MARIANNE BACHARACH, MD, PLLC (NPI# 1477002277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477002277 |
| Entity Type | Organization |
| Organization Name | MARIANNE BACHARACH, MD, PLLC |
| Practice Address |
1905 Nw 56th Ter Oklahoma City OK 73118-1409 |
| Practice Telephone | 4057068289 |
| Mailing Telephone | 4057068289 |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |
| Authorized Official Name | MARIANNE BACHARACH (PHYSICIAN) |
| Authorized Official Telephone | 4057068289 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 21693 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
1905 NW 56TH TER |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73118-1409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255812772 | Karrie Danea Moreno | Behavior Technician | 1507 Ne 31st, Oklahoma, OK 73118 | 2018-08-23 |
| 1528578499 | Revive Medical LLC | General Practice | 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 | 2017-10-05 |
| 1225556228 | Anika Carr | Case Manager/Care Coordinator | 1212 Nw 32nd Street, Oklahoma City, OK 73118 | 2017-08-30 |
| 1740635168 | Nikhil Malhotra | Internal Medicine | 3635 Vista Avenue At Grand Boulevard, 14th Floor, Desloge Towers, St. Louis, MO 73118 | 2016-05-04 |
| 1144694183 | Christopher Woon | Counselor | 4001 N Classen, Suite 105, Oklahoma City, OK 73118 | 2015-11-13 |
| 1699181925 | Stac Embry | Counselor | 3321 N. Mckinley Ave, Oklahoma City, OK 73118 | 2014-07-08 |
| 1194161216 | Jennifer Kaye Powers | Counselor | 3124 N. Classen Blvd., Ste. A, Oklahoma City, OK 73118 | 2013-05-15 |
| 1932445491 | Jessica Camp | Behavioral Analyst | 3220 N Harvey Pkwy, Oklahoma City, OK 73118 | 2013-01-02 |
| 1942578661 | Michael D Danielson | Behavioral Analyst | 4232 N Sante Fe Ave, Oklahoma City, OK 73118 | 2011-12-08 |
| 1912280587 | Tara Roberts | Counselor | 1743 Nw 37th, Oklahoma City, OK 73118 | 2011-09-21 |
| Find all providers in zip 73118 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295359248 | Optimum Complete Care, Pllc | Emergency Medicine | 5200 E. Interstate 240 Service Rd., Oklahoma City, OK 73135 | 2020-06-05 |
| 1164920252 | True North Health Navigation LLC | Emergency Medicine | 2525 Nw Expressway St Ste 102, Oklahoma City, OK 73112-7200 | 2018-01-24 |
| 1194105353 | Romel Baroi | Emergency Medicine | 1000 N Lee Ave Ste 4401, Oklahoma City, OK 73102-1036 | 2015-06-03 |
| 1932517562 | Cole Timmons Hodges | Emergency Medicine | 200 Ne 2nd St Apt 204, Oklahoma City, OK 73104-4070 | 2014-07-28 |
| 1811304199 | Tyler Clayton Stephens | Emergency Medicine | 10304 Southridge Ter, Oklahoma City, OK 73159-7326 | 2014-07-17 |
| 1053736173 | James Edward Trina | Emergency Medicine | 2745 Sw 66th St, Oklahoma City, OK 73159-2605 | 2014-02-26 |
| 1255686697 | Chris D Bradshaw | Emergency Medicine | 4401 Sw 44th St, Oklahoma City, OK 73119-2899 | 2012-07-23 |
| 1457615114 | Julie Lewis | Emergency Medicine | 524 Nw 20th St, Oklahoma City, OK 73103-1803 | 2012-06-27 |
| 1013277284 | Diana Dee Mills-maloney | Emergency Medicine | 10312 Creek Meadow Dr, Oklahoma City, OK 73151-9138 | 2012-05-22 |
| 1699080473 | Carol Nahid Azadi | Emergency Medicine | 221 Ne 1st St Apt 202, Oklahoma City, OK 73104-4064 | 2010-08-17 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73118 |
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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.