DAVID DELOERA (NPI# 1881171536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881171536 |
| Entity Type | Individual |
| Full Name | DAVID DELOERA |
| Credential | RN MSN, AACNS-AG |
| Practice Address |
3366 Nw Expressway Ste 550 Oklahoma City OK 73112-4489 |
| Practice Telephone | 4054089770 |
| Mailing Telephone | 4054089770 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WN0300X |
Registered Nurse Specialization: Nephrology |
99089 | OK | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | STATE OF OK RN LICENSE | 99089 | 01 |
| Street Address |
3366 NW EXPRESSWAY STE 550 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-4489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679827919 | Sarah Lynn Lynch | Nurse Practitioner | 3366 Nw Expressway Ste 550, Oklahoma City, OK 73112-4489 | 2012-11-08 |
| 1003253410 | Patrick Bronson Reeves | Internal Medicine | 3366 Nw Expressway Ste 550, Oklahoma City, OK 73112-4489 | 2013-05-24 |
| 1295170496 | Bradley T Long | Internal Medicine | 3366 Nw Expressway Ste 550, Oklahoma City, OK 73112-4489 | 2013-05-02 |
| 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 | 163WN0300X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Nephrology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093889255 | Linda Mccain | Registered Nurse | 2000 S Wheeling Ave, Ste. 510, Tulsa, OK 74104-5649 | 2006-11-20 |
| 1053483172 | Richard David Barnes | Registered Nurse | 2000 S Wheeling Ave Ste 510, Tulsa, OK 74104-5649 | 2006-11-14 |
| 1699847764 | Amy Foster | Registered Nurse | 2000 S Wheeling Ave Ste 510, Tulsa, OK 74104-5642 | 2006-11-14 |
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
Please comment or provide details below to improve the information on DAVID DELOERA.
| 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.