DR. AMY ZAJACZKOWSKI STAUFFER (NPI# 1679572358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679572358 |
Entity Type | Individual |
Full Name | DR. AMY ZAJACZKOWSKI STAUFFER |
Credential | M.D. |
Practice Address |
8110 S Yale Ave Tulsa OK 74137-2210 |
Mailing Address |
6600 S Yale Ave Suite 1400 Tulsa OK 74136-3347 |
Practice Telephone | 9184880990 |
Practice Fax Number | 9187288036 |
Mailing Telephone | 9184886001 |
Mailing Fax Number | 9184886010 |
Enumeration Date | 2005-07-15 |
Last Update Date | 2020-04-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
28819 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200223820B | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073585634 | Amy Lyter Stauffer | Nurse Practitioner | 35 Hope Dr, Suite 202-204, Hershey, PA 17033-2086 | 2006-02-07 |
Street Address |
8110 S YALE AVE |
City | TULSA |
State | OK |
Zip Code | 74137-2210 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750745642 | Toni Li Makipour | Psychiatry & Neurology | 8110 S Yale Ave, Tulsa, OK 74137-2210 | 2016-04-07 |
1730526328 | Kristin Delaney King | Psychiatry & Neurology | 8110 S Yale Ave, Tulsa, OK 74137 | 2013-05-23 |
1366722712 | Brian A. Boatwright | Clinical Neuropsychologist | 8110 S Yale Ave, Tulsa, OK 74137-2210 | 2011-08-17 |
1932429354 | Brooke N. Mcqueen | Psychiatry & Neurology | 8110 S Yale Ave, Tulsa, OK 74137-2210 | 2010-06-08 |
1265676944 | Hilary Anne Kneale | Psychiatry & Neurology | 8110 S Yale Ave, Tulsa, OK 74137 | 2009-04-27 |
1689702391 | Krista A Utter | Speech-Language Pathologist | 8110 S Yale Ave, Tulsa, OK 74137-2210 | 2007-03-02 |
1831270339 | Neurological Associates of Tulsa Inc | Psychiatry & Neurology | 8110 S Yale Ave, Tulsa, OK 74137-2210 | 2006-10-18 |
1275560708 | Randall Webb | Psychiatry & Neurology | 8110 S Yale Ave, Tulsa, OK 74137-2210 | 2006-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205487493 | Christopher Thibeault | Physician Assistant | 10326 S Oswego Ave, Tulsa, OK 74137 | 2019-09-27 |
1851896237 | Leslie King | Nurse Practitioner | 4809 East 89th Street South, Suite 100, Tulsa, OK 74137 | 2018-03-27 |
1245756428 | Olakunle Ajanaku | Dentist | 4818 East 113th Place South, Tulsa, OK 74137 | 2017-08-18 |
1831610096 | Cameron Craig | Dentist | 9671 South Riverside Drive East, Tulsa, OK 74137 | 2017-06-28 |
1669915336 | Verum Health | Chiropractor | 5014 East 101st Street, Suite 200, Tulsa, OK 74137 | 2016-11-29 |
1518327014 | Richard A Felmlee | General Practice | 8955 S. College Place, Tulsa, OK 74137 | 2016-02-26 |
1164815395 | John F Carletti Dds Prof Corp | Dentist | 2808 E. 101st St., Tulsa, OK 74137 | 2015-03-12 |
1023356581 | The Bair Foundation | Exclusive Provider Organization | 2921 E. 91st St, Tulsa, OK 74137 | 2013-01-17 |
1588900328 | Isaac Newton Causey | Counselor | 9325 S. Erie Avenue, Tulsa, OK 74137 | 2012-12-26 |
1952656894 | Crystal I Phillips | Behavioral Analyst | 2921 E 91st, Tulsa, OK 74137 | 2012-07-17 |
Find all providers in zip 74137 |
Taxonomy Code | 2084N0402X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology with Special Qualifications in Child Neurology |
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356436000 | David Jonathan Siegler | Psychiatry & Neurology | 6465 South Yale Avenue, Suite 320, Tulsa, OK 74136 | 2006-10-04 |
1487685715 | George Steve Miller | Psychiatry & Neurology | 8803 S 101st East Ave, Suite 280, Tulsa, OK 74133-5726 | 2006-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346660149 | Andrew Patrick Cease | Psychiatry & Neurology | 3330 Nw 56th St, Oklahoma City, OK 73112-4479 | 2014-04-18 |
1396065165 | Daniel Arrington | Psychiatry & Neurology | 711 Stanton L Young Blvd, Suite 215, Oklahoma City, OK 73104-5023 | 2010-06-03 |
1437325438 | Jennifer Kay Norman | Psychiatry & Neurology | 3330 Nw 56th St Ste 500, Oklahoma City, OK 73112-4470 | 2008-04-30 |
1760584577 | Neurology Care, PC | Psychiatry & Neurology | 1115 Walnut Dr, Ardmore, OK 73401-2354 | 2006-09-02 |
1922097724 | Marc R Hille | Psychiatry & Neurology | 3330 Nw 56th St, Ste. 305, Oklahoma City, OK 73112-4479 | 2005-10-14 |
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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.