GENNADY SLOBODOV (NPI# 1932177185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932177185 |
| Entity Type | Individual |
| Full Name | GENNADY SLOBODOV |
| Credential | MD |
| Practice Address |
825 Ne 10th St Oupb5400 Oklahoma City OK 73104-5417 |
| Mailing Address |
1122 Ne 13th St Ori236 Oklahoma City OK 73117-1039 |
| Practice Telephone | 4052716452 |
| Enumeration Date | 2006-03-12 |
| Last Update Date | 2011-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 21955 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
825 NE 10TH ST OUPB5400 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-5417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071543 | Sheila Algan | Orthopaedic Surgery | 825 Ne 10th St, Oupb1300, Oklahoma City, OK 73104-5417 | 2005-05-24 |
| 1356865414 | Elisabeth Ann Okroi | Nurse Practitioner | 825 Ne 10th St, Oklahoma City, OK 73104-5417 | 2017-07-31 |
| 1669900825 | Ashley Lynn Greenwood | Student in an Organized Health Care Education/Training Program | 825 Ne 10th St, Oklahoma City, OK 73104-5417 | 2017-05-31 |
| 1588102305 | Tonya Lynette Gollahalli | Physician Assistant | 825 Ne 10th St, Oupb 4e, Oklahoma City, OK 73104-5417 | 2017-02-01 |
| 1003362658 | Brandi Dickey | Registered Nurse | 825 Ne 10th St, Suite 2b, Oklahoma City, OK 73104-5417 | 2016-09-01 |
| 1366892424 | Physician Management Services of Oklahoma, LLC | Family Medicine | 825 Ne 10th St, Oklahoma City, OK 73104-5417 | 2016-06-20 |
| 1588029383 | Gina Nicole Maloney | Physician Assistant | 825 Ne 10th St, Suite 4200, Oklahoma City, OK 73104-5417 | 2015-12-21 |
| 1184049975 | Oklahoma Sleep Institute Clinic - Up | Durable Medical Equipment & Medical Supplies | 825 Ne 10th St, # 4b, Oklahoma City, OK 73104-5417 | 2014-03-03 |
| 1508205204 | Catiele Antunes | Internal Medicine | 825 Ne 10th St, Oklahoma City, OK 73104-5417 | 2013-06-17 |
| 1134465081 | Taryn Smith | Physician Assistant | 825 Ne 10th St, Ste 5400, Oklahoma City, OK 73104-5417 | 2012-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194338426 | Davis Urology, Pllc | Urology | 13509 N Meridian Ave Ste 6, Oklahoma City, OK 73120-8396 | 2020-08-26 |
| 1073146304 | Roy W Bankhead Md PC | Urology | 5700 N Portland Ave Ste 100, Oklahoma City, OK 73112-1662 | 2020-02-14 |
| 1851877567 | Richard E. Herlihy Md, PC | Urology | 4140 W Memorial Rd Ste 611, Oklahoma City, OK 73120-8300 | 2018-07-16 |
| 1306383849 | Urology Affiliates of Oklahoma LLC | Urology | 5300 N Grand Blvd Ste 200, Oklahoma City, OK 73112-5517 | 2017-01-23 |
| 1285015057 | Caitlin Shepherd | Urology | 722 Nw 28th St, Oklahoma City, OK 73103-1009 | 2015-06-17 |
| 1295174969 | Joseph Fernando Rodriguez IIi | Urology | 920 Stanton L Young Blvd # Wp3150, Oklahoma City, OK 73104-5036 | 2013-06-17 |
| 1992055990 | Kathryn Griffin Cunningham | Urology | 4140 W Memorial Rd Ste 208, Oklahoma City, OK 73120 | 2012-09-17 |
| 1477847374 | Bhalaajee Meenakshi-sundaram | Urology | 1200 Childrens Ave # 7d, Oklahoma City, OK 73104 | 2011-06-08 |
| 1205157120 | Mohammad Omar Ramadan | Urology | Ssm Health Medical Group Urology, 608 Nw 9th St., Suite 5000, Oklahoma City, OK 73102 | 2010-06-15 |
| 1093959785 | Sanjay Govind Patel | Urology | 800 Ne 10th St Ste 4300, Oklahoma City, OK 73104-5418 | 2009-04-24 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
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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.