PULMONARY MEDICINE OF OKLAHOMA, INC (NPI# 1619058153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619058153 |
| Entity Type | Organization |
| Organization Name | PULMONARY MEDICINE OF OKLAHOMA, INC |
| Practice Address |
10109 E 79th St Tulsa OK 74133-4564 |
| Mailing Address |
8177 S Harvard Ave #735 Tulsa OK 74137-1612 |
| Practice Telephone | 9182987856 |
| Practice Fax Number | 9182993207 |
| Mailing Telephone | 9182987856 |
| Mailing Fax Number | 9182993207 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DANIEL A NADER (PRESIDENT) |
| Authorized Official Telephone | 9182987856 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
2441 | OK | Allopathic & Osteopathic Physicians |
| 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 | |
| 1609429034 | Mark Van Holt | Pharmacist | 10109 E 79th St, Tulsa, OK 74133-4564 | 2019-07-24 |
| 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 |
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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 |
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| 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 |
| 1578598074 | Walter Mark Boomer | Internal Medicine | 6485 S Yale, Suite 1200, Tulsa, OK 74136 | 2006-07-12 |
| 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 |
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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.