SERENA ANDERSON (NPI# 1659683589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659683589 |
| Entity Type | Individual |
| Full Name | SERENA ANDERSON |
| Credential | M.D. |
| Practice Address |
5915 W Memorial Rd Suite 300 Oklahoma City OK 73142-2021 |
| Mailing Address |
5300 N Independence Ave Suite280 Oklahoma City OK 73112-5556 |
| Practice Telephone | 4057736470 |
| Practice Fax Number | 4057736463 |
| Mailing Telephone | 4057736470 |
| Mailing Fax Number | 4057736463 |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2018-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 27789 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
5915 W MEMORIAL RD SUITE 300 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73142-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184661977 | Jeffrey B Cruzan | Family Medicine | 5915 W Memorial Rd, Suite 300, Oklahoma City, OK 73142-2021 | 2006-06-01 |
| 1811257983 | Loahn Kelley Gallegos | Family Medicine | 5915 W Memorial Rd, Suite 300, Oklahoma City, OK 73142-2021 | 2012-05-23 |
| 1760703730 | Allyson Black | Dermatology | 5915 W Memorial Rd, Suite 300, Oklahoma City, OK 73142-2021 | 2010-06-14 |
| 1639499379 | Robert Scott Hooper | Pharmacist | 5915 W Memorial Rd, Suite 110, Oklahoma City, OK 73142-2015 | 2010-06-04 |
| 1205066958 | Charlotte A Coyner-gregory | Family Medicine | 5915 W Memorial Rd, Suite 300, Oklahoma City, OK 73142-2021 | 2009-07-15 |
| 1699921734 | Irim S Yasin | Internal Medicine | 5915 W Memorial Rd, Suite 200, Oklahoma City, OK 73142-2021 | 2008-08-08 |
| 1245404946 | Juli Johnson | Clinical Nurse Specialist | 5915 W Memorial Rd, Suite 200, Oklahoma City, OK 73142-2021 | 2008-04-15 |
| 1780853358 | Thomas Ammen Showalter IIi | Internal Medicine | 5915 W Memorial Rd, Suite 200, Oklahoma City, OK 73142-2021 | 2008-02-27 |
| 1699971911 | Elizabeth Prater | Dermatology | 5915 W Memorial Rd, Suite 300, Oklahoma City, OK 73142-2021 | 2007-06-23 |
| 1215148507 | Elise I Brantley | Dermatology | 5915 W Memorial Rd, Suite 300, Oklahoma City, OK 73142-2021 | 2007-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184003790 | Advance Physicians Group LLC | Clinic/Center | 13401 N Macarthur Blvd, Oklahoma City, OK 73142 | 2015-05-28 |
| 1366840084 | Lindsey Jackson | Case Manager/Care Coordinator | 12051 Parkland Pl, Oklahoma City, OK 73142 | 2014-12-11 |
| 1164866737 | Vitality Wellness | Clinic/Center | 5740 Nw 135th St., Oklahoma City, OK 73142 | 2013-04-25 |
| 1356694558 | Joel Mitchell Sprinkle | Community Health Worker | 13100 Brandon Pl, Oklahoma City, OK 73142 | 2012-10-25 |
| 1689923856 | Sampson Mcsidney | Case Management | 14717 Hollyhock Dr, Oklahoma City, OK 73142 | 2012-09-04 |
| 1992087860 | Derek Reed Mccarver | Pharmacist | 1400 E. 2nd St, Edmond, OK 73142 | 2011-09-15 |
| 1326335811 | Laser Spine Surgery Center of Oklahoma, LLC | Clinic/Center | 4727 Gaillardia Parkway, Suite 150, Oklahoma City, OK 73142 | 2011-07-05 |
| 1215220801 | James Kenneth Fisher | Psychologist | 12522 Abbotts Way, Oklahoma City, OK 73142 | 2011-05-16 |
| 1174850408 | Diagnostic Laboratory of Oklahoma, LLC | Clinical Medical Laboratory | 5911 West Memorial Road, Oklahoma City, OK 73142 | 2009-11-06 |
| 1417113275 | Reuben Seth Thomas | Optometrist | 6200 W Memorial Rd Ste A, Oklahoma City, OK 73142 | 2008-07-31 |
| Find all providers in zip 73142 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039632 | Axiom Medical Solutions, LLC | Family Medicine | 14132 Se 134th St, Oklahoma City, OK 73165-7669 | 2020-09-28 |
| 1104437219 | L and M Investments LLC | Family Medicine | 6001 Nw 139th St, Oklahoma City, OK 73142-1919 | 2020-08-12 |
| 1235748617 | Brook Noel Leland | Family Medicine | 3329 Nw 22nd St, Oklahoma City, OK 73107-3021 | 2020-07-30 |
| 1043835176 | Thomas Patrick Owens IIi | Family Medicine | 900 Ne 10th Street, Oklahoma City, OK 73104-5420 | 2020-06-15 |
| 1730703562 | Michael Williamson | Family Medicine | 3500 Nw 56th St Ste 10, Oklahoma City, OK 73112-4529 | 2020-06-08 |
| 1295363620 | Saint Medical Group, LLC | Family Medicine | 3400 S Douglas Blvd Ste 307, Oklahoma City, OK 73150-1001 | 2020-03-31 |
| 1881220580 | Sarah Laing | Family Medicine | 1111 N Lee Ave Ste 305, Oklahoma City, OK 73103-2620 | 2020-03-14 |
| 1881225290 | Neans Lynn Denson | Family Medicine | 2815 Sw 119th St, Oklahoma City, OK 73170-2605 | 2020-02-04 |
| 1114563699 | Aim Health Clinics, LLC | Family Medicine | 2301 W I 44 Service Rd Ste 310, Oklahoma City, OK 73112-8729 | 2019-11-20 |
| 1841843265 | Stephanie N White | Family Medicine | 3400 Nw Expressway Bldg C-815, Oklahoma City, OK 73112-4493 | 2019-07-24 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73142 |
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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.