ID CONSULTANTS PLLC (NPI# 1932507605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932507605 |
| Entity Type | Organization |
| Organization Name | ID CONSULTANTS PLLC |
| Practice Address |
8609 Willow Springs Ct Broken Arrow OK 74011-8250 |
| Practice Telephone | 9183612825 |
| Practice Fax Number | 7705739513 |
| Mailing Telephone | 9183612825 |
| Mailing Fax Number | 7705739513 |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2015-02-12 |
| Authorized Official Name | SHAUN WHITE (MANAGER) |
| Authorized Official Telephone | 5022129393 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
24139 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200037750A | 05 | |
| OK | STATE LICENSE | 24139 | 01 |
| Street Address |
8609 WILLOW SPRINGS CT |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74011-8250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336663699 | Cpii, LLC | Pharmacy | 811 W. New Orleans, Ste 101, Broken Arrow, OK 74011 | 2017-07-28 |
| 1053833608 | Cpii, LLC | Pharmacy | 811 W. New Orleans, Suite 101, Broken Arrow, OK 74011 | 2017-07-14 |
| 1184079709 | Melissa David | Lactation Consultant, Non-RN | 417 West San Diego St., Broken Arrow, OK 74011 | 2016-05-02 |
| 1154789576 | Rebecca Young | Registered Nurse | 7801 S Oak Pl, Broken Arrow, OK 74011 | 2016-01-29 |
| 1942524061 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 751 W Tuscan St, 121st, Broken Arrow, OK 74011 | 2010-03-18 |
| 1174764336 | Linda J. Russell | Counselor | 2446 W New Orleans St, Broken Arrow, OK 74011 | 2009-03-18 |
| 1851409080 | Kim Lee Mcneal | Dentist | 3764 South Elm Place, Broken Arrow, OK 74011 | 2006-08-28 |
| 1669433249 | Matthew E Ozment | Optometrist | 2500 West New Orleans, Broken Arrow, OK 74011 | 2006-03-31 |
| 1912275140 | Courtney Brooke Willcoxon | Pharmacist | 4704 S Elm Pl, Broken Arrow, OK 74011 | 2011-12-02 |
| 1558322883 | Gerald Seefeldt | Family Medicine | 66 Cedar Ridge Rd, Broken Arrow, OK 74011-1101 | 2006-03-28 |
| Find all providers in zip 74011 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639639321 | Green Country Infectious Disease PC | Internal Medicine | 421 Stone Wood Dr, Broken Arrow, OK 74012-1026 | 2019-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821236811 | Khawaja Omair Husain | Internal Medicine | 18205 Piedra Dr, Edmond, OK 73012-7633 | 2009-01-28 |
| 1669662672 | Infectious Disease and Pain Management of Tulsa | Internal Medicine | 1502 S Boulder Ave, Suite 206, Tulsa, OK 74119-4037 | 2007-07-26 |
| 1629288980 | Aline Brown M D P C | Internal Medicine | 3400 Nw Expressway St Ste 410, Oklahoma City, OK 73112-4491 | 2007-05-23 |
| 1265558779 | Mark Steven Dawson | Internal Medicine | 6120 S Yale Ave, Suite 1225, Tulsa, OK 74136-4234 | 2007-03-22 |
| 1013017292 | Vijay K Kolli | Internal Medicine | 1104e State Highway 152, Mustang, OK 73064-5116 | 2006-09-25 |
| 1538194725 | Infectious Disease Physicians PC | Internal Medicine | 729 So Blvd, Edmond, OK 73034 | 2006-07-12 |
| 1629047683 | Linda J Salinas | Internal Medicine | 920 Sl Young Blvd, Wp1160, Oklahoma City, OK 73104-5033 | 2006-03-14 |
| 1376517813 | Stanley N Schwartz | Internal Medicine | 5723 E 79th St, Tulsa, OK 74136-8432 | 2006-02-13 |
| 1588640965 | Karen K Kinney | Internal Medicine | 711 Stanton L Young Blvd, Ppb Suite 430, Oklahoma City, OK 73104-5023 | 2005-12-19 |
| 1033194451 | Mark Dillier Rowland | Internal Medicine | 6565 S Yale Ave Ste 912, Tulsa, OK 74136 | 2005-12-08 |
| Find all providers with the same taxonomy | ||||
| City | BROKEN ARROW |
| Zip Code | 74011 |
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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.