MAX JOSEPH MATLOCK (NPI# 1780011866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780011866 |
| Entity Type | Individual |
| Full Name | MAX JOSEPH MATLOCK |
| Practice Address |
6839 S Canton Ave Tulsa OK 74136-3402 |
| Practice Telephone | 4055902913 |
| Mailing Telephone | 4055902913 |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 92790 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | RN631383 | PA | Student, Health Care |
| Street Address |
6839 S CANTON AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74136-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789337 | Christopher D. Emerson | Anesthesiology | 6839 S Canton Ave, Tulsa, OK 74136-3402 | 2005-06-10 |
| 1205336583 | Stephanie M Gotcher | Registered Nurse | 6839 S Canton Ave, Tulsa, OK 74136-3402 | 2018-02-13 |
| 1104330281 | Ryan Charles Johnson | Registered Nurse | 6839 S Canton Ave, Tulsa, OK 74136-3402 | 2017-11-27 |
| 1619489879 | Jamie Ann Mcanulty | Registered Nurse | 6839 S Canton Ave, Tulsa, OK 74136 | 2017-10-27 |
| 1558884536 | Colin Mckenna | Anesthesiologist Assistant | 6839 S Canton Ave, Tulsa, OK 74136-3402 | 2017-07-20 |
| 1477092344 | Kasey R Metts | Physician Assistant | 6839 S Canton Ave, Tulsa, OK 74136-3402 | 2017-02-13 |
| 1558809194 | Lindsay Rachelle Wuellner | Nurse Anesthetist, Certified Registered | 6839 S Canton Ave, Tulsa, OK 74136-3402 | 2017-02-02 |
| 1447616768 | Nikita Michelle Layson | Nurse Anesthetist, Certified Registered | 6839 S Canton Ave, Tulsa, OK 74136-3402 | 2016-01-04 |
| 1366817538 | Jessica Ovard | Nurse Anesthetist, Certified Registered | 6839 S Canton Ave, Tulsa, OK 74136-3402 | 2015-12-14 |
| 1588053698 | Melissa Anne Gilkison | Nurse Anesthetist, Certified Registered | 6839 S Canton Ave, Tulsa, OK 74136-3402 | 2015-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
| 1124473665 | Hernan Aguilos | Nurse Anesthetist, Certified Registered | 1923 S Utica Ave Fl 3, Tulsa, OK 74104-6520 | 2016-05-03 |
| 1740664978 | Ariana King | Nurse Anesthetist, Certified Registered | 1924 S Utica Ave, Tulsa, OK 74104-6510 | 2015-07-17 |
| 1396144580 | Matthew Wayne Milby | Nurse Anesthetist, Certified Registered | 2647 E 20th St, Tulsa, OK 74104-5811 | 2014-08-14 |
| 1831532068 | Lauren Nicole Garrison | Nurse Anesthetist, Certified Registered | 18602 E 50th Pl, Tulsa, OK 74134-7178 | 2013-04-08 |
| 1194001107 | Heather Rae Kendrick | Nurse Anesthetist, Certified Registered | 18103 E 47th St, Tulsa, OK 74134-7413 | 2011-10-24 |
| 1235432956 | Yelena Curtis | Nurse Anesthetist, Certified Registered | 6839 S. Canton Ave., Tulsa, OK 74136 | 2010-12-20 |
| 1609107820 | Kenan James Ryan | Nurse Anesthetist, Certified Registered | 6839 S Canton, Associated Anesthesiologists, Inc., Tulsa, OK 74136-3402 | 2010-01-28 |
| 1801040209 | Muhammad Usman Butt | Nurse Anesthetist, Certified Registered | 4120 S 130th East Ave, Apt # 1113, Tulsa, OK 74134-1132 | 2008-11-12 |
| 1508040924 | Cynthia Reed Hunter | Nurse Anesthetist, Certified Registered | 6947 S Evanston Ave, Tulsa, OK 74136-4512 | 2007-12-20 |
| Find all providers in TULSA | ||||
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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.