DR. EARL UDO BACHENBERG (NPI# 1497713671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497713671 |
| Entity Type | Individual |
| Full Name | DR. EARL UDO BACHENBERG |
| Credential | DO |
| Practice Address |
1844 E 15th St Tulsa OK 74104-4611 |
| Practice Telephone | 9187497177 |
| Mailing Telephone | 9187497177 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2008-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 1497 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100018180B | 05 |
| Street Address |
1844 E 15TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596190 | Blue Anesthesia Management, LLC | Anesthesiology | 1844 E 15th St, Tulsa, OK 74104-4611 | 2019-09-05 |
| 1235785593 | Oklahoma Commons Surgery Center, LLC | Pain Medicine | 1844 E 15th St, Tulsa, OK 74104-4611 | 2019-08-13 |
| 1225448251 | David L Akers Pllc | Anesthesiology | 1844 E 15th St, Tulsa, OK 74104-4611 | 2014-04-29 |
| 1487976320 | Ann E Bartoloni Md PC | Anesthesiology | 1844 E 15th St, Tulsa, OK 74104-4611 | 2010-02-19 |
| 1073835914 | Elizabeth L Frost, Pllc | Anesthesiology | 1844 E 15th St, Tulsa, OK 74104-4611 | 2010-02-19 |
| 1487804258 | Associated Dermatology and Hair Center | Dermatology | 1844 E 15th St, Tulsa, OK 74104-4611 | 2008-09-29 |
| 1124150032 | Mark L Mathers | Plastic Surgery | 1844 E 15th St, Tulsa, OK 74104-4611 | 2007-03-09 |
| 1902960198 | Cherry Street Surgery Center, LLC | Clinic/Center | 1844 E 15th St, Tulsa, OK 74104-4611 | 2006-12-21 |
| 1417011693 | Center for Plastic Surgery PC | Plastic Surgery | 1844 E 15th St, Tulsa, OK 74104-4611 | 2006-12-21 |
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801320106 | Epiphany Dermatology of Oklahoma, LLC | Dermatology | 6717 South Yale Avenue, Suite 101, Tulsa, OK 74136-3318 | 2017-04-13 |
| 1225266307 | Alison Fischer | Dermatology | 5801 E 41st St Ste 200, Tulsa, OK 74135-5627 | 2009-06-26 |
| 1053450957 | Tracy D Kuykendall | Dermatology | 10115 E 80th St, Tulsa, OK 74133-3416 | 2007-02-06 |
| 1467538843 | Glenn Pete Dosser | Dermatology | 6465 S Yale, # 522, Tulsa, OK 74136 | 2006-10-28 |
| 1336163724 | Dermatology Associates of Tulsa LLC | Dermatology | 8803 S 101st E Ave, Ste 335, Tulsa, OK 74133-7550 | 2006-07-27 |
| 1710900097 | Steven A. Smith, M.d., Dermatology, P.C. | Dermatology | 9940 E 81st Street, Tulsa, OK 74133-4501 | 2006-07-26 |
| 1831121565 | Douglas M. Vaughn | Dermatology | 3915 E 51st St, Tulsa, OK 74135-3605 | 2006-07-06 |
| 1629057690 | Steven Smith | Dermatology | 9940 E 81st St, Tulsa, OK 74133-4501 | 2006-01-10 |
| 1932195815 | Mark D Lehman | Dermatology | 2121 E 21st St, Tulsa, OK 74114-1409 | 2005-09-26 |
| 1598760712 | Bernard N Robinowitz | Dermatology | 9245 S Mingo Rd, Suite 335, Tulsa, OK 74133-5793 | 2005-06-15 |
| Find all providers in TULSA | ||||
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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.