WALTER MARK BOOMER (NPI# 1578598074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578598074 |
| Entity Type | Individual |
| Full Name | WALTER MARK BOOMER |
| Credential | MD |
| Practice Address |
6485 S Yale Suite 1200 Tulsa OK 74136 |
| Mailing Address |
Po Box 3478 Dept A Tulsa OK 74101-3478 |
| Practice Telephone | 9184949288 |
| Practice Fax Number | 9184949289 |
| Mailing Telephone | 9184949288 |
| Mailing Fax Number | 9184949289 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2008-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
17300 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100090560A | 05 |
| Street Address |
6485 S YALE SUITE 1200 |
| City | TULSA |
| State | OK |
| Zip Code | 74136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730103102 | Vernon Thomas Smith | Internal Medicine | 6485 S Yale, Suite 1200, Tulsa, OK 74136 | 2006-07-27 |
| 1538186010 | Phillip Michael Butler | Internal Medicine | 6485 S Yale, Suite 1200, Tulsa, OK 74136 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598149 | Pulmonary Care Innovations Pllc | Internal Medicine | 2832 E 101st St, Tulsa, OK 74137-5601 | 2018-12-03 |
| 1184145393 | A&r Management Services, Inc. | Internal Medicine | 2621 E 38th St, Tulsa, OK 74105-8206 | 2017-06-28 |
| 1821219098 | Robert Keith Wilson | Internal Medicine | 2753 S. Utica Ave, Tulsa, OK 74114 | 2007-05-02 |
| 1124053624 | Emil Joe Schelbar | Internal Medicine | 6485 S. Yale, Suite 1200, Tulsa, OK 74136 | 2006-07-12 |
| 1295760791 | Pulmonary Medicine Associates Inc | Internal Medicine | 6485 S Yale Ave, 1200, Tulsa, OK 74136 | 2006-07-12 |
| 1972564169 | Daniel A Nader | Internal Medicine | 802 S Jackson Ave, Tulsa, OK 74127-9015 | 2006-03-29 |
| 1013913359 | Andrew Gottehrer | Internal Medicine | 10505 E 91st St, Suite 208, Tulsa, OK 74133-5801 | 2005-06-22 |
| 1114923448 | Fred Garfinkel | Internal Medicine | 591 E 36th St N, Tulsa, OK 74106-1812 | 2005-06-22 |
| 1992083851 | Nataly Monserrath Vasquez Encalada | Internal Medicine | 6161 S Yale Ave, Tulsa, OK 74136 | 2011-07-26 |
| 1528375995 | Em Madd, LLC | Internal Medicine | 8803 S 101st East Ave, Suite 383, Tulsa, OK 74133-5726 | 2010-09-08 |
| 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.