MARK VAN HOLT (NPI# 1609429034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609429034 |
| Entity Type | Individual |
| Full Name | MARK VAN HOLT |
| Practice Address |
10109 E 79th St Tulsa OK 74133-4564 |
| Mailing Address |
7019 S Dogwood Pl Broken Arrow OK 74011-2071 |
| Practice Telephone | 9182865370 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12225 | OK | Pharmacy Service Providers |
| Street Address |
10109 E 79TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74133-4564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235127440 | Julia D Matejec | Pharmacist | 10109 E 79th St, Inpatient Pharmacy, Tulsa, OK 74133-4564 | 2005-10-11 |
| 1598388506 | Talitha Jacobs | Respiratory Therapist, Registered | 10109 E 79th St, Tulsa, OK 74133-4564 | 2020-05-26 |
| 1407475890 | Kathyrn Bandy | 10109 E 79th St, Tulsa, OK 74133-4564 | 2020-04-15 | |
| 1982160461 | Karlie Ann Collins | Counselor | 10109 E 79th St, Tulsa, OK 74133-4564 | 2019-02-20 |
| 1528539475 | Angel Marie Allen | Nurse Practitioner | 10109 E 79th St, Tulsa, OK 74133-4564 | 2018-12-17 |
| 1841775947 | Stacy Lynn Newberry | Nurse Practitioner | 10109 E 79th St, Tulsa, OK 74133-4564 | 2018-09-25 |
| 1922599133 | Steven Christopher Dobbs | Pharmacist | 10109 E 79th St, Tulsa, OK 74133-4564 | 2018-05-23 |
| 1184129991 | Kalli Castille | Dietitian, Registered | 10109 E 79th St, Tulsa, OK 74133-4564 | 2018-03-26 |
| 1538664289 | Jessica Smith | Dietitian, Registered | 10109 E 79th St, Tulsa, OK 74133-4564 | 2018-03-26 |
| 1437544228 | Nilan Naik | Radiology | 10109 E 79th St, Tulsa, OK 74133-4564 | 2015-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709664 | Nouha Hilal | Pharmacist | 8241 S 100th East Pl, Tulsa, OK 74133-4545 | 2020-10-30 |
| 1497392476 | Polly Gretchen Robinson | Pharmacist | W 2nd St., Suite 100, Communitycare, Tulsa, OK 74103 | 2019-12-09 |
| 1760027866 | Chelsea Nicole Crisp | Pharmacist | 1406 S Marion Ave, Tulsa, OK 74112-5923 | 2019-11-12 |
| 1982260683 | Shawn Crismon | Pharmacist | 6802 S Olympia Ave Ste 125, Tulsa, OK 74132-1830 | 2019-05-17 |
| 1437618477 | Michael Terry Canaday | Pharmacist | 1823 S Carson Ave, Tulsa, OK 74119-5007 | 2019-03-19 |
| 1205308749 | Ricky E Burgess | Pharmacist | 12515 E 55th St Ste 101, Tulsa, OK 74146-6234 | 2018-12-21 |
| 1568951366 | James D Fotenopulos | Pharmacist | 1924 S Utica Ave # 416, Tulsa, OK 74104-6510 | 2018-05-07 |
| 1235641010 | Darin Coggins | Pharmacist | 115 W 3rd St Unit 820, Tulsa, OK 74103-3410 | 2017-11-01 |
| 1275044752 | Owen Cabrera | Pharmacist | 7041 S Yale Ave, Tulsa, OK 74136-5701 | 2017-10-24 |
| 1881104131 | Austen Leigh Patterson | Pharmacist | 6116 S Lewis Ave, Tulsa, OK 74136-1001 | 2017-10-01 |
| 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.