STEPHANIE LYNN CARNER (NPI# 1972750628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972750628 |
| Entity Type | Individual |
| Full Name | STEPHANIE LYNN CARNER |
| Credential | DO |
| Practice Address |
1120 S Utica Ave Suite 2123 Tulsa OK 74104-4012 |
| Practice Telephone | 9185795402 |
| Practice Fax Number | 9185795404 |
| Mailing Telephone | 9185795402 |
| Mailing Fax Number | 9185795404 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2014-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
4625 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
1120 S UTICA AVE SUITE 2123 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043214497 | Shawn D Grant | Radiology | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2005-06-13 |
| 1689289910 | Wound Integrity Oklahoma Pa | Family Medicine | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2020-09-14 |
| 1902428097 | Samantha Beck | Student in an Organized Health Care Education/Training Program | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2020-05-11 |
| 1447883632 | Jennifer Knowlton | Physical Therapist | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2020-02-17 |
| 1902443344 | Geoffrey Hopkins | Nurse Anesthetist, Certified Registered | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2019-12-04 |
| 1598307902 | Patrick Brennan | Physical Therapy Assistant | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2019-10-17 |
| 1215578497 | Ashley Wing | Occupational Therapist | 1120 S Utica Ave, Tulsa, OK 74104-4090 | 2019-09-30 |
| 1033768197 | Dawna Lynnette Hendrix | Occupational Therapist | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2019-09-10 |
| 1417502212 | Jeffrey Jackson | Physical Therapist | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2019-08-08 |
| 1952954349 | Janis Elaine Jeffus | Speech-Language Pathologist | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2019-07-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
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| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235497678 | Catherine Carol Milner | Pediatrics | 6151 S Yale Ave # Levelb, Tulsa, OK 74136-1907 | 2012-04-23 |
| 1740286848 | Lisa Owens | Pediatrics | 2502 Woodward Blvd, Tulsa, OK 74114-2634 | 2005-06-23 |
| 1629626536 | Catherine Marie Bryant | Pediatrics | St Francis Hospital, 6161 S. Yale, Tulsa, OK 74136 | 2019-09-04 |
| 1801207493 | Carly Ann Dykstra Kubat | Pediatrics | 6151 S Yale Ave, Tulsa, OK 74136-1907 | 2014-05-16 |
| 1932405313 | Pediatric Respiratory Sleep Services | Pediatrics | 2424 E 21st St, 440, Tulsa, OK 74114-1711 | 2011-02-02 |
| 1184937328 | Mehtap Yurt | Pediatrics | 6151 S Yale Ave, Level B, Tulsa, OK 74136-1907 | 2010-07-16 |
| 1093855066 | Parker L Simon | Pediatrics | 1120 S Utica Ave, Suite 2123, Tulsa, OK 74104 | 2007-02-07 |
| 1235151242 | Rachel Marie Everette | Pediatrics | 6151 S Yale Ave, Level B, Tulsa, OK 74136-1907 | 2006-07-25 |
| 1497793335 | Newborn Specialists of Tulsa, P.C. | Pediatrics | 1120 S Utica Ave, Suite 2123, Tulsa, OK 74104-4012 | 2006-06-03 |
| 1770540882 | Alok Kumar | Pediatrics | 6151 S Yale Ave, Level B, Tulsa, OK 74136-1907 | 2006-05-01 |
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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.