ERICKA KAY DOMALAKES (NPI# 1619294998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619294998 |
| Entity Type | Individual |
| Full Name | ERICKA KAY DOMALAKES |
| Credential | M.D. |
| Practice Address |
4502 E 41st St Tulsa OK 74135-9923 |
| Mailing Address |
1000 S Denver Ave Apt 2909 Tulsa OK 74119-9800 |
| Practice Telephone | 4026907234 |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2019-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
04-38674 | KS | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4502 E 41ST ST |
| City | TULSA |
| State | OK |
| Zip Code | 74135-9923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659378735 | Nancy C. Brahm | Pharmacist | 4502 E 41st St, Tulsa, OK 74135-2553 | 2005-07-05 |
| 1285247056 | Mason Alexander Kennon | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-08-31 |
| 1578186656 | Scott Louis Puckett | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-05-22 |
| 1861012247 | Emily Ann Bolender | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-25 |
| 1760002513 | Nadeem Toujjo El-kouri | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-22 |
| 1962022749 | John Thomas Hiett | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-21 |
| 1245859578 | Liuyi Chen | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-16 |
| 1255950713 | Stuart Andrew Jack | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-14 |
| 1447879366 | Thomas Stewart | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-10 |
| 1689293672 | Ekene Ezenwa | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629014311 | David Matthew Gorenberg | Obstetrics & Gynecology | 6565 S Yale Ave, Suite 601, Tulsa, OK 74136-8327 | 2006-06-21 |
| 1114989753 | Joe Stephen Jones | Obstetrics & Gynecology | 6565 S Yale Ave, Suite 601, Tulsa, OK 74136-8327 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659397677 | John Robert Stanley IIi | Obstetrics & Gynecology | 4140 W. Memorial Rd, Ste 321, Oklahoma City, OK 73120-8300 | 2006-07-14 |
| 1831552363 | Brianna Desire | Obstetrics & Gynecology | 800 Stanton L Young Blvd, Oklahoma City, OK 73104-5018 | 2016-04-01 |
| 1396122537 | Molly Elizabeth Dubois | Obstetrics & Gynecology | 800 Stanton L Young Blvd # 2475, Oklahoma City, OK 73104-5018 | 2015-04-27 |
| 1013278613 | Ronan Alexander Bakker | Obstetrics & Gynecology | 4140 W Memorial Rd Ste 321, Oklahoma City, OK 73120-8300 | 2012-05-31 |
| 1497042931 | Stephanie Lynn Pierce | Obstetrics & Gynecology | 1200 Childrens Ave Ste 1a, Oklahoma City, OK 73104-4637 | 2011-07-05 |
| 1942217815 | The Perinatal Center, Pllc | Obstetrics & Gynecology | 4140 W Memorial Rd Ste 321, Oklahoma City, OK 73120 | 2006-08-02 |
| 1326063017 | Charles Paul Mirabile Jr. | Obstetrics & Gynecology | 4140 W Memorial Rd, Ste 321, Oklahoma City, OK 73120 | 2006-07-13 |
| 1265417687 | Jennifer G Smith | Obstetrics & Gynecology | 4140 W Memorial Rd, Suite 321, Oklahoma City, OK 73120-8366 | 2005-12-08 |
| 1336121169 | Marvin Williams | Obstetrics & Gynecology | 825 Ne 10th St, Oupb3200, Oklahoma City, OK 73104-5417 | 2005-11-17 |
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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.