ZACKERY R DEVINE


Address: 1029 Ne 6th St Apt 331, Oklahoma City, OK 73117-1459
Phone: 4792255383

ZACKERY R DEVINE (NPI# 1700487147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700487147
Entity Type Individual
Full Name ZACKERY R DEVINE
Credential PA
Practice Address 1029 Ne 6th St Apt 331
Oklahoma City
OK 73117-1459
Practice Telephone 4792255383
Mailing Telephone 4792255383
Enumeration Date 2020-11-03
Last Update Date 2020-11-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
4394 OK Allopathic & Osteopathic Physicians

Office Location

Street Address 1029 NE 6TH ST APT 331
City OKLAHOMA CITY
State OK
Zip Code 73117-1459

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922623271 Katelyn Gerth Student in an Organized Health Care Education/Training Program University of Oklahoma College of Medicine, 800 Stanton L. Young Blvd, Oklahoma City, OK 73117 2020-06-12
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1801300710 Kenneth Belyeu Peer Specialist 625 N Nebraska, Okc, OK 73117 2017-11-30
1215483029 Brian Behnum Minavi Dentist 1201 N. Stonewall Ave., Oklahoma City, OK 73117 2016-08-31
1649631409 April Ajanwachukwu Social Worker 1309 N Nebraska Ave, Oklahoma City, OK 73117 2016-03-08
1518340405 Shachi Shah Dentist 1201 N Stonewall Ave # 544n, Oklahoma City, OK 73117 2015-07-09
1063829067 Lauren Marie Pierce Speech-Language Pathologist 1200 N. Stonewall Ave, Ahb 1058, Oklahoma City, OK 73117 2014-07-22
1306195235 Rachel Devecchio Case Manager/Care Coordinator 1300 Ne 13th St, Oklahoma City, OK 73117 2012-09-06
1265780837 Tiffany Dawn Stokely Counselor 1701 E Park Pl, Oklahoma, OK 73117 2012-08-29
1689935645 Everett House Behavioral Analyst 1100 Ne 15th St, Oklahoma Cituy, OK 73117 2012-06-06
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275959686 Advanced Strategies In Medical Management Physical Medicine & Rehabilitation 1132 N Broadway Dr, Oklahoma City, OK 73103-4910 2014-03-10
1437371952 Pbghezzi,pllc Physical Medicine & Rehabilitation 310 Nw 21st Street, Oklahoma City, OK 73103 2007-05-03
1003036518 Back & Posture Clinic of Oklahoma Physical Medicine & Rehabilitation 6510 S Western Ave Ste 100, Oklahoma City, OK 73139-1712 2007-04-26
1306263744 Advanced Strategies In Injury Care Physical Medicine & Rehabilitation 1132 N Broadway Dr, Oklahoma City, OK 73103-4910 2014-03-24
1417373366 Advanced Strategies In Medical Management Physical Medicine & Rehabilitation 1132 N Broadway Dr, Oklahoma City, OK 73103-4910 2014-03-14
1568885416 Oklahoma Spine and Musculoskeletal Medicine, Pllc Physical Medicine & Rehabilitation 700 Nw 7th St, Suite 115, Oklahoma City, OK 73102-1212 2014-01-29
1861449563 Rita Malvaso Hancock Physical Medicine & Rehabilitation 3110 Sw 89th St, Suite 200c, Oklahoma City, OK 73159-7920 2006-05-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447878269 Tulsa Accident Care Center LLC Physical Medicine & Rehabilitation 5711 E 71st St Ste 100c, Tulsa, OK 74136-6655 2020-07-08
1265833842 Rita Hancock Md Pllc Physical Medicine & Rehabilitation 1020 24th Ave Nw Ste 100, Norman, OK 73069-6341 2014-09-15
1073869715 Rui Zhang Physical Medicine & Rehabilitation 620 S Madison St Ste 105, Enid, OK 73701-7270 2012-07-31
1639211386 Thomas A Maibenco Physical Medicine & Rehabilitation 1500 E Downing St Ste 101, Tahlequah, OK 74464-3354 2007-02-12
1003981135 Anil Kumar Reddy Physical Medicine & Rehabilitation 9725 East 79th Street, Suit A, Tulsa, OK 74133-4569 2006-11-22
1326148123 Jeffrey S Halsell Do Pllc Physical Medicine & Rehabilitation 9308 S Toledo Ave, Tulsa, OK 74137-2739 2006-09-22
1811907538 Omega Practice Management Inc Physical Medicine & Rehabilitation 1145 S. Utica, Ste 901, Tulsa, OK 74104-4013 2006-08-08
1376546531 Timothy Pettingell Physical Medicine & Rehabilitation 4735 E 91st St, Suite 100, Tulsa, OK 74137-2807 2005-05-23
1851922140 Jpk LLC Physical Medicine & Rehabilitation 7030 S Lewis Ave Ste M, Tulsa, OK 74136-3915 2020-01-27
1699246645 Advanced Pain of Tulsa Pllc Physical Medicine & Rehabilitation 9320 S Mingo Rd, Tulsa, OK 74133-5710 2018-12-16
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Competitor

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City OKLAHOMA CITY
Zip Code 73117

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Dataset Information

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.

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