DR. MARY MELISSA MORGAN (NPI# 1487621413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487621413 |
Entity Type | Individual |
Full Name | DR. MARY MELISSA MORGAN |
Credential | M.D. |
Practice Address |
1621 S Eucalyptus Ave Suite 202 Broken Arrow OK 74012-5940 |
Mailing Address |
1621 S Eucalyptus Ave Sutie 202 Broken Arrow OK 74012-5940 |
Practice Telephone | 9184597546 |
Practice Fax Number | 9184597575 |
Mailing Telephone | 9184597546 |
Mailing Fax Number | 9184597575 |
Enumeration Date | 2006-03-08 |
Last Update Date | 2012-05-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
20128 | OK | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679032296 | Mary Elizabeth Morgan | Social Worker | 6803 Holliston Cir, Fayetteville, NY 13066-1708 | 2019-03-13 |
1982024121 | Mary Morgan | Acupuncturist | 2222 E Cliff Dr, Suite 216, Santa Cruz, CA 95062-4737 | 2014-04-25 |
1437381209 | Mary M. Morgan | Nurse Practitioner | 1660 Woodsage Ave, Bldg A, Merridian, ID 83642 | 2009-08-12 |
1003048034 | Mary Ann Morgan | Pharmacist | 640 Jake Alexander Blvd W, Salisbury, NC 28147-1367 | 2009-08-08 |
1164565925 | Mary Michelle Morgan | Social Worker | 81 W Park St, Butte, MT 59701-1713 | 2007-02-14 |
1235110388 | Mary Kathryn Morgan | Audiologist | 350 Montevue Lane, Fredrick County Health Department, Frederick, MD 21702 | 2005-11-07 |
1205445012 | Mary Giles Morgan | Behavior Technician | 6849 Peachtree Dunwoody Rd, Atlanta, GA 30328-1608 | 2020-07-28 |
1477170637 | Mary Elizabeth Morgan | Physician Assistant | 1000 W Cannon St, Fort Worth, TX 76104-3029 | 2020-07-02 |
1346875317 | Mary Louise Morgan | Community Health Worker | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-03-10 |
1952864662 | Mary Elizabeth Morgan | Student in an Organized Health Care Education/Training Program | 150 Bergen St, Newark, NJ 07103-2496 | 2019-04-09 |
Street Address |
1621 S EUCALYPTUS AVE SUITE 202 |
City | BROKEN ARROW |
State | OK |
Zip Code | 74012-5940 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447254826 | Dena Marie Brunk | Physical Therapist | 1621 S Eucalyptus Ave, Broken Arrow, OK 74012-5940 | 2005-06-13 |
1518232230 | Melissa Morgan Md PC | Clinic/Center | 1621 S Eucalyptus Ave, Suite 202, Broken Arrow, OK 74012-5940 | 2012-03-13 |
1578719456 | Kevin C. Duffy | Dentist | 1621 S Eucalyptus Ave, Ste 201, Broken Arrow, OK 74012-5950 | 2008-08-12 |
1427279561 | Oklahoma Physical Medicine and Rehabilitation, PC | Physical Medicine & Rehabilitation | 1621 S Eucalyptus Ave, Suite 204, Broken Arrow, OK 74012-5940 | 2007-05-02 |
1124109392 | Myrna Byers Domoney | Dentist | 1621 S Eucalyptus Ave, Suite 101, Broken Arrow, OK 74012-5940 | 2006-10-17 |
1861597866 | Myrna Domoney Dds, Pllc | Dentist | 1621 S Eucalyptus Ave, Suite 101, Broken Arrow, OK 74133 | 2006-09-14 |
1992771612 | Karla Hobart | Physical Therapist | 1621 S Eucalyptus Ave, Broken Arrow, OK 74012-5940 | 2006-02-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
Find all providers in zip 74012 |
Taxonomy Code | 207NS0135X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Procedural Dermatology |
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427436088 | Robert Clendenin | Dermatology | 432 N Broadway Ave, Shawnee, OK 74801-6922 | 2015-05-14 |
1902930209 | Glenn Koester, M.d., P.C. | Dermatology | 3863 S Boulevard St Ste 200, Edmond, OK 73013-5540 | 2007-03-16 |
1790892461 | Glenn Alan Koester | Dermatology | 3863 S. Boulevard, Edmond, OK 73034 | 2006-08-25 |
1285924837 | Graham Dermatology Center, P.C. | Dermatology | 307 E Danforth Rd, Suite 154, Edmond, OK 73034-4483 | 2011-04-17 |
1710195003 | Travis Wayne Blalock | Dermatology | 619 Ne 13th St, Oklahoma City, OK 73104-5001 | 2007-05-18 |
1417007139 | Eric Wyatt | Dermatology | 104 Nw 31st St, Lawton, OK 73505-6100 | 2007-01-12 |
1457360646 | James Benton Stewart Jr. | Dermatology | 3705 W Memorial Rd, Suite 101, Oklahoma City, OK 73134-1512 | 2006-08-05 |
1982658167 | Abbott Dermatology P C | Dermatology | 3500 S Western Ave, Oklahoma City, OK 73109-2413 | 2006-05-20 |
City | BROKEN ARROW |
Zip Code | 74012 |
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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.