CHARLES J ALEXIS (NPI# 1730260084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730260084 |
| Entity Type | Individual |
| Full Name | CHARLES J ALEXIS |
| Credential | M.D |
| Practice Address |
921 Ne 13th St Oklahoma City OK 73104-5007 |
| Mailing Address |
7348 Edenborough Dr Oklahoma City OK 73132-5616 |
| Practice Telephone | 4052700501 |
| Practice Fax Number | 4052901887 |
| Mailing Telephone | 4052700501 |
| Mailing Fax Number | 4052901887 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
15773 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | EMPOYE IDENTIFICATION NUM | 77948 | 01 |
| Street Address |
921 NE 13TH ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790770691 | Jill Davis Anderson | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2005-09-16 |
| 1013516749 | Stacy Dawn Lawton | Recreation Therapist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-10-23 |
| 1346848918 | Devon Marie Ponds-foster | Registered Nurse | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-10-15 |
| 1962009357 | Heather Mae Holzbauer-schweitzer | Recreation Therapist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-10-08 |
| 1083211478 | Kacie Marie Ingram | Recreation Therapist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-10-08 |
| 1801402680 | Suifen Dong | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-09-17 |
| 1770198244 | Hayley Ellen Sewell | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-09-11 |
| 1912512484 | Amanda Toebe | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-09-11 |
| 1760095970 | Christy Tran | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-08-26 |
| 1861002347 | Caitlin Ann Lohrenz | Case Manager/Care Coordinator | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265514715 | Donna Fenton Gibson | Psychiatry & Neurology | 2501 Cummings Dr, Oklahoma City, OK 73107-2108 | 2006-10-20 |
| 1851611602 | Audra Michelle Yadack | Psychiatry & Neurology | 4601 N Classen Blvd, Oklahoma City, OK 73118-4815 | 2010-06-03 |
| 1639343650 | Psychiatric Health Corporation | Psychiatry & Neurology | 10101 S Pennsylvania Ave, Suite A, Oklahoma City, OK 73159-6929 | 2008-04-22 |
| 1124052089 | John C. Andrus | Psychiatry & Neurology | 5100 N Brookline Ave, 950, Oklahoma City, OK 73112-3623 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003209057 | Psydoc LLC | Psychiatry & Neurology | 309 N Redbud Ave, Broken Arrow, OK 74012-2376 | 2015-03-16 |
| 1255591392 | Gs Medical Consultants Inc | Psychiatry & Neurology | 2805 S Bryant Ave, Suite A, Edmond, OK 73013-6159 | 2008-06-12 |
| 1114011764 | Kirsten Matthews Wilkins | Psychiatry & Neurology | 4502 E 41st St, Dept of Psychiatry, Tulsa, OK 74135-9923 | 2006-10-03 |
| 1518903764 | Ernest George Shadid | Psychiatry & Neurology | 3280 Marshall Ave, Norman, OK 73072-8028 | 2006-06-22 |
| 1134199250 | Jimmie D Mcadams Jr. | Psychiatry & Neurology | 6655 S Yale Ave, Laureate Psychiatric Clinic and Hospital, Tulsa, OK 74136-3326 | 2006-01-23 |
| 1629052808 | Patricia A. Costner | Psychiatry & Neurology | 6655 S Yale Ave, Laureate Psychiatric Clinic and Hospital, Tulsa, OK 74136-3326 | 2005-12-01 |
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
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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.