KYLE WERTZBERGER


Address: 8803 S 101st East Ave Ste 100, Tulsa, OK 74133-7546
Phone: 9185790220

KYLE WERTZBERGER (NPI# 1952731200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952731200
Entity Type Individual
Full Name KYLE WERTZBERGER
Credential PA-C
Practice Address 8803 S 101st East Ave Ste 100
Tulsa
OK 74133-7546
Mailing Address 1145 S Utica Ave Ste 110
Tulsa
OK 74104-4013
Practice Telephone 9185790220
Practice Fax Number 9185792309
Mailing Telephone 9185793825
Mailing Fax Number 9185791262
Enumeration Date 2013-11-24
Last Update Date 2019-11-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 2326 OK Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
2326 OK Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 8803 S 101ST EAST AVE STE 100
City TULSA
State OK
Zip Code 74133-7546

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982697553 John F Line Physician Assistant 8803 S 101st East Ave Ste 100, Tulsa, OK 74133-7546 2005-08-29
1013452499 Susan Mitchell Nurse Practitioner 8803 S 101st East Ave Ste 100, Tulsa, OK 74133 2016-12-21
1003268871 Ashley Hilliker Physician Assistant 8803 S 101st East Ave Ste 100, Tulsa, OK 74133-7546 2016-07-06
1295139319 Amanda Beth Robison Nurse Practitioner 8803 S 101st East Ave Ste 100, Tulsa, OK 74133 2014-10-17
1083017685 Kristen Elise Giordano Physician Assistant 8803 S 101st East Ave Ste 100, Tulsa, OK 74133-7546 2014-09-27
1003175258 Elwood Fray Williams IIi Anesthesiology 8803 S 101st East Ave Ste 100, Tulsa, OK 74133-7546 2012-05-09
1972808327 Gannon Frederick Gill Physician Assistant 8803 S 101st East Ave Ste 100, Tulsa, OK 74133-7546 2011-01-17
1427192434 Yinyin Josephine Lauren Devoe Family Medicine 8803 S 101st East Ave Ste 100, Tulsa, OK 74133-7546 2007-02-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932725058 Economy Pharmacy Pharmacy 10120 E 91st, Tulsa, OK 74133 2020-06-24
1710539424 Fresenius Medical Care Tulsa, LLC Clinic/Center 9310 East 91st Street, Tulsa, OK 74133 2019-07-12
1003382060 Carefirst Pharmacy Tulsa, Inc. Pharmacy 6214 S. Sheridan Rd, Tulsa, OK 74133 2018-10-17
1003397332 Adekemi Taiwo Nurse Practitioner Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 2018-08-24
1346732013 Lauren Nichols Dentist 7707 E 111th St Ste 105, Tulsa, OK 74133 2018-05-30
1699264259 Courtney N Johnson, Pllc Dentist 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 2018-05-08
1417464199 Tulsa Medical and Orthopedic Center PC Family Medicine 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 2018-01-04
1013421023 Susan C. Willard, Do, Pllc Family Medicine 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 2017-11-29
1851800825 Seyva LLC Clinic/Center 8522 S 70th E Ave, Tulsa, OK 74133 2017-09-21
1477072031 Amanda Dawn Long Registered Nurse 10507 E 91st St Ste 310, Tulsa, OK 74133 2017-09-14
Find all providers in zip 74133

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073154647 Haley Nicole Beaird Physician Assistant 8907 E 93rd St, Tulsa, OK 74133-5634 2019-10-03
1790155562 Caldwell Medical Group of North Tulsa LLC Physician Assistant 8014 S 101st East Ave, Tulsa, OK 74133-4579 2015-10-05
1609298330 Marci Love Deck Physician Assistant 2000 S Wheeling Ave Ste 1000, Tulsa, OK 74104-5648 2014-01-15
1619216272 Nicole Lisette Mancinelli Physician Assistant 2424 E. 21st Street, Suite 320, Tulsa, OK 74114 2013-02-01
1184959389 Erin Nicole Jones Physician Assistant 11212 E 48th St., Oklahoma Oncology, Tulsa, OK 74146-5806 2009-10-06
1194901793 Annamae Kay Physician Assistant 1919 South Wheeling Ave, Ste 304, Tulsa, OK 74104 2008-01-14
1265632129 Oklahoma Occupational Health Center Physician Assistant 5640 S Memorial Dr, Tulsa, OK 74145-9001 2007-07-19
1962535831 Njanja Margaret Ruenji Physician Assistant Morton Comprehensive Health Services, 1334 N. Lasing Ave, Tulsa, OK 74106-5907 2007-03-13
1740355460 Jeri Clark Goen Physician Assistant 3807 S Peoria Ave, Suite G and H, Tulsa, OK 74105-3145 2006-11-21
1790879237 Steven Paul Henry Physician Assistant 10506 South Memorial Drive, Tulsa, OK 74133 2006-10-02
Find all providers in TULSA

Competitor

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City TULSA
Zip Code 74133

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Dataset Information

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.

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