JEFFREY G BERRY (NPI# 1487638425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487638425 |
| Entity Type | Individual |
| Full Name | JEFFREY G BERRY |
| Credential | MD |
| Practice Address |
1111 N Lee Ave Ste 236 Oklahoma City OK 73103-2600 |
| Mailing Address |
Po Box 5366 Edmond OK 73083-5366 |
| Practice Telephone | 4055244105 |
| Mailing Telephone | 6608265960 |
| Mailing Fax Number | 6608264852 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2009-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 19893 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | RR MEDICARE | P00643961 | 01 |
| OK | 100047890A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144374430 | Jeffrey Thomas Berry | Case Manager/Care Coordinator | 1710 Pebble Beach Pl., Merced, CA 95340 | 2007-01-23 |
| 1295248870 | Jeffrey Berry | Social Worker | 409 Lexington St, Waltham, MA 02452-0933 | 2017-11-06 |
| 1790219210 | Jeffrey Cal Berry | Family Medicine | 9411 N Oak Trfy Ste 100, Kansas City, MO 64155-2262 | 2017-04-12 |
| 1598139008 | Jeffrey Berry | Physical Therapy Assistant | 2 Blackberry Ln, Bennington, VT 05201-2300 | 2015-11-20 |
| Street Address |
1111 N LEE AVE STE 236 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73103-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841271749 | Robert D Evans | Anesthesiology | 1111 N Lee Ave, Suite 236, Oklahoma City, OK 73103-2620 | 2005-11-08 |
| 1770106619 | Hannah Holasek | Physician Assistant | 1111 N Lee Ave, Oklahoma City, OK 73103-2600 | 2020-05-27 |
| 1699276402 | Nicole Ida Harris | Nurse Practitioner | 1111 N Lee Ave, Oklahoma City, OK 73103-2600 | 2018-02-27 |
| 1740730720 | Ssm Health Care of Oklahoma, Inc | Internal Medicine | 1111 N Lee Ave, Suite 300, Oklahoma City, OK 73103-2600 | 2016-10-13 |
| 1659829539 | Jessy John | Nurse Practitioner | 1111 N Lee Ave, Suite 249, Oklahoma City, OK 73103-2600 | 2016-09-20 |
| 1942691175 | Rheumatic Diseases Clinic of Oklahoma, Pllc | Specialist | 1111 N Lee Ave, Suite 249, Oklahoma City, OK 73103-2600 | 2015-02-10 |
| 1295130300 | Well Again Mht LLC | Nurse Practitioner | 1111 N Lee Ave, Suite 310, Oklahoma City, OK 73103-2600 | 2014-10-31 |
| 1326474677 | Well Again Medical Care, Pllc | Family Medicine | 1111 N Lee Ave, Ste 310, Oklahoma City, OK 73103-2600 | 2013-09-18 |
| 1801160841 | Inner Peace Pastoral Counseling, Pllc | Counselor | 1111 N Lee Ave, Suite 101, Oklahoma City, OK 73103-2600 | 2012-03-07 |
| 1902186984 | Saints Medical Group, LLC | Internal Medicine | 1111 N Lee Ave, Suite 334, Oklahoma City, OK 73103-2600 | 2011-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568946846 | Medical Center Pain Clinic, LLC | Pain Medicine | 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103 | 2018-09-21 |
| 1801321369 | Jessica Reed | Community Health Worker | 432 Nw11th St, Oklahoma City, OK 73103 | 2017-04-21 |
| 1982070975 | Retinal Care Diagnostics LLC | Ophthalmology | 1111 N Lee Ave Ste 210, Oklahoma City, OK 73103 | 2015-08-13 |
| 1316329063 | Nurturing Positive Solutions | Marriage & Family Therapist | 307 N. W. 21st Street, Oklahoma City, OK 73103 | 2015-06-18 |
| 1871916700 | Good Shepherd Ministries | Clinic/Center | 222 Nw 12th Street, Oklahoma City, OK 73103 | 2014-01-29 |
| 1275973448 | Christine Donnette Jeffers | Case Manager/Care Coordinator | 433 Nw 25 #10, Oklahoma, OK 73103 | 2013-07-02 |
| 1629327358 | Kelly Rose Whelan | Social Worker | 416 Nw 23rd St, Oklahoma City, OK 73103 | 2012-09-10 |
| 1801160585 | Susan Elizabeth Bigbie | Registered Nurse | 1214 N Hudson, Oklahoma City, OK 73103 | 2012-02-28 |
| 1548533441 | Doris Gayle Poteet | Licensed Practical Nurse | 1214 N. Hudson, Oklahoma, OK 73103 | 2012-02-23 |
| 1538440698 | Wendi J Rollins | Case Manager/Care Coordinator | 600 Nw 23, Suite 108, Oklahoma City, OK 73103 | 2011-09-02 |
| Find all providers in zip 73103 | ||||
| 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 |
|---|---|---|---|---|
| 1417463548 | Integrated Anesthesia Services, Pllc | Anesthesiology | 5030 N May # 291, Oklahoma City, OK 73112-6010 | 2017-12-27 |
| 1942710066 | Christopher C. Shadid, Md, Pllc | Anesthesiology | 837 Nw 41st St, Oklahoma City, OK 73118-6822 | 2017-10-03 |
| 1699124297 | Sterling Etim Euk Udom | Anesthesiology | 750 Ne 13th, Suite 200, College of Medicine, Oklahoma City, OK 73104 | 2016-06-06 |
| 1710331079 | Joseph Mosley | Anesthesiology | 750 Ne 13th Oac 200, Oklahoma City, OK 73104 | 2016-04-22 |
| 1639570427 | Rrm Medical Pllc | Anesthesiology | 3048 Sw 89th St Ste A, Oklahoma City, OK 73159-6359 | 2014-09-11 |
| 1962763110 | Sheila Busch Campbell | Anesthesiology | 3532 Quail Creek Rd, Oklahoma City, OK 73120-8911 | 2012-06-05 |
| 1497012272 | Neda Sadeghi | Anesthesiology | 12016 Dahoon Dr, Oklahoma City, OK 73120-8131 | 2012-04-18 |
| 1861760837 | John Bernard Gilleran | Anesthesiology | 4940 Nw 31st St, Oklahoma City, OK 73122 | 2011-12-06 |
| 1609161231 | Ksenia Koltun | Anesthesiology | 13321 N. Meridian Suite 402, Oklahoma City, OK 73120 | 2011-06-11 |
| 1861722357 | Anesthesia and Tee Services, PC | Anesthesiology | 149 Lake Aluma Dr, Oklahoma City, OK 73121-3401 | 2010-01-05 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73103 |
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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.