DR. PAUL G HAGOOD (NPI# 1124087952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124087952 |
| Entity Type | Individual |
| Full Name | DR. PAUL G HAGOOD |
| Credential | MD |
| Practice Address |
1145 S Utica Ave Ste 202 Tulsa OK 74104-4022 |
| Mailing Address |
1145 S. Utica Ave Ste 202 Tulsa OK 74104-4022 |
| Practice Telephone | 9185793130 |
| Practice Fax Number | 9185793139 |
| Mailing Telephone | 9185793130 |
| Mailing Fax Number | 9185793139 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2014-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 18856 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100208950A | 05 | |
| RAILROAD MEDICARE | P00117586 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720022684 | Paul W Hagood | Physician Assistant | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 | 2006-06-15 |
| Street Address |
1145 S UTICA AVE STE 202 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336133024 | Michael Opong-kusi | Family Medicine | 1145 S Utica Ave, Suite 460, Tulsa, OK 74104-4000 | 2005-09-08 |
| 1639631690 | Gautami Gandham | Student in an Organized Health Care Education/Training Program | 1145 S Utica Ave, Tulsa, OK 74104-4000 | 2019-04-01 |
| 1265948269 | Linda Ellard | Nurse Practitioner | 1145 S Utica Ave, Ste 460, Tulsa, OK 74104-4041 | 2017-12-28 |
| 1972038602 | Laquichesha Trotter | Nurse Practitioner | 1145 S Utica Ave, Suite 364, Tulsa, OK 74104-4000 | 2017-05-01 |
| 1265966980 | Jubin Sadeghian | Student in an Organized Health Care Education/Training Program | 1145 S Utica Ave, Tulsa, OK 74104-4000 | 2017-04-19 |
| 1881128775 | Jacqueline R Froese | Nurse Practitioner | 1145 S Utica Ave, Ste 110, Tulsa, OK 74104-4000 | 2017-04-18 |
| 1861931891 | Brittany Goodin | Nurse Practitioner | 1145 S Utica Ave, Ste 460, Tulsa, OK 74104-4000 | 2017-02-23 |
| 1447796545 | Haresh K Ajmera Md Inc | Specialist | 1145 S Utica Ave, Suite 500, Tulsa, OK 74104-4014 | 2017-01-12 |
| 1396281937 | Chih-ying Lee | Physician Assistant | 1145 S Utica Ave, Suite 460, Tulsa, OK 74104-4000 | 2017-01-06 |
| 1023562204 | Katie Rodgers | Nurse Practitioner | 1145 S Utica Ave, Ste 460, Tulsa, OK 74104-4000 | 2016-08-05 |
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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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003159773 | Philip D. Diggdon Sr. | Urology | 3424 E. 65 St, Tulsa, OK 74136 | 2013-04-01 |
| 1811247885 | Melanie Nyeh Ketchandji | Urology | 1145 South Utica Avenue, Suite 202, Tulsa, OK 74104-4022 | 2012-09-17 |
| 1184818551 | Sunshine Murray | Urology | 10901 E. 48th Street S., Tulsa, OK 74146-5830 | 2007-08-29 |
| 1588685093 | Michael Burwell Smith | Urology | 10901 E 48 St S, Tulsa, OK 74146 | 2006-07-21 |
| 1013937911 | Bruce Carlton Stoesser | Urology | 10901 E 48th St S, Tulsa, OK 74146-5830 | 2006-07-20 |
| 1013983741 | Kevin Joseph Gancarczyk | Urology | 10901 E 48th St, Tulsa, OK 74146-5830 | 2006-02-23 |
| 1912978511 | Curtis Ryan Powell | Urology | 10901 E. 48th St. S., Tulsa, OK 74146-5830 | 2006-01-31 |
| 1750380085 | Thomas W. Rickner | Urology | 6585 S Yale Ave, Suite 720, Tulsa, OK 74136-8384 | 2005-07-19 |
| 1992068829 | Logan Campbell | Urology | 6585 S Yale Ave Ste 720, Tulsa, OK 74136 | 2012-06-15 |
| 1215299284 | Nora Baker | Urology | 6585 S Yale Ave Ste 720, Tulsa, OK 74136-8320 | 2012-06-14 |
| 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.