DR. TODD ALAN HASENSTEIN (NPI# 1588046379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588046379 |
| Entity Type | Individual |
| Full Name | DR. TODD ALAN HASENSTEIN |
| Credential | D.P.M. |
| Practice Address |
1919 S Wheeling Ave Ste 600 Tulsa OK 74104-5635 |
| Practice Telephone | 9186194400 |
| Practice Fax Number | 9186347560 |
| Mailing Telephone | 9186194400 |
| Mailing Fax Number | 9186347560 |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2020-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
353 | OK | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200918220A | 05 |
| Street Address |
1919 S WHEELING AVE STE 600 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-5635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043209307 | Peter Richard Nelson | Surgery | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | 2005-10-19 |
| 1568090520 | Courtney Marie Busby | Nurse Practitioner | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | 2020-03-27 |
| 1194363606 | Brett Wilkinson | Dietitian, Registered | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | 2019-12-16 |
| 1548824048 | Joseph Buckles | Student in an Organized Health Care Education/Training Program | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | 2019-04-30 |
| 1902243470 | Zhamak Khorgami | Surgery | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | 2013-05-24 |
| 1033478466 | Vernon D. Horst | Surgery | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | 2012-05-04 |
| 1720372873 | Hyein Kim | Surgery | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104 | 2011-06-07 |
| 1518258136 | Kimberly Cassendre Zamor | Surgery | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | 2011-04-30 |
| 1407145758 | Nelson Andrew Royall | Surgery | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | 2011-04-06 |
| 1972763704 | Kelly Kempe | Surgery | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104 | 2008-06-16 |
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| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346630779 | Majl Enterprises | Podiatrist | 8829 E 77th St, Tulsa, OK 74133-4927 | 2015-01-22 |
| 1528248069 | Philip S Hatfield | Podiatrist | 5711 E 71st St Ste 115, Tulsa, OK 74136-6655 | 2007-11-13 |
| 1417061516 | Jill L Jackson-smith | Podiatrist | 5711 E 71st St, Suite 115, Tulsa, OK 74136-6628 | 2006-08-18 |
| 1013449214 | Abdurrahman Kabani | Podiatrist | 6160 S Yale Ave, Tulsa, OK 74136-1930 | 2017-03-28 |
| 1598995649 | Nathan James Lashley | Podiatrist | 5711 E 71st St, Suite 115, Tulsa, OK 74136-6628 | 2009-07-23 |
| 1861642654 | Elite Footcare Center PC | Podiatrist | 6585 S Yale Ave, Suite 1110, Tulsa, OK 74136-8384 | 2008-09-29 |
| 1194991828 | Carl Miller Jr. | Podiatrist | 9306 S Toledo Ct Ste 200, Tulsa, OK 74137-2746 | 2008-05-02 |
| 1174610315 | Metro Tulsa Foot & Ankle Specialist Pllc | Podiatrist | 5711 E 71st St, Suite 115, Tulsa, OK 74136-6628 | 2006-10-09 |
| 1558477927 | Steven Brian Smith | Podiatrist | 5711 E 71st St, Suite 115, Tulsa, OK 74136-6628 | 2006-08-21 |
| 1952364531 | David Alan Stoller | Podiatrist | 6585 S Yale Ave, Suite 1110, Tulsa, OK 74136-8384 | 2006-04-06 |
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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.