KEVIN TAUBMAN (NPI# 1811101132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811101132 |
| Entity Type | Individual |
| Full Name | KEVIN TAUBMAN |
| Credential | M.D. |
| Practice Address |
1919 S Wheeling Ave Ste 600 Tulsa OK 74104-5635 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 9187443523 |
| Practice Fax Number | 9187443463 |
| Mailing Telephone | 5746471610 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
01084736A | IN | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
25714 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200112900A | 05 | |
| IN | 300042779 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Navarre Pl Ste 5500, South Bend, IN 466011172 | 5746475200 | 5746475210 |
| Street Address |
1919 S WHEELING AVE STE 600 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-5635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043209307 | Peter Richard Nelson | Surgery | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | 2005-10-19 |
| 1568090520 | Courtney Marie Busby | Nurse Practitioner | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | 2020-03-27 |
| 1194363606 | Brett Wilkinson | Dietitian, Registered | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | 2019-12-16 |
| 1548824048 | Joseph Buckles | Student in an Organized Health Care Education/Training Program | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | 2019-04-30 |
| 1588046379 | Todd Alan Hasenstein | Podiatrist | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | 2015-06-29 |
| 1902243470 | Zhamak Khorgami | Surgery | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | 2013-05-24 |
| 1033478466 | Vernon D. Horst | Surgery | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | 2012-05-04 |
| 1720372873 | Hyein Kim | Surgery | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104 | 2011-06-07 |
| 1518258136 | Kimberly Cassendre Zamor | Surgery | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | 2011-04-30 |
| 1407145758 | Nelson Andrew Royall | Surgery | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | 2011-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
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| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043209307 | Peter Richard Nelson | Surgery | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | 2005-10-19 |
| 1235477613 | Alexandros Mallios | Surgery | 1919 S Wheeling Ave, Suite 600, Tulsa, OK 74104-5638 | 2013-01-20 |
| 1518258136 | Kimberly Cassendre Zamor | Surgery | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104-5635 | 2011-04-30 |
| 1467776476 | Adel Barkat | Surgery | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2010-03-19 |
| 1972763704 | Kelly Kempe | Surgery | 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104 | 2008-06-16 |
| 1083779813 | Giancarlo Piano | Surgery | 6465 S Yale Ave Ste 910, Tulsa, OK 74136-7823 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518378603 | Whitney Thorne | Surgery | 608 Nw 9th St Ste 2200, Oklahoma City, OK 73102 | 2014-05-12 |
| 1942304241 | Michael Olen Riggs | Surgery | 13901 Mcauley Blvd., Ste. 210, Oklahoma City, OK 73134-8705 | 2006-09-08 |
| 1861504490 | Vascular Associates of Southern Oklahoma | Surgery | 2002 12th Ave Nw Ste E, Ardmore, OK 73401-1206 | 2006-08-31 |
| 1386753200 | Advanced Surgical Associates, PC | Surgery | 3330 Nw 56th St., Ste 208, Oklahoma City, OK 73112 | 2006-08-30 |
| 1578676938 | Abbas Toughanipour | Surgery | 238 N Midwest Blvd, Suite 201, Midwest City, OK 73110-4311 | 2006-08-17 |
| 1124085139 | Philip A Floyd | Surgery | 2800 Nw 63rd St, Ste 900, Oklahoma City, OK 73116-4836 | 2006-04-26 |
| 1952388365 | Kevin Michael Mcmullen | Surgery | 11011 Hefner Pointe Dr, Ste A, Oklahoma City, OK 73120-5005 | 2005-12-28 |
| 1467456038 | John Nereus Carter | Surgery | 110 Nw 31st St, 3rd Floor, Lawton, OK 73505-6100 | 2005-06-10 |
| 1689678245 | Richard Jene Allgood | Surgery | 5404 Sw Lee Blvd, Lawton, OK 73505-9521 | 2005-06-10 |
| 1215324553 | Cardiovascular Health Clinic Pllc | Surgery | 3200 Quail Springs Parkway, Ste 200, Oklahoma City, OK 73134 | 2015-04-24 |
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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.