DR. SAMUEL ALAN AMEN (NPI# 1831300995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831300995 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL ALAN AMEN |
| Credential | M.D. |
| Practice Address |
2811 E 15th St Ste 102 Tulsa OK 74104-5242 |
| Mailing Address |
Dept 22429 Po Box 21052 Tulsa OK 74121 |
| Practice Telephone | 9189353240 |
| Practice Fax Number | 9189353241 |
| Mailing Telephone | (918) 935-3240 |
| Mailing Fax Number | 9189353241 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 23587 | OK | Allopathic & Osteopathic Physicians |
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
23587 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200521770A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6048a S Sheridan Rd, Tulsa, OK 74145 | 9189353240 | 9189353241 |
| Street Address |
2811 E 15TH ST STE 102 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-5242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407817885 | Steven C Anagnost | Orthopaedic Surgery | 2811 E 15th St Ste 102, Tulsa, OK 74104-5242 | 2006-03-28 |
| 1043835309 | Seva Pain and Wellness | Anesthesiology | 2811 E 15th St Ste 102, Tulsa, OK 74104-5242 | 2020-06-12 |
| 1548883887 | Seva Spine and Joint Plc | Anesthesiology | 2811 E 15th St Ste 102, Tulsa, OK 74104-5242 | 2020-05-21 |
| 1578036448 | Minimally Invasive Spine Institute Pllc | Orthopaedic Surgery | 2811 E 15th St Ste 102, Tulsa, OK 74104-5242 | 2019-01-03 |
| 1215424635 | Zoee Ann Rayner | Nurse Practitioner | 2811 E 15th St Ste 102, Tulsa, OK 74104-5242 | 2018-04-20 |
| 1679008809 | Cheryl Ann Feken | Nurse Practitioner | 2811 E 15th St Ste 102, Tulsa, OK 74104-5242 | 2017-04-25 |
| 1477907244 | Ruby V Thomas | Nurse Practitioner | 2811 E 15th St Ste 102, Tulsa, OK 74104-5242 | 2016-04-19 |
| 1376862771 | Oklahoma Pain and Wellness Center, Plc | Clinic/Center | 2811 E 15th St Ste 102, Tulsa, OK 74104-5242 | 2010-05-25 |
| 1134454747 | Yu-fan Zhang | Anesthesiology | 2811 E 15th St Ste 102, Tulsa, OK 74104-5242 | 2009-10-15 |
| 1912039850 | Leslie Chan | Anesthesiology | 2811 E 15th St Ste 102, Tulsa, OK 74104-5242 | 2007-03-09 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740722115 | Green Country Pain Management | Internal Medicine | 6048-a S Sheridan Rd, Tulsa, OK 74145 | 2016-11-16 |
| 1558393637 | Gary Raymond Denny | Internal Medicine | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2006-07-07 |
| 1447298120 | Bryan Andrew Vandoren | Internal Medicine | 10810 E 45th St Ste 400, Tulsa, OK 74146-3806 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962601005 | Thomas Wayne Davis | Internal Medicine | 2129 Sw 59th St, Suite 1238, Oklahoma City, OK 73119-7024 | 2007-07-17 |
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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.