DR. MARK C SHREVE (NPI# 1043453103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043453103 |
| Entity Type | Individual |
| Full Name | DR. MARK C SHREVE |
| Credential | M.D. |
| Practice Address |
9600 Broadway Ext Oklahoma City OK 73114-7408 |
| Practice Telephone | 4052309270 |
| Practice Fax Number | 4052309157 |
| Mailing Telephone | 4052309000 |
| Mailing Fax Number | 4052309157 |
| Enumeration Date | 2009-04-18 |
| Last Update Date | 2019-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 33355 | OK | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
33355 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
9600 BROADWAY EXT |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73114-7408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043218381 | Paul Alan Kammerlocher | Orthopaedic Surgery | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2005-07-11 |
| 1972117190 | Christopher Carlton | Nurse Anesthetist, Certified Registered | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2020-09-04 |
| 1831732155 | Ashley Brooke Edwards | Registered Nurse | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2019-10-18 |
| 1265082945 | Heather Elizabeth Lovett | Physician Assistant | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2019-09-16 |
| 1548816515 | Alexia Mcwaters | Registered Nurse | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2019-08-14 |
| 1215583786 | Matthew Griffin Merrill | Registered Nurse | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2019-08-12 |
| 1326538935 | Leah Coyle | Nurse Anesthetist, Certified Registered | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2018-05-18 |
| 1891296208 | Kimberly Tennille Felix | Registered Nurse | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2018-02-22 |
| 1578082731 | Daniel Shean Smith | Nurse Anesthetist, Certified Registered | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2017-09-19 |
| 1730619545 | Samuel Martinez-morales | Nurse Anesthetist, Certified Registered | 9600 Broadway Ext, Oklahoma City, OK 73114-7408 | 2017-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124669783 | Heather Williams | Occupational Therapist | 1404 Nw122nd St, Oklahoma City, OK 73114 | 2019-10-04 |
| 1477194033 | Shonta Jones | Technician | 10723 Norh Western, Apartment G, Oklahoma City, OK 73114 | 2019-10-04 |
| 1023537644 | Tracye Carter | Registered Nurse | 812 Nw 121 Terr, Oklahom City, OK 73114 | 2017-09-14 |
| 1003362849 | Randy Joshua Williamson | Behavioral Analyst | 101 Bainbridge Rd, Oklahoma City, OK 73114 | 2016-08-31 |
| 1427413368 | John Adrian Howard | Physical Therapist | 13100 N Western Ave Ste 302, Oklahoma City, OK 73114 | 2015-12-18 |
| 1497150197 | Payam Ishani Afousi | Dentist | 9405 N. Penn Place, Casady Square, Oklahoma City, OK 73114 | 2014-10-24 |
| 1922407386 | Kelvin Hughes | Counselor | 1400 Nw 105th Ter, Oklahoma City, OK 73114 | 2014-08-21 |
| 1285056887 | Malarie Jackson | Nurse Practitioner | 609 W. Memorial Rd., Oklahoma City, OK 73114 | 2014-01-16 |
| 1508108705 | Adam Liberty | Community/Behavioral Health | 428 N.w 81st, Oklahoma City, OK 73114 | 2013-03-26 |
| 1780926345 | Michelle D Hardimon | Behavioral Analyst | 700 Ne 122nd Apt 4509, Oklahoma City, OK 73114 | 2013-03-21 |
| Find all providers in zip 73114 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306841903 | Houshang Seradge | Orthopaedic Surgery | 1044 Sw 44th St, Suite 518, Oklahoma City, OK 73109-3613 | 2005-06-20 |
| 1073679775 | Oklahoma Hand Surgery Center, Inc. | Orthopaedic Surgery | 10914 Hefner Pointe Dr, Suite 200, Oklahoma City, OK 73120-5066 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245256486 | Broken Arrow Orthopedics Inc | Orthopaedic Surgery | 10507 E 91st St Ste 350, Tulsa, OK 74133-5598 | 2006-07-14 |
| 1730120155 | Jean-louis Gabriel | Orthopaedic Surgery | 10507 E 91st St Ste 450, Tulsa, OK 74133-5515 | 2006-06-09 |
| 1558771618 | Christopher Treat | Orthopaedic Surgery | 1809 E 13th St Ste 402, Tulsa, OK 74104-4431 | 2014-04-29 |
| 1568784957 | Jessica Rey Childe | Orthopaedic Surgery | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2010-02-25 |
| 1407002694 | Paul A. Howard, M.d., P.C. | Orthopaedic Surgery | 6048 S Sheridan Rd, Tulsa, OK 74145-9212 | 2008-08-07 |
| 1245427558 | St. John Physicians, Inc. | Orthopaedic Surgery | 2000 S Wheeling Ave, Suite 900, Tulsa, OK 74104-5649 | 2007-10-01 |
| 1649462375 | William Earl Harrison Jr. | Orthopaedic Surgery | 2000 S Wheeling Ave, Suite 900, Tulsa, OK 74104-5649 | 2007-08-16 |
| 1255373122 | Garrett Edward Watts | Orthopaedic Surgery | 10507 E 91st St, Ste 350, Tulsa, OK 74133-5598 | 2006-06-12 |
| 1336194406 | St John Physicians Inc | Orthopaedic Surgery | 1923 S Utica Ave, Davis Tower 200, Tulsa, OK 74104-6520 | 2006-05-24 |
| 1003816265 | James F Bischoff | Orthopaedic Surgery | 6475 S Yale Ave, Ste. 301, Tulsa, OK 74136-7816 | 2005-07-28 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73114 |
Please comment or provide details below to improve the information on DR. MARK C SHREVE.
| 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.