THADDEUS ALAN CARNINE (NPI# 1821190174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821190174 |
| Entity Type | Individual |
| Full Name | THADDEUS ALAN CARNINE |
| Credential | MD |
| Practice Address |
2017 W I 35 Frontage Rd Ste 250 Edmond OK 73013-8561 |
| Practice Telephone | 4057573340 |
| Practice Fax Number | 4057573520 |
| Mailing Telephone | 4057573340 |
| Mailing Fax Number | 4057573520 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2018-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 22939 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200166750A | 05 |
| Street Address |
2017 W I 35 FRONTAGE RD STE 250 |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-8561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871608497 | Charles David Wood | Orthopaedic Surgery | 2017 W I 35 Frontage Rd Ste 250, Edmond, OK 73013 | 2006-08-21 |
| 1558552737 | Sylvia Susana Gray | Surgery | 2017 W I 35 Frontage Rd Ste 250, Edmond, OK 73013-8561 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154504264 | David Alan Rhodes | Orthopaedic Surgery | 4833 Integris Pkwy Ste 150, Edmond, OK 73034-8864 | 2007-12-12 |
| 1871608497 | Charles David Wood | Orthopaedic Surgery | 2017 W I 35 Frontage Rd Ste 250, Edmond, OK 73013 | 2006-08-21 |
| 1427083609 | Joel Scott Tupper | Orthopaedic Surgery | 1913 W 33rd St, Suite 110, Edmond, OK 73013-3879 | 2006-07-12 |
| 1215917778 | William J. Hale II | Orthopaedic Surgery | 2017 W I 35 Frontage Rd, Sutie 250, Edmond, OK 73013-8504 | 2006-01-20 |
| 1427044015 | Rick D Beller | Orthopaedic Surgery | 1701 Renaissance Blvd, Suite 100, Edmond, OK 73013-3084 | 2005-09-20 |
| 1063994853 | University of Central Oklahoma | Orthopaedic Surgery | 100 N University Dr, Edmond, OK 73034-5207 | 2018-08-29 |
| 1003354689 | Memorial Hospital of Texas County Authority | Orthopaedic Surgery | 1800 Renaissance Blvd, Second Floor Tower, Suite 210, Edmond, OK 73013-3023 | 2017-02-03 |
| 1184179988 | Zeiders Orthopedics Pllc | Orthopaedic Surgery | 1800 Renaissance Blvd, Suite 210, Edmond, OK 73013-3023 | 2016-08-22 |
| 1821231929 | Tupper Orthopedics Pllc | Orthopaedic Surgery | 1800 Renaissance Blvd, Suite 200, Edmond, OK 73013-3023 | 2009-04-20 |
| 1982863254 | Jonathan Henry Capelle | Orthopaedic Surgery | 2017 W I 35 Frontage Rd, Suite 250, Edmond, OK 73013-8504 | 2008-06-03 |
| Find all providers in EDMOND | ||||
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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.