VANESSA BOSHUIZEN


Address: 12020 E 31st St, Tulsa, OK 74146-2001
Phone: 9187983111

VANESSA BOSHUIZEN (NPI# 1114468436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114468436
Entity Type Individual
Full Name VANESSA BOSHUIZEN
Credential M.D.
Practice Address 12020 E 31st St
Tulsa
OK 74146-2001
Practice Telephone 9187983111
Enumeration Date 2017-03-20
Last Update Date 2020-08-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 36966 OK Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 12020 E 31ST ST
City TULSA
State OK
Zip Code 74146-2001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770199309 Kristie A Mccarty Pharmacist 12020 E 31st St, Tulsa, OK 74146-2001 2020-09-18
1457983595 Community Health Connection Inc Pharmacy 12020 E 31st St, Tulsa, OK 74146-7401 2020-02-06

Providers in the same zip code

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 Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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/certificatio
- 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679067664 Laurie Ann Alfrey Pediatrics 1025 E 18th St, Tulsa, OK 74120-7406 2018-06-21
1407390115 Empower Pediatrics Pediatrics 9659 Riverside Pkwy, Tulsa, OK 74137-7398 2016-12-14
1346660834 Amber Lee Shipman Pediatrics 3516 E 31st Street South, Suite B, Tulsa, OK 74135 2014-04-23
1811239569 Sara Mcdonald Pediatrics 1919 S Wheeling Ave Ste 304, Tulsa, OK 74104-5632 2013-03-20
1265782338 Milestones Pediatric Urgent Care Pediatrics 3863 South 103rd E Avenue, Tulsa, OK 74146 2012-09-14
1588982219 Mary Emlyn Garber Baird Pediatrics 4444 East 41st Street, Ou Pediatrics, Tulsa, OK 74135-2512 2010-05-05
1982859963 Board of Regents of The University of Oklahoma Ou Physicians Tulsa Pediatrics 4502 E 41st Street, 2g08, Ou Physicians Tulsa Community Health, Tulsa, OK 74135-2529 2008-11-18
1184872004 Board of Regents of The University of Oklahoma Ou Physicians Tulsa Pediatrics 619 S. Quincy Ave., Ouptch-laura Dester Shelter, Tulsa, OK 74120 2008-09-04
1437307550 Board of Regents of The University of Oklahoma Ou Physicians Tulsa Pediatrics 8811 E. 31st Street South, Ouptch-skelly, Tulsa, OK 74145 2008-09-03
1093971236 Anthony R Guariglia Pediatrics 6405 South Erie Ave., Tulsa, OK 74136 2008-08-06
Find all providers in TULSA

Competitor

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City TULSA
Zip Code 74146

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Dataset Information

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.

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