DR. BRYAN ANDREW VANDOREN (NPI# 1447298120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447298120 |
| Entity Type | Individual |
| Full Name | DR. BRYAN ANDREW VANDOREN |
| Credential | M.D. |
| Practice Address |
10810 E 45th St Ste 400 Tulsa OK 74146-3806 |
| Mailing Address |
4716 S Urbana Street Ste 200 Broken Arrow OK 74012-5997 |
| Practice Telephone | 9187427030 |
| Practice Fax Number | 9187429958 |
| Mailing Telephone | 9187104112 |
| Mailing Fax Number | 9187104118 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2019-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
17313 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
10810 E 45TH ST STE 400 |
| City | TULSA |
| State | OK |
| Zip Code | 74146-3806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809080 | Andreas Frank Revelis | Anesthesiology | 10810 E 45th St Ste 400, Tulsa, OK 74146-3806 | 2005-05-23 |
| 1932613288 | Jessica Louise Mcelhenny | Nurse Practitioner | 10810 E 45th St Ste 400, Tulsa, OK 74146-3806 | 2017-11-24 |
| 1609392505 | Suzanne Stella Bjornson | Nurse Practitioner | 10810 E 45th St Ste 400, Tulsa, OK 74146-3806 | 2017-08-22 |
| 1265882930 | Keah Allen | Nurse Practitioner | 10810 E 45th St Ste 400, Tulsa, OK 74146-3806 | 2016-06-14 |
| 1316074834 | Tulsa Pain Consultants, Inc | Clinic/Center | 10810 E 45th St Ste 400, Tulsa, OK 74146-3806 | 2007-02-28 |
| 1962405035 | Martin Leo Martucci | Anesthesiology | 10810 E 45th St Ste 400, Tulsa, OK 74146-3806 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
| 1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
| 1184158404 | Alexis Lauren Allen | Case Manager/Care Coordinator | 9820 E 41st St #400, Tulsa, OK 74146 | 2017-04-13 |
| 1578995908 | Adrian Gheorghe Butuc | Massage Therapist | 5635 S Mingo #b, Tulsa, OK 74146 | 2013-08-08 |
| 1336587088 | Tulsa Cancer Institute, Pllc | Obstetrics & Gynecology | 12697 E. 51st St. South, Tulsa, OK 74146 | 2013-06-04 |
| 1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
| 1619232972 | Diagnostic Imaging Associates | General Acute Care Hospital | 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 | 2012-07-11 |
| 1790046654 | Aundra Lamar Fuller | Behavioral Analyst | 10922 E. 39th St., Tulsa, OK 74146 | 2012-06-06 |
| 1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
| 1922307958 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5115 S. 122nd East Ave., Suite 204, Tulsa, OK 74146 | 2011-03-16 |
| Find all providers in zip 74146 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740722115 | Green Country Pain Management | Internal Medicine | 6048-a S Sheridan Rd, Tulsa, OK 74145 | 2016-11-16 |
| 1558393637 | Gary Raymond Denny | Internal Medicine | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962601005 | Thomas Wayne Davis | Internal Medicine | 2129 Sw 59th St, Suite 1238, Oklahoma City, OK 73119-7024 | 2007-07-17 |
Please comment or provide details below to improve the information on DR. BRYAN ANDREW VANDOREN.
| 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.