MARTIN CRAIG BOZEMAN (NPI# 1568421253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568421253 |
| Entity Type | Individual |
| Full Name | MARTIN CRAIG BOZEMAN |
| Credential | M.D. |
| Practice Address |
330 S 5th St Ste 401 Enid OK 73701-5863 |
| Mailing Address |
Po Box 3046 Malvern PA 19355-0746 |
| Practice Telephone | 5802493898 |
| Practice Fax Number | 5802349625 |
| Mailing Telephone | 5802493898 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2019-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 30333 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200520780A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1717 N 4th St Ste 102, Ponca City, OK 746012749 | 5807494729 | 5807494721 |
| Street Address |
330 S 5TH ST STE 401 |
| City | ENID |
| State | OK |
| Zip Code | 73701-5863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801895776 | Edwin K Cole | Surgery | 330 S 5th St Ste 401, Enid, OK 73701-5863 | 2005-07-21 |
| 1235279746 | David W Shepherd | Surgery | 330 S 5th St Ste 401, Enid, OK 73701-5863 | 2007-02-07 |
| 1063424331 | Timothy R. Jones | Otolaryngology | 330 S 5th St Ste 401, Enid, OK 73701-5863 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407318595 | Sheila Watkins | Speech-Language Pathologist | 401 S. 3rd St, Physical Therapy, Enid, OK 73701 | 2019-04-05 |
| 1225548993 | Mirannda Lea Shourek | Case Manager/Care Coordinator | 3225 E Randolph, Apt 5a, Enid, OK 73701 | 2017-10-06 |
| 1962942045 | Nicole Elisibeth Hood | Social Worker | 605 W. Oxford St, Enid, OK 73701 | 2017-03-08 |
| 1689027237 | Amanda Partridge | Physician Assistant | 231 S. 30th St., Enid, OK 73701 | 2016-07-19 |
| 1134576952 | Keli Lanee Caffey | Counselor | 317 W. Cherokee Suite B, Enid, OK 73701 | 2016-05-22 |
| 1447670559 | Tamica Webster | Counselor | 1137 Hillside Dr, Enid, OK 73701 | 2014-04-16 |
| 1881024024 | Misty Ward | Registered Nurse | 600 S. Monroe, Enid, OK 73701 | 2013-11-26 |
| 1164856944 | Pharmcareok of Enid, Inc. | Pharmacy | 1119a E Owen Garriott Rd, Enid, OK 73701 | 2013-08-28 |
| 1922383421 | Bobby Doyle Taylor | Pharmacist | 902 West Garriott, Enid, OK 73701 | 2011-10-15 |
| 1194009324 | Stacia Paul | Counselor | 121 W. Maple, Enid, OK 73701 | 2011-10-06 |
| Find all providers in zip 73701 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699084467 | Gary Wayne Cole | Surgery | 620 S Madison St Ste 108, Enid, OK 73701-7270 | 2010-09-28 |
| 1407063266 | Northwest Oklahoma Orthopaedic Clinic,pc | Surgery | 900 W Cherokee Ave, Enid, OK 73701-5410 | 2007-05-17 |
| 1548397532 | Michael G. Nolen M.d. Pllc | Surgery | 915 E Owen K Garriott Rd Ste H, Enid, OK 73701-6154 | 2007-02-27 |
| 1326154394 | Ronald Wayne Shreck | Surgery | 407 E Cherokee Ave, Enid, OK 73701-5814 | 2006-08-22 |
| 1265498380 | Mike Glenn Nolen | Surgery | 915 E Owen K Garriott Rd, Enid, OK 73701-6156 | 2006-04-26 |
| 1801895776 | Edwin K Cole | Surgery | 330 S 5th St Ste 401, Enid, OK 73701-5863 | 2005-07-21 |
| 1144431859 | Kenneth L Watts Md PC | Surgery | 330 S 5th St, Suite 401, Enid, OK 73701-5825 | 2007-05-24 |
| 1073648119 | Ronald W Shreck M D Inc | Surgery | 407 E Cherokee Ave, Enid, OK 73701-5814 | 2007-02-22 |
| 1235279746 | David W Shepherd | Surgery | 330 S 5th St Ste 401, Enid, OK 73701-5863 | 2007-02-07 |
| 1700957222 | John B Delcambre | Surgery | 305 S 5th St, Enid, OK 73701-5832 | 2006-11-13 |
| Find all providers in ENID | ||||
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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.