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 |
Find all providers in zip 73112 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
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. |
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 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73112 |
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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.