CARL T BERGREN (NPI# 1417936394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417936394 |
| Entity Type | Individual |
| Full Name | CARL T BERGREN |
| Credential | MD |
| Practice Address |
6161 S Yale Ave Tulsa OK 74136-1902 |
| Mailing Address |
6600 S Yale Ave Suite 1400 Tulsa OK 74136-3347 |
| Practice Telephone | 9184941805 |
| Mailing Telephone | 9184886001 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2020-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
26994 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
6161 S YALE AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74136-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334496 | Barry Clinton Mirtsching | Internal Medicine | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2005-05-23 |
| 1295334977 | Linda Mccall Williams | Nurse Practitioner | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-10-22 |
| 1487253530 | Nikkira Renae Barnes | Nurse Practitioner | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-10-20 |
| 1114524998 | Garrett Anthony Hastings | Registered Nurse | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-10-05 |
| 1891308532 | Kristy Mckinnie | Nurse Practitioner | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-08-24 |
| 1508478439 | Jessica Lynn Avila | Nurse Practitioner | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-08-21 |
| 1447878632 | Heather Ann Durow | Respiratory Therapist, Registered | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-07-14 |
| 1518584374 | Kellie Jean Norris | Registered Nurse | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-06-28 |
| 1417585654 | Thomas Weaver | Physician Assistant | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-04-01 |
| 1205464773 | Catherine Grantham | Dietitian, Registered | 6161 S Yale Ave, Tulsa, OK 74136-1992 | 2020-03-31 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 74136 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679899421 | Rachel Pastorek Tyler | Surgery | 1919 Swheeling Ave, Suite 606, Tulsa, OK 74104 | 2010-04-19 |
| 1184035677 | Dylan Frances Davey | Surgery | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2014-05-19 |
| 1033478466 | Vernon D. Horst | Surgery | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | 2012-05-04 |
| 1730340076 | Robert Brock Goodwin | Surgery | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2008-06-19 |
| 1669659439 | Nathan James Powell | Surgery | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2008-01-23 |
| 1417154048 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Surgery | 1919 S Wheeling Ave Ste 600, Ou Physicians Tulsa Surgical Specialist, Tulsa, OK 74104-5635 | 2007-06-28 |
| 1497886790 | Debra Lynne Vanzandt | Surgery | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811251929 | Sumit Kumar | Surgery | 101 Rockefeller Dr Ste 201, Muskogee, OK 74401-5050 | 2012-07-03 |
| 1285874834 | Peter Kent Harman | Surgery | 1000 N Lee Ave, Room 4404, Oklahoma City, OK 73102-1036 | 2009-02-23 |
| 1881882181 | Kenneth L. Crawford,m.d.pllc | Surgery | 10525 Highview Dr, Oklahoma City, OK 73151-9374 | 2007-10-11 |
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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.