DR. KELLY KAZUAKI NAGASAWA (NPI# 1659576700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659576700 |
| Entity Type | Individual |
| Full Name | DR. KELLY KAZUAKI NAGASAWA |
| Credential | M.D. |
| Practice Address |
1923 S Utica Ave Fl 5 Tulsa OK 74104-6520 |
| Practice Telephone | 9187123366 |
| Practice Fax Number | 9184036343 |
| Mailing Telephone | 9187123366 |
| Mailing Fax Number | 9184036343 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2019-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 34715 | OK | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 2013-02425 | NC | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 34715 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
1923 S UTICA AVE FL 5 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-6520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801448410 | Anastasia Marie Medved | Registered Nurse | 1923 S Utica Ave Fl 5, Tulsa, OK 74104-6520 | 2019-07-13 |
| 1578715454 | George M Comas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1923 S Utica Ave Fl 5, Tulsa, OK 74104 | 2008-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083918668 | Billy Paul Loughridge | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2100 S. Utica Ave, Tulsa, OK 74152-1057 | 2010-12-22 |
| 1245390863 | John Franco A Carabello | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 802 S Jackson Ave Ste 200, Tulsa, OK 74127-9047 | 2006-12-12 |
| 1962510438 | Osteopathic Cardiovascular Surg Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 802 S Jackson #200, Tulsa, OK 74127-9047 | 2006-08-26 |
| 1740215292 | Robert Garrett | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6465 S Yale Ave Ste 910, Tulsa, OK 74136-7823 | 2006-07-12 |
| 1619904513 | Michael R Phillips | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1265 S. Utica Ave., Ste. 105, Tulsa, OK 74104-4243 | 2006-06-27 |
| 1902262421 | Lp Dullye Management, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 802 S Jackson Ave, Suite 200, Tulsa, OK 74127-9015 | 2016-01-13 |
| 1073942975 | Warren Clinic Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6151 S Yale Ave, Suite 1301, Tulsa, OK 74136-1907 | 2013-11-01 |
| 1629386529 | Vein Care Center of Oklahoma Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6151 S Yale Ave, Suite 1-302, Tulsa, OK 74136-1907 | 2010-09-14 |
| 1922323146 | John Mark Weber | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 2010-03-30 |
| 1578715454 | George M Comas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1923 S Utica Ave Fl 5, Tulsa, OK 74104 | 2008-10-22 |
| 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.