KEVIN FRANK WILEY (NPI# 1912268921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912268921 |
| Entity Type | Individual |
| Full Name | KEVIN FRANK WILEY |
| Credential | MD |
| Practice Address |
9600 Broadway Ext Oklahoma City OK 73114-7408 |
| Practice Telephone | 4052309270 |
| Practice Fax Number | 4052309157 |
| Mailing Telephone | 4052309000 |
| Mailing Fax Number | 4052309157 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2020-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
30008 | OK | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9600 Broadway Ext, Oklahoma City, OK 731147408 | 4052030927 | 4052309157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376059279 | Kevin Wiley | Nurse Practitioner | 640 S State St, Dover, DE 19901-3530 | 2017-12-15 |
| Street Address |
9600 BROADWAY EXT |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73114-7408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043218381 | Paul Alan Kammerlocher | Orthopaedic Surgery | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2005-07-11 |
| 1972117190 | Christopher Carlton | Nurse Anesthetist, Certified Registered | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2020-09-04 |
| 1831732155 | Ashley Brooke Edwards | Registered Nurse | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2019-10-18 |
| 1265082945 | Heather Elizabeth Lovett | Physician Assistant | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2019-09-16 |
| 1548816515 | Alexia Mcwaters | Registered Nurse | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2019-08-14 |
| 1215583786 | Matthew Griffin Merrill | Registered Nurse | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2019-08-12 |
| 1326538935 | Leah Coyle | Nurse Anesthetist, Certified Registered | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2018-05-18 |
| 1891296208 | Kimberly Tennille Felix | Registered Nurse | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2018-02-22 |
| 1578082731 | Daniel Shean Smith | Nurse Anesthetist, Certified Registered | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2017-09-19 |
| 1730619545 | Samuel Martinez-morales | Nurse Anesthetist, Certified Registered | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2017-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124669783 | Heather Williams | Occupational Therapist | 1404 Nw122nd St, Oklahoma City, OK 73114 | 2019-10-04 |
| 1477194033 | Shonta Jones | Technician | 10723 Norh Western, Apartment G, Oklahoma City, OK 73114 | 2019-10-04 |
| 1023537644 | Tracye Carter | Registered Nurse | 812 Nw 121 Terr, Oklahom City, OK 73114 | 2017-09-14 |
| 1003362849 | Randy Joshua Williamson | Behavioral Analyst | 101 Bainbridge Rd, Oklahoma City, OK 73114 | 2016-08-31 |
| 1427413368 | John Adrian Howard | Physical Therapist | 13100 N Western Ave Ste 302, Oklahoma City, OK 73114 | 2015-12-18 |
| 1497150197 | Payam Ishani Afousi | Dentist | 9405 N. Penn Place, Casady Square, Oklahoma City, OK 73114 | 2014-10-24 |
| 1922407386 | Kelvin Hughes | Counselor | 1400 Nw 105th Ter, Oklahoma City, OK 73114 | 2014-08-21 |
| 1285056887 | Malarie Jackson | Nurse Practitioner | 609 W. Memorial Rd., Oklahoma City, OK 73114 | 2014-01-16 |
| 1508108705 | Adam Liberty | Community/Behavioral Health | 428 N.w 81st, Oklahoma City, OK 73114 | 2013-03-26 |
| 1780926345 | Michelle D Hardimon | Behavioral Analyst | 700 Ne 122nd Apt 4509, Oklahoma City, OK 73114 | 2013-03-21 |
| Find all providers in zip 73114 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255893335 | Sok Care of Ok, LLC | Orthopaedic Surgery | 10601 S Western Ave Ste 3, Oklahoma City, OK 73170-6201 | 2019-04-05 |
| 1568934859 | Orthopedic Spine Associates | Orthopaedic Surgery | 14100 Parkway Commons Dr Ste 101, Oklahoma City, OK 73134-6036 | 2018-12-26 |
| 1013488048 | Essential Integrative Health Pllc | Orthopaedic Surgery | 3705 Nw 63rd St Ste 201, Oklahoma City, OK 73116-1937 | 2018-12-17 |
| 1154820009 | Spine Cin of Oklahoma City LLC | Orthopaedic Surgery | 10601 S Western Ave # 1, Oklahoma City, OK 73170-6201 | 2018-02-06 |
| 1619476561 | Joint Replacement Cin of Oklahoma City LLC | Orthopaedic Surgery | 10601 S Western Ave # 2, Oklahoma City, OK 73170-6201 | 2018-02-06 |
| 1952724494 | Jeffrey Schimandle | Orthopaedic Surgery | 6112 N Villa Ave, Oklahoma City, OK 73112-7159 | 2014-02-03 |
| 1013912617 | Cheng-lun Soo | Orthopaedic Surgery | 9821 S May Ave Ste B, Oklahoma City, OK 73159-7042 | 2005-06-20 |
| 1871971150 | Essential Integrative Health Pllc | Orthopaedic Surgery | 3130 Sw 89th St Ste 200, Oklahoma City, OK 73159 | 2015-05-07 |
| 1588983100 | C L Soo Md PC | Orthopaedic Surgery | 1044 Sw 44th St, Suite 600, Oklahoma City, OK 73109-3613 | 2010-05-21 |
| 1023240538 | Oklahoma Spine Surgery & Orthopedics | Orthopaedic Surgery | 3110 Sw 89th St, 102, Oklahoma City, OK 73159-7920 | 2009-08-17 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73114 |
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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.