DR. JENNIFER LYNN O'STASIK (NPI# 1447385091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447385091 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER LYNN O'STASIK |
| Other Name | JENNIFER LYNN BUTCHER |
| Credential | M.D. |
| Practice Address |
1245 S Utica Ave 2nd Floor Tulsa OK 74104-4214 |
| Practice Telephone | 9185793850 |
| Practice Fax Number | 9185793859 |
| Mailing Telephone | 9185793850 |
| Mailing Fax Number | 9185793859 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2016-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 24940 | OK | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
24940 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200525560A | 05 |
| Street Address |
1245 S UTICA AVE 2ND FLOOR |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578543260 | Andre Fredieu | Psychiatry & Neurology | 1245 S Utica Ave, 3rd Floor West, Tulsa, OK 74104-4214 | 2006-01-19 |
| 1356721237 | Devon Morris | Nurse Practitioner | 1245 S Utica Ave, Tulsa, OK 74104-4214 | 2015-06-04 |
| 1124426978 | Helen Hoggard | Registered Nurse | 1245 S Utica Ave, 2nd Floor East, Tulsa, OK 74104-4214 | 2014-12-10 |
| 1306264676 | Amy Clark | Nurse Practitioner | 1245 S Utica Ave, 3rd Floor West, Tulsa, OK 74104-4214 | 2014-04-02 |
| 1811314909 | Brandi Baxter | Nurse Practitioner | 1245 S Utica Ave, Suite 103, Tulsa, OK 74104-4214 | 2014-03-26 |
| 1649612847 | Laura Thornton Bloomfield | Nurse Practitioner | 1245 S Utica Ave, 2nd Floor West, Tulsa, OK 74104-4214 | 2013-07-29 |
| 1669745667 | Amara Gayathri Nandikolla | Internal Medicine | 1245 S Utica Ave, Ste 100, Tulsa, OK 74104 | 2012-02-22 |
| 1659539401 | Hillary Pane | Family Medicine | 1245 S Utica Ave, 2w, Tulsa, OK 74104-4214 | 2008-05-29 |
| 1003001785 | Jaclyn Cinda Jones | Orthopaedic Surgery | 1245 S Utica Ave, Tulsa, OK 74104 | 2007-09-06 |
| 1629283114 | Ahs Oklahoma Physician Group, LLC | Internal Medicine | 1245 S Utica Ave, Tulsa, OK 74104-4214 | 2007-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568770105 | Oncology Services LLC | Internal Medicine | 2408 E 81st St, Suite 110, Tulsa, OK 74137-4200 | 2010-09-16 |
| 1295040806 | Issam Abdelkarim Hussein Alawin | Internal Medicine | 10109 E. 79th Street, Tulsa, OK 74133 | 2010-08-09 |
| 1841485216 | Asha Karippot | Internal Medicine | 10109 E. 79th Street, Tulsa, OK 74133 | 2007-09-10 |
| 1497717037 | Sagun Shrestha | Internal Medicine | 10109 E. 79th Street, Tulsa, OK 74133 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023358181 | Pinnacle Oncology Oklahoma PC | Internal Medicine | 301 N 32nd St, Muskogee, OK 74401-5037 | 2013-02-26 |
| 1255472122 | Sumbal Nabi | Internal Medicine | 600 S Monroe St, Enid, OK 73701-7211 | 2007-02-12 |
| 1679688352 | Manjula Krishnamurthi | Internal Medicine | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2006-08-20 |
| 1104870344 | Aleda A Toma | Internal Medicine | 3525 Nw 56th St, Suite D100, Oklahoma City, OK 73112-4550 | 2006-05-20 |
| 1235124330 | Rick G Mckinney | Internal Medicine | 500 E Robinson St, Suite 2100, Norman, OK 73071-6697 | 2005-09-14 |
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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.