LP DULLYE MANAGEMENT, INC (NPI# 1902262421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902262421 |
| Entity Type | Organization |
| Organization Name | LP DULLYE MANAGEMENT, INC |
| Practice Address |
802 S Jackson Ave Suite 200 Tulsa OK 74127-9015 |
| Practice Telephone | 9185853372 |
| Practice Fax Number | 9185999116 |
| Mailing Telephone | 9185853372 |
| Mailing Fax Number | 9185999116 |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |
| Authorized Official Name | LARRY J DULLYE (PRESIDENT) |
| Authorized Official Telephone | 9185853372 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | OK | Allopathic & Osteopathic Physicians |
| Street Address |
802 S JACKSON AVE SUITE 200 |
| City | TULSA |
| State | OK |
| Zip Code | 74127-9015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972564169 | Daniel A Nader | Internal Medicine | 802 S Jackson Ave, Tulsa, OK 74127-9015 | 2006-03-29 |
| 1346784683 | Osu Cardiology | Internal Medicine | 802 S Jackson Ave, Suite 225, Tulsa, OK 74127-9015 | 2016-12-06 |
| 1629437546 | Bret Colter Haines | Surgery | 802 S Jackson Ave, Suite 505, Tulsa, OK 74127-9015 | 2016-02-19 |
| 1922491935 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave, Suite 210, Tulsa, OK 74127-9015 | 2015-03-16 |
| 1144650854 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave, Suite 210, Tulsa, OK 74127-9015 | 2013-11-15 |
| 1467748467 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave, Suite 312, Tulsa, OK 74127-9015 | 2011-06-28 |
| 1548556541 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave, Suite 110, Tulsa, OK 74127-9015 | 2011-06-28 |
| 1790076222 | Adam Derek Bradley | Surgery | 802 S Jackson Ave, #505, Tulsa, OK 74127-9015 | 2011-05-02 |
| 1013238872 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave, Suite 400, Tulsa, OK 74127-9015 | 2010-06-16 |
| 1679746895 | C. Michael Johnson, D.o,inc. | Urology | 802 S Jackson Ave, Suite 110, Tulsa, OK 74127-9015 | 2008-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366966699 | Tarell Lynell Earl | Case Manager/Care Coordinator | 602 N. 28th W. Pl., Tulsa, OK 74127 | 2017-07-28 |
| 1023538014 | Milton Dean IIi | Counselor | 1234 N Rosedale, Tulsa, OK 74127 | 2017-06-21 |
| 1740700988 | Lisa Lee Ann Gilliland | Case Manager/Care Coordinator | 2001 W Ute Pl, Tulsa, OK 74127 | 2017-06-20 |
| 1114456498 | Kevin Thomas Jackson | Counselor | 310 S 49th W Ave, Tulsa, OK 74127 | 2017-06-08 |
| 1427406180 | Byron Conrad Dixon Jr. | Case Manager/Care Coordinator | 551 N. 28th W. Ave., Tulsa, OK 74127 | 2016-06-02 |
| 1548621568 | Brandon Worth | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2016-03-18 |
| 1073987467 | Jo Lowe | Social Worker | 420 S. Lawton Ave. Apt 315, Tulsa, OK 74127 | 2015-11-23 |
| 1154718575 | William Hughes | Health Educator | 3101 W Edison, Tulsa, OK 74127 | 2015-04-23 |
| 1801289665 | Kristyn Janelle Zrenda | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2015-03-17 |
| 1831595719 | Mallory Yarbrough | Counselor | 3005 N 24th West Ave, Tulsa, OK 74127 | 2014-11-05 |
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| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083918668 | Billy Paul Loughridge | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2100 S. Utica Ave, Tulsa, OK 74152-1057 | 2010-12-22 |
| 1245390863 | John Franco A Carabello | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 802 S Jackson Ave Ste 200, Tulsa, OK 74127-9047 | 2006-12-12 |
| 1962510438 | Osteopathic Cardiovascular Surg Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 802 S Jackson #200, Tulsa, OK 74127-9047 | 2006-08-26 |
| 1740215292 | Robert Garrett | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6465 S Yale Ave Ste 910, Tulsa, OK 74136-7823 | 2006-07-12 |
| 1619904513 | Michael R Phillips | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1265 S. Utica Ave., Ste. 105, Tulsa, OK 74104-4243 | 2006-06-27 |
| 1073942975 | Warren Clinic Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6151 S Yale Ave, Suite 1301, Tulsa, OK 74136-1907 | 2013-11-01 |
| 1629386529 | Vein Care Center of Oklahoma Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6151 S Yale Ave, Suite 1-302, Tulsa, OK 74136-1907 | 2010-09-14 |
| 1922323146 | John Mark Weber | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 2010-03-30 |
| 1578715454 | George M Comas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1923 S Utica Ave Fl 5, Tulsa, OK 74104 | 2008-10-22 |
| 1003063173 | Peter Ungjo Baik | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10109 E. 79th Street, Cancer Treatment Centers of America, Tulsa, OK 74133 | 2008-08-20 |
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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.