DR. DEARBORN EDWARDS (NPI# 1083766703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083766703 |
| Entity Type | Individual |
| Full Name | DR. DEARBORN EDWARDS |
| Credential | MD |
| Practice Address |
921 Ne 13th St Donald W Reynolds Dept. Geriatric Medicine (vamc 11g) Oklahoma City OK 73104 |
| Mailing Address |
Po Box 1306 Seminole OK 74818-1306 |
| Practice Telephone | 4052718558 |
| Practice Fax Number | 4052713887 |
| Mailing Telephone | 4053032518 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
23381 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
921 NE 13TH ST DONALD W REYNOLDS DEPT. GERIATRIC MEDICINE (VAMC 11G) |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790770691 | Jill Davis Anderson | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2005-09-16 |
| 1013516749 | Stacy Dawn Lawton | Recreation Therapist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-10-23 |
| 1346848918 | Devon Marie Ponds-foster | Registered Nurse | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-10-15 |
| 1962009357 | Heather Mae Holzbauer-schweitzer | Recreation Therapist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-10-08 |
| 1083211478 | Kacie Marie Ingram | Recreation Therapist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-10-08 |
| 1801402680 | Suifen Dong | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-09-17 |
| 1770198244 | Hayley Ellen Sewell | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-09-11 |
| 1912512484 | Amanda Toebe | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-09-11 |
| 1760095970 | Christy Tran | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-08-26 |
| 1861002347 | Caitlin Ann Lohrenz | Case Manager/Care Coordinator | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856230 | Lori K Scott, Aprn-cnp, LLC | Internal Medicine | 12101 N Macarthur Blvd # 280, Oklahoma City, OK 73162-1800 | 2019-11-22 |
| 1336245679 | Christos Dimas | Internal Medicine | 2716 Sw 44th, Oklahoma City, OK 73119 | 2006-09-15 |
| 1447360698 | Laurence Z. Rubenstein | Internal Medicine | 1122 Ne 13th St Ste 150, Ou Senior Health Center, Oklahoma City, OK 73117-1039 | 2006-08-30 |
| 1477965408 | Terad Talmesany | Internal Medicine | 1122 Ne 13th St, Oklahoma City, OK 73117-1039 | 2014-05-26 |
| 1174715932 | Bich-thy Nguyen Ngo | Internal Medicine | 1122 Ne 13th St, Orb 1200, Oklahoma City, OK 73117-1039 | 2007-08-15 |
| 1508962358 | Kimberly Kay Porter | Internal Medicine | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2006-09-16 |
| 1508833732 | Germaine L Odenheimer | Internal Medicine | 825 Ne 10th St, Oupb4300, Oklahoma City, OK 73104-5417 | 2006-03-07 |
| 1295739126 | Andrew N Dentino | Internal Medicine | 1122 Ne 13th St, Orb 1200, Oklahoma City, OK 73117-1039 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730214362 | Empyreal Healthcare, LLC | Internal Medicine | 8826 S Hudson Ave, Tulsa, OK 74137-2943 | 2007-02-23 |
| 1568550051 | Chandini Sharma | Internal Medicine | 2025 E 71st St, Tulsa, OK 74136-5407 | 2006-10-10 |
| 1073521332 | Kenneth John Kirk | Internal Medicine | 6506 E 89th Pl, Tulsa, OK 74133-5009 | 2006-08-03 |
| 1417983701 | Muhammad Firdaus | Internal Medicine | 14916 Salem Creek Rd, Edmond, OK 73013-2452 | 2006-06-25 |
| 1518900505 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Internal Medicine | 4444 E 41st Street 3rd Floor Ste B, Schusterman Center Clinic, Tulsa, OK 74135-2527 | 2006-06-14 |
| 1841286010 | Gerimed Inc | Internal Medicine | 518 Chautauqua Ave, Norman, OK 73069-5508 | 2005-09-23 |
| 1811391386 | Jm Medical, LLC | Internal Medicine | 4181 Oak Rd, Tulsa, OK 74105-4219 | 2014-10-13 |
| 1609929660 | Internal Medicine & Geriatric Practice, PC | Internal Medicine | 1125 N Porter Ave, 200, Norman, OK 73071-6443 | 2007-01-20 |
| 1811073158 | Internal Medicine Associates of Ponca City Pllc | Internal Medicine | 100 Elmwood Ave, Ponca City, OK 74601-3406 | 2006-10-30 |
| 1205921475 | Victoria Gayle Harris | Internal Medicine | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2006-10-04 |
| Find all providers with the same taxonomy | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
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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.