MS. JESTINE A GAHAGAN (NPI# 1851380703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851380703 |
Entity Type | Individual |
Full Name | MS. JESTINE A GAHAGAN |
Credential | X RAY TECHNICIAN |
Practice Address |
603 E Pine St Tulsa OK 74106-4849 |
Practice Telephone | 9182956137 |
Practice Fax Number | 9185820529 |
Mailing Telephone | 9182956137 |
Mailing Fax Number | 9185820529 |
Enumeration Date | 2005-10-13 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085B0100X |
Radiology Specialization: Body Imaging |
259819 | OK | Allopathic & Osteopathic Physicians |
Street Address |
603 E PINE ST |
City | TULSA |
State | OK |
Zip Code | 74106-4849 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790787356 | Melissa A Rohrer | Physician Assistant | 603 E Pine St, Tulsa, OK 74106-4849 | 2005-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811538895 | Desma Johnson | Technician | 784 East 43rd Street North, Tulsa, OK 74106 | 2019-10-01 |
1912462094 | Breyan Lashawn Jackson | Case Manager/Care Coordinator | 3606 N Mlk Jr. Blvd, Tulsa, OK 74106 | 2019-02-04 |
1740751445 | Ernest Kaara Maina | Family Medicine | 3606 M.l.k. Jr Blvd, Tulsa, OK 74106 | 2018-12-07 |
1568969632 | A&m Healthcare Clinic | Nurse Practitioner | 3606 North Mlk Blvd, Tulsa, OK 74106 | 2018-04-06 |
1265880819 | Paula Patricia Tullis | Psychologist | 1232 N Boston, Tulsa, OK 74106 | 2016-05-24 |
1326413030 | Eartha Mcalester | Counselor | 628 E. Virgin St., Tulsa, OK 74106 | 2015-12-07 |
1114334182 | James O Brannon Jr. | Behavioral Analyst | 2745 North Main, Tulsa, OK 74106 | 2014-07-22 |
1952718512 | Teresa Marie Williams | Counselor | 3601 N. Martin Luther King Blvd, Tulsa, OK 74106 | 2014-07-16 |
1639580764 | Lynnette Dixon | Case Management | 708 East 38th Street North, Tulsa, OK 74106 | 2014-05-12 |
1184975898 | Tiara Delonia | Social Worker | 1 W 36th St N Suite 1, Tulsa, OK 74106 | 2012-09-21 |
Find all providers in zip 74106 |
Taxonomy Code | 2085B0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Body Imaging |
A Radiology doctor of Osteopathy that specializes in Body Imaging. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124186820 | Erika N Alfaro Marshall | Radiology | 1334 N Lansing, Tulsa, OK 74106 | 2006-12-05 |
1679549166 | Ronald Allan Stillerman | Radiology | 4500 S Garnett Rd Ste 300, Tulsa, OK 74146-5238 | 2006-02-24 |
1043214497 | Shawn D Grant | Radiology | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2005-06-13 |
1689652869 | Carole M Dentino | Radiology | 4500 S Garnett Rd, Suite 300, Tulsa, OK 74146-5229 | 2006-01-06 |
1720075112 | Morton Comprehensive Health Services Inc | Radiology | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2005-09-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437652740 | Bns Associates LLC | Radiology | 2553 S Kelly Ave Ste 110, Edmond, OK 73013-3890 | 2018-03-13 |
1407901085 | Paula Ann Deupree | Radiology | 13509 N Meridian Ave, Suite 6, Oklahoma City, OK 73120-8396 | 2007-01-24 |
1790005809 | Ryan Brandon Hurst | Radiology | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2010-06-11 |
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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.