TYLER D INGERSOLL (NPI# 1952939183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952939183 |
| Entity Type | Individual |
| Full Name | TYLER D INGERSOLL |
| Credential | DO |
| Practice Address |
2345 Southwest Blvd Tulsa OK 74107-2705 |
| Practice Telephone | 9185821980 |
| Practice Fax Number | 9185611289 |
| Mailing Telephone | 9183491500 |
| Mailing Fax Number | 9184391199 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | OK | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548278740 | Tyler J Ingersoll | Dentist | 323 Main Street, Saco, ME 04072 | 2006-08-03 |
| Street Address |
2345 SOUTHWEST BLVD |
| City | TULSA |
| State | OK |
| Zip Code | 74107-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164403986 | Lana Dawn Myers | Family Medicine | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2005-11-09 |
| 1164040879 | Osu Center for Health Sciences | Clinic/Center | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2020-07-09 |
| 1962031591 | Dylan Tyler Roberts | Student in an Organized Health Care Education/Training Program | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2020-04-06 |
| 1265061733 | Emil Amar Kasmia | Student in an Organized Health Care Education/Training Program | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2020-04-06 |
| 1538798178 | Cody Hume Miller | Student in an Organized Health Care Education/Training Program | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2020-04-06 |
| 1689203580 | Josiah Thomas Greer | Student in an Organized Health Care Education/Training Program | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2020-04-03 |
| 1437788452 | Brandon Edward Rawlinson | Student in an Organized Health Care Education/Training Program | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2020-04-02 |
| 1073142022 | Nicole L Abel | Student in an Organized Health Care Education/Training Program | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2020-04-02 |
| 1144858358 | Christopher Jason Guinn | Student in an Organized Health Care Education/Training Program | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2020-04-01 |
| 1164984811 | Yera Gandhi | Student in an Organized Health Care Education/Training Program | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2019-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508493784 | Squareone Compassion Inc | Clinic/Center | 5323 South 65th West Avenue, Tulsa, OK 74107 | 2020-03-26 |
| 1649772476 | Lauren Michele Rogers | Student in an Organized Health Care Education/Training Program | 1111 W. 17th St., Barson 241, Tulsa, OK 74107 | 2018-03-07 |
| 1336641828 | Frank Patrick Goodman | Student in an Organized Health Care Education/Training Program | 2345 Sw Blvd, Tulsa, OK 74107 | 2018-03-01 |
| 1659827269 | Careatc - America Waste | Clinic/Center | 23322 Southwest Blvd, Tulsa, OK 74107 | 2016-09-01 |
| 1538530886 | Jeremy Michael Bowles | Pharmacist | 4227 Southwest Boulevard, Tulsa, OK 74107 | 2015-10-13 |
| 1760725865 | Nicholas Alexander | Student in an Organized Health Care Education/Training Program | 2345 Southwest Blvd., Osu Health Care Center, Tulsa, OK 74107 | 2013-03-27 |
| 1295095321 | Robert Steven Wedding | Counselor | 6033 S. 31 St. West Ave., Tulsa, OK 74107 | 2012-05-23 |
| 1295911451 | American Current Care P.a. | Clinic/Center | 5682 W Skelly Drive, Tulsa, OK 74107 | 2008-01-17 |
| 1821200072 | Leeca Jenkins | Counselor | 2007 W. 57th St, Tulsa, OK 74107 | 2007-05-03 |
| 1477670552 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 5682 W. Skelly Drive, Tulsa, OK 74107 | 2007-03-23 |
| Find all providers in zip 74107 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931739 | Parker Grant Allan | Student in an Organized Health Care Education/Training Program | 5126 E 104th Pl, Tulsa, OK 74137-6082 | 2020-10-26 |
| 1003423369 | Armin Kalantari | Student in an Organized Health Care Education/Training Program | 7310 E 92nd St, Tulsa, OK 74133-6039 | 2020-09-29 |
| 1437766268 | Abigail Roberts | Student in an Organized Health Care Education/Training Program | 2657 S Oswego Pl, Tulsa, OK 74114-4719 | 2020-09-25 |
| 1275149577 | Jesse Taylor Strong | Student in an Organized Health Care Education/Training Program | 50 S Florence Ave, Tulsa, OK 74104-1714 | 2020-09-22 |
| 1376159632 | Nisha Rajagopal | Student in an Organized Health Care Education/Training Program | 6152 S Richmond Ave, Tulsa, OK 74136-1613 | 2020-09-21 |
| 1386250728 | Magera Shaw | Student in an Organized Health Care Education/Training Program | 1436 S Darlington Ave, Tulsa, OK 74112-6314 | 2020-09-21 |
| 1811503261 | Bridgette Molenda | Student in an Organized Health Care Education/Training Program | 5215 S Harvard Ave Apt K, Tulsa, OK 74135-3537 | 2020-09-21 |
| 1922613777 | Anna Claire Shadid | Student in an Organized Health Care Education/Training Program | 2122 E 47th Pl, Tulsa, OK 74105-4922 | 2020-09-09 |
| 1316552169 | Laura Warning | Student in an Organized Health Care Education/Training Program | 412 S Olympia Ave, Tulsa, OK 74127-8825 | 2020-09-09 |
| 1487269239 | James Maxwell Cox | Student in an Organized Health Care Education/Training Program | 4507 S Madison Pl, Tulsa, OK 74105-4564 | 2020-09-09 |
| Find all providers in TULSA | ||||
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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.