DAVID MEDINA


Address: 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317
Phone: 9187120859

DAVID MEDINA (NPI# 1598103962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598103962
Entity Type Individual
Full Name DAVID MEDINA
Practice Address 3015 E Skelly Dr
Suite 103
Tulsa
OK 74105-6317
Practice Telephone 9187120859
Practice Fax Number 9183886456
Mailing Telephone 9187120859
Mailing Fax Number 9183886456
Enumeration Date 2013-06-07
Last Update Date 2013-06-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK 100746170G 05

Other Providers DAVID MEDINA

NPI Name Taxonomy Address Enumeration
1144521303 David Antonio Medina Chiropractor 69 Hustonville St., Liberty, KY 42539 2010-11-04
1558517342 David O Medina Dentist 10925 Magnolia Ave, Riverside, CA 92505-3044 2008-08-12
1790273712 David Roberto Medina Physician Assistant 3302 Boca Chica Blvd, Brownsville, TX 78521-5193 2018-04-25
1568973824 David Jose Medina Specialist/Technologist 33 N Krome Ave, Homestead, FL 33030-6014 2017-10-13
1518252568 David J Medina Psychologist 11 Calle San Antonio, Rio Grande, PR 00745-3065 2011-06-17
1427371780 David Medina Pharmacist 75 Nassau Terminal Rd, New Hyde Park, NY 11040-4927 2010-03-01
1588805824 David Antonio Medina Psychiatry & Neurology 1836 Woodward St, Orlando, FL 32803-4256 2009-03-17
1457511016 David Medina Anesthesiology 1850 N Central Ave, Suite 1600, Phoenix, AZ 85004-4527 2008-06-16
1346424983 David Medina Registered Nurse 7200 Bancroft Ave Ste 202, Oakland, CA 94605-2471 2007-12-18
1346436870 David Alejandro Medina Dentist 8915 14th Ave S, Seattle, WA 98108-4813 2007-09-18

Office Location

Street Address 3015 E SKELLY DR
SUITE 103
City TULSA
State OK
Zip Code 74105-6317

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205821022 Manju Kaul Psychologist 3015 E Skelly Dr, Suite 135, Tulsa, OK 74105-6317 2005-09-19
1285294421 Mary Thomas Counselor 3015 E Skelly Dr, Tulsa, OK 74105-6317 2019-06-19
1427614213 Brittney Zickefoose Social Worker 3015 E Skelly Dr, Tulsa, OK 74105-6317 2019-05-16
1215452305 Lorena Isamar Herrera Case Manager/Care Coordinator 3015 E Skelly Dr, Tulsa, OK 74105-6317 2017-08-09
1295269652 Bre Campbell Case Manager/Care Coordinator 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317 2017-04-12
1588197719 Brittanie Harmon Case Manager/Care Coordinator 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317 2017-04-05
1326570029 Ignacio Saldana Case Manager/Care Coordinator 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317 2017-03-31
1790226959 Kandice Lawson Case Manager/Care Coordinator 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317 2017-03-20
1942741772 Carrie Roberts Counselor 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317 2017-03-13
1063950624 Breakthrough Family Counseling Services Community/Behavioral Health 3015 E Skelly Dr, 211-7, Tulsa, OK 74105-6317 2017-02-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881208817 Op Pharmacy LLC Pharmacy 2865 E. Skelly Dr., Ste 225, Tulsa, OK 74105 2020-09-08
1114560554 Secure Interpretation, LLC Neurological Surgery 5561 South Lewis Ave, Tulsa, OK 74105 2019-10-17
1629547286 Kealey Jordan Oliver Occupational Therapist 3223 E. 31st Steet, Tulsa, OK 74105 2018-11-13
1265915631 Jand. Inc. Eyewear Supplier (Equipment, not the service) 3516 S Peoria Ave, Tulsa, OK 74105 2018-09-12
1235635277 Brenda Kay Sanders Speech-Language Pathologist 4911 S Detroit Ave, Tulsa, OK 74105 2018-03-30
1417400771 Caroline Hunter Heineck Speech-Language Pathologist 3223 E. 31st St., Tulsa, OK 74105 2016-08-03
1437509544 Reliance Care Health Services LLP Home Health 5810 S. Peoria Avenue, Tulsa, OK 74105 2016-06-20
1578921748 Latisha Henderson Case Manager/Care Coordinator 3015 E. Skelly Drive, Suite 103, Tulsa, OK 74105 2016-02-03
1326424573 Evelyn J Fennell Nurse's Aide 1143 E 57th Place, Tulsa, OK 74105 2015-08-10
1255717757 Rebecca Ann Hughes Dentist 3150 E 41st St Ste 131, Tulsa, OK 74105 2015-08-06
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437761004 Ashley Jane Runnells Counselor 4867 S Sheridan Rd Ste 712a, Tulsa, OK 74145-5721 2020-08-17
1598316168 Ryan David Sharpe Counselor 8218 S 77th East Ave Apt 1082, Tulsa, OK 74133-3966 2019-09-25
1588137780 Hailee Dean Monroe Counselor 4103 S Yale Ave, Tulsa, OK 74135-6002 2019-01-10
1104308212 Tawnya Denise Henderson Counselor 223 E Woodrow Pl, Tulsa, OK 74106-3729 2018-09-05
1003395617 Crystal L Moore Counselor 8725 Point Dr, Tulsa, OK 74131-4028 2018-08-14
1386146660 Breanna White Counselor 7541 S Mingo Rd Apt 7154, Tulsa, OK 74133-3384 2018-03-02
1699285015 Christina M Smalley Counselor 600 Civic Ctr, Tulsa, OK 74103-3829 2017-10-11
1700395902 Rachel Lynn Richardson Counselor 5800 E Skelly Dr Ste 1100, Tulsa, OK 74135-6448 2017-09-20
1023538014 Milton Dean IIi Counselor 1234 N Rosedale, Tulsa, OK 74127 2017-06-21
1659800019 Welena-phay Kamamma Boren Counselor 4636 S Harvard Avenue, Tulsa, OK 74135 2017-06-08
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Competitor

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City TULSA
Zip Code 74105

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Dataset Information

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.

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