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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
4394 | OK | Allopathic & Osteopathic Physicians |
Street Address |
1029 NE 6TH ST APT 331 |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73117-1459 |
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 |
1114401387 | Northstar Counseling Associates, LLC | Counselor | 4540 E Reno Ave, Del City, OK 73117 | 2018-09-24 |
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 |
Find all providers in zip 73117 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
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. |
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 |
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 |
Find all providers with the same taxonomy |
City | OKLAHOMA CITY |
Zip Code | 73117 |
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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.