DR. TOMMY L HEWETT (NPI# 1841279056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841279056 |
| Entity Type | Individual |
| Full Name | DR. TOMMY L HEWETT |
| Credential | MD |
| Practice Address |
3000 United Founders Blvd Suite 234 Oklahoma City OK 73112-3958 |
| Mailing Address |
14275 Midway Rd Suite 400 Addison TX 75001-3614 |
| Practice Telephone | 4058422061 |
| Practice Fax Number | 4058423146 |
| Mailing Telephone | 2149328029 |
| Mailing Fax Number | 6102714245 |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2015-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZH0000X |
Pathology Specialization: Hematology |
9672 | OK | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
9672 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100122430A | 05 | |
| OK | MC RR | 220009163 | 01 |
| OK | BCBS | 731193626002 | 01 |
| Street Address |
3000 UNITED FOUNDERS BLVD SUITE 234 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-3958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235763178 | Therapy With Dani, LLC | Massage Therapist | 3000 United Founders Blvd, Oklahoma City, OK 73112-3958 | 2020-03-01 |
| 1770029472 | Elizabeth Moore | Case Manager/Care Coordinator | 3000 United Founders Blvd, Oklahoma City, OK 73112-3958 | 2017-01-18 |
| 1285183574 | Jo Woodside | Driver | 3000 United Founders Blvd, 221, Oklahoma City, OK 73112-3958 | 2016-09-27 |
| 1780132951 | Janna Melton | Case Manager/Care Coordinator | 3000 United Founders Blvd, Oklahoma City, OK 73112-3958 | 2016-09-16 |
| 1922451467 | Hartwick Counseling Services, LLC | Community/Behavioral Health | 3000 United Founders Blvd, Ste 108, Oklahoma City, OK 73112-3958 | 2016-07-20 |
| 1962862995 | Layna Fischer | Peer Specialist | 3000 United Founders Blvd, Oklahoma City, OK 73112-3958 | 2016-03-03 |
| 1164894275 | Shyreeta Hearne | Counselor | 3000 United Founders Blvd, Suite #108, Oklahoma City, OK 73112-3958 | 2015-10-28 |
| 1619344041 | Felix Igbeka | Counselor | 3000 United Founders Blvd, Suite 128, Oklahoma City, OK 73112 | 2015-09-02 |
| 1861868259 | Passport Health of Oklahoma | Clinic/Center | 3000 United Founders Blvd, Suite 137, Oklahoma City, OK 73112-3958 | 2015-08-19 |
| 1184008484 | Louisa Onyekuru | Psychologist | 3000 United Founders Blvd, 110, Oklahoma City, OK 73112-3958 | 2015-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241481 | Sara Abu Mehsen | Pathology | 940 Stanton L Young Blvd Ste 451, Oklahoma City, OK 73104-5020 | 2020-07-02 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1457795270 | Wenyi Luo | Pathology | 1122 Ne 13th St # Ori236, Oklahoma City, OK 73117-1039 | 2013-04-23 |
| 1629399662 | Justin D. Jenkins | Pathology | 940 Sl Young Blvd, Wp 451, Oklahoma City, OK 73104-5020 | 2010-06-14 |
| 1366603953 | Rebecca S Simstein | Pathology | 940 Stanton L Young Blvd # 453, Oklahoma City, OK 73104-5020 | 2008-06-17 |
| 1083874168 | Chrystal Marjenhoff Pauley | Pathology | 940 Stanton L Young Blvd # 451, Oklahoma City, OK 73104-5020 | 2008-06-12 |
| 1619184900 | Xiao-cong Peng | Pathology | 840 Research Parkway, Dept. of Pathology, Labcorp At Okc, Oklahoma City, OK 73104 | 2007-05-17 |
| 1457327678 | Vasantha Kosaraju Rao | Pathology | 5900 Mosteller Drive, Suite 116, Oklahoma City, OK 73112 | 2006-02-27 |
| 1861465361 | J Russell | Pathology | 225 Ne 97th St # 600, Oklahoma City, OK 73114-6302 | 2006-02-07 |
| 1245219450 | Peter F Brumbaugh | Pathology | 225 Ne 97th St, Oklahoma City, OK 73114-6302 | 2006-01-16 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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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.