MOLLY MEGAN BROGDON (NPI# 1609340132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609340132 |
| Entity Type | Individual |
| Full Name | MOLLY MEGAN BROGDON |
| Credential | APRN |
| Practice Address |
6465 S Yale Ave Ste 420 Tulsa OK 74136-7806 |
| Mailing Address |
6600 S Yale Ave Ste 1200 Tulsa OK 74136-3361 |
| Practice Telephone | 9185021700 |
| Practice Fax Number | 9185021715 |
| Mailing Telephone | 9184886045 |
| Mailing Fax Number | 9184886098 |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
105865 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6465 S YALE AVE STE 420 |
| City | TULSA |
| State | OK |
| Zip Code | 74136-7806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912195751 | Michael Keith Pickens | Pediatrics | 6465 S Yale Ave Ste 420, Tulsa, OK 74136 | 2007-10-05 |
| 1144860719 | Osu Center for Health Sciences | Clinic/Center | 6465 S Yale Ave Ste 420, Tulsa, OK 74136-7806 | 2020-01-13 |
| 1700423126 | Jennifer Lyn Powers | Physician Assistant | 6465 S Yale Ave Ste 420, Tulsa, OK 74136-7806 | 2019-12-04 |
| 1598229254 | Tori Thompson | Dietitian, Registered | 6465 S Yale Ave Ste 420, Tulsa, OK 74136-7806 | 2019-01-28 |
| 1023590890 | Kayla Danielle Mertz | Physician Assistant | 6465 S Yale Ave Ste 420, Tulsa, OK 74136-7806 | 2018-08-29 |
| 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 | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245657378 | Kelsey Schumacher | Nurse Practitioner | 1705 S 19th St., Ste 302, Tulsa, OK 74104 | 2014-03-26 |
| 1457528614 | Ingrid Patton | Nurse Practitioner | 2000 S Wheeling Ave Ste 200, Tulsa, OK 74104-5656 | 2008-05-15 |
| 1316551559 | Lauren Nicole Willems | Nurse Practitioner | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2020-09-04 |
| 1730797523 | John Anthony Dean Maslin | Nurse Practitioner | 6465 S Yale Ave Ste 507, Tulsa, OK 74136-7807 | 2020-07-17 |
| 1922622869 | Emily Suku | Nurse Practitioner | 1705 E 19th St Ste 302, Tulsa, OK 74104-5410 | 2020-06-06 |
| 1760006886 | Tani Reynolds Calvert | Nurse Practitioner | 1923 S Utica Ave Fl 4, Tulsa, OK 74104-6520 | 2020-06-04 |
| 1720614373 | Michelle Diane Rivera | Nurse Practitioner | 1705 E 19th St Ste 302, Tulsa, OK 74104-5410 | 2020-03-16 |
| 1790318426 | Pavel Greg Buzadzhi | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2020-02-21 |
| 1962047563 | Houston Reed Slemp | Nurse Practitioner | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2019-11-07 |
| 1518518117 | Laura Whitaker | Nurse Practitioner | 2000 S Wheeling Ave Ste 510, Tulsa, OK 74104-5642 | 2019-09-25 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on MOLLY MEGAN BROGDON.
| 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.