ERICH H MUCKALA (NPI# 1043411283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043411283 |
Entity Type | Individual |
Full Name | ERICH H MUCKALA |
Credential | DO |
Practice Address |
4500 S Garnett Rd Ste 300 Tulsa OK 74146-5229 |
Practice Telephone | 9187286194 |
Practice Fax Number | 9186640267 |
Mailing Telephone | 9187286194 |
Mailing Fax Number | 9186640267 |
Enumeration Date | 2007-05-29 |
Last Update Date | 2012-04-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
5023 | OK | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
58.002032 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | TRAINING LICENSE | 58.002032 | 01 |
OK | STATE MEDICAL LISCENSE | 5023 | 01 |
Street Address |
4500 S GARNETT RD STE 300 |
City | TULSA |
State | OK |
Zip Code | 74146-5229 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043205453 | Jonathan D Friend | Anesthesiology | 4500 S Garnett Rd, Ste 919, Tulsa, OK 74146-5229 | 2005-09-13 |
1326484163 | Charles Johnson | Radiology Practitioner Assistant | 4500 S Garnett Rd, Tulsa, OK 74146-5229 | 2013-05-20 |
1821355694 | Randy Scott Jordan | Radiology Practitioner Assistant | 4500 S Garnett Rd, Tulsa, OK 74146-5229 | 2012-04-18 |
1528370319 | Sindhura Alapati | Radiology | 4500 S Garnett Rd, Suite 919, Tulsa, OK 74146-5229 | 2010-07-08 |
1275776965 | Marcus Michael Brown | Radiology | 4500 S Garnett Rd, 300, Tulsa, OK 74146-5229 | 2009-04-11 |
1821233420 | Joel Evan Blackwood | Radiology Practitioner Assistant | 4500 S Garnett Rd, Suite 919, Tulsa, OK 74146-5229 | 2008-12-10 |
1053567784 | Christos Eugene Vassiliou | Radiology | 4500 S Garnett Rd, Ste 919, Tulsa, OK 74146-5229 | 2008-08-13 |
1588824759 | David L Carlston | Psychologist | 4500 S Garnett Rd, Suite 900, Tulsa, OK 74146-5229 | 2008-06-11 |
1518134352 | Patrick O'hayre II | Radiology | 4500 S Garnett Rd, Suite 300, Tulsa, OK 74146-5229 | 2008-05-12 |
1255537304 | Jeremy Scott Fullingim | Radiology | 4500 S Garnett Rd, Tulsa, OK 74146-5229 | 2007-06-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
1184158404 | Alexis Lauren Allen | Case Manager/Care Coordinator | 9820 E 41st St #400, Tulsa, OK 74146 | 2017-04-13 |
1578995908 | Adrian Gheorghe Butuc | Massage Therapist | 5635 S Mingo #b, Tulsa, OK 74146 | 2013-08-08 |
1336587088 | Tulsa Cancer Institute, Pllc | Obstetrics & Gynecology | 12697 E. 51st St. South, Tulsa, OK 74146 | 2013-06-04 |
1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
1619232972 | Diagnostic Imaging Associates | General Acute Care Hospital | 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 | 2012-07-11 |
1790046654 | Aundra Lamar Fuller | Behavioral Analyst | 10922 E. 39th St., Tulsa, OK 74146 | 2012-06-06 |
1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
1922307958 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5115 S. 122nd East Ave., Suite 204, Tulsa, OK 74146 | 2011-03-16 |
Find all providers in zip 74146 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104442292 | Direct Medical Imaging LLC | Radiology | 5711 E 71st St Ste 100, Tulsa, OK 74136-6655 | 2020-06-24 |
1386933737 | Robert A Skib Md Pllc | Radiology | 305 S Kenosha Ave, Tulsa, OK 74120-2430 | 2011-04-06 |
1639302060 | Stephen Arthur Back | Radiology | 744 W. 9th St., Tulsa, OK 74127 | 2009-09-02 |
1427243641 | American Radiology Consultants Pllc | Radiology | 10537 S 92nd East Circle, Tulsa, OK 74133 | 2007-09-11 |
1215136361 | Colby James Coulson | Radiology | 7718 E 91st St Ste 220, Tulsa, OK 74133-6064 | 2007-07-17 |
1083738199 | Us Radiology Partners of Texas Inc | Radiology | 6129 S Louisville Ave, Tulsa, OK 74136-1502 | 2007-03-16 |
1841321668 | George Kamp | Radiology | 6422 S. Indianapolis Place, Tulsa, OK 74136-1421 | 2007-03-07 |
1326107624 | James R Webb Jr Md PC | Radiology | 6550 E. 71st Street, Suite 200, Tulsa, OK 74133-2773 | 2006-12-06 |
1972675817 | Richard Bliss Williams | Radiology | 2608 E 74th St, Tulsa, OK 74136-5557 | 2006-11-15 |
1669405023 | John Edward Kauth | Radiology | 2448 E Admiral Blvd, Tulsa, OK 74110-5323 | 2006-07-09 |
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.