DR. CHARLES C WEDDLE (NPI# 1467472571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467472571 |
| Entity Type | Individual |
| Full Name | DR. CHARLES C WEDDLE |
| Credential | M.D. |
| Practice Address |
1 S Bryant Ave Edmond OK 73034-6309 |
| Mailing Address |
4500 S Garnett Rd Ste 300 Tulsa OK 74146-5229 |
| Practice Telephone | 9186649892 |
| Practice Fax Number | 9186642521 |
| Mailing Telephone | 9186649892 |
| Mailing Fax Number | 9186642521 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2009-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 12392 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100128650A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912075029 | Charles O. Weddle II | Family Medicine | 2502 25th St, Columbus, IN 47201-3728 | 2006-11-30 |
| Street Address |
1 S BRYANT AVE |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-6309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588655070 | Monica Esparza | Nurse Practitioner | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2005-11-02 |
| 1154962546 | Elizabeth Ann Powell | Registered Nurse | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2019-10-07 |
| 1346716776 | Tiffany Ruth Lenhart | Physician Assistant | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2018-10-24 |
| 1184121907 | Elizabeth Ann Jackson | Clinical Nurse Specialist | 1 S Bryant Ave, Edmond, OK 73034-6398 | 2018-04-09 |
| 1932610383 | Stephanie Nicole Beasley | Nurse Practitioner | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2017-10-12 |
| 1609386010 | Leah Lynnette Emerson | Physical Medicine & Rehabilitation | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2017-10-11 |
| 1801306642 | Tresa Dorman | Registered Nurse | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2017-10-06 |
| 1619487923 | Tristar Healthcare Inc | Internal Medicine | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2017-10-02 |
| 1609390111 | Ou Medicine Inc. | Psychiatric Unit | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2017-07-27 |
| 1033562673 | Scott Nicholson | Physician Assistant | 1 S Bryant Ave, Edmond, OK 73034-6309 | 2016-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902361231 | Sdc Anesthesia Pllc | Anesthesiology | 101 S Saints Blvd Ste 212, Edmond, OK 73034-3083 | 2019-01-31 |
| 1447655923 | Charles C. Weddle, Jr Phd, Md, Pllc | Anesthesiology | 8151 E Sorghum Mill Rd, Edmond, OK 73034-9526 | 2014-10-27 |
| 1336554567 | Summit Medical Center Physicians, LLC | Anesthesiology | 1800 S Renaissance Blvd, Edmond, OK 73013-3023 | 2014-06-26 |
| 1376986604 | Ryan Vincent | Anesthesiology | 2017 W I 35 Frontage Rd Ste 130, Edmond, OK 73013-8554 | 2013-04-17 |
| 1730386285 | Sharon Marie Darrow | Anesthesiology | 1916 Nw 159th Pl, Edmond, OK 73013 | 2007-06-28 |
| 1386734333 | Jeffrey Newton Pearce | Anesthesiology | 110 N Midwest Blvd, Edmond, OK 73034-8410 | 2006-10-13 |
| 1417965807 | Lisa A White | Anesthesiology | 3324 French Park Dr, Ste B, Edmond, OK 73034-7269 | 2006-08-03 |
| 1720002199 | James R Simonson | Anesthesiology | 3209 Nw 177th St, Edmond, OK 73012-9056 | 2006-07-27 |
| 1164480687 | Dipakkumar Shantilal Patel | Anesthesiology | 11312 Old River Trl, Edmond, OK 73013-8338 | 2006-05-03 |
| 1558338392 | Nilaksha Bhatt | Anesthesiology | 1050 E 2nd St, #235, Edmond, OK 73034-5313 | 2006-03-01 |
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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.