JEREMY BRANDON MOAD (NPI# 1134325608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134325608 |
Entity Type | Individual |
Full Name | JEREMY BRANDON MOAD |
Credential | M.D |
Practice Address |
105 S Bryant Ave Ste 104 Edmond OK 73034 |
Mailing Address |
105 S Bryant Ave Ste 104 Edmond OK 73034-6361 |
Practice Telephone | 4057152022 |
Practice Fax Number | 4057152905 |
Mailing Telephone | 4057152022 |
Mailing Fax Number | 4057152905 |
Enumeration Date | 2007-06-22 |
Last Update Date | 2019-05-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 25707 | OK | Allopathic & Osteopathic Physicians |
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
25707 | OK | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
6161 S Yale Ave, Tulsa, OK 741361902 | 9185021900 |
Street Address |
105 S BRYANT AVE STE 104 |
City | EDMOND |
State | OK |
Zip Code | 73034 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033362231 | Edmond Podiatry Associates LLC | Clinic/Center | 105 S Bryant Ave Ste 104, Edmond, OK 73034-6361 | 2008-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
Find all providers in zip 73034 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
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 |
---|---|---|---|---|
1164688255 | Sleep Practice Management LLC | Internal Medicine | 305 N Bryant Ave, Edmond, OK 73034-6276 | 2008-07-29 |
1871579185 | Elliott R Schwartz | Internal Medicine | 809 Glenridge Dr, Edmond, OK 73013-1826 | 2005-12-19 |
1982774428 | Jeremy Cole Md Pllc | Internal Medicine | 105 S Bryant Ave, Suite 204b, Edmond, OK 73034-6399 | 2006-11-09 |
1962586701 | Jeremy Cole | Internal Medicine | 105 S Bryant Ave, Suite 204b, Edmond, OK 73034-6399 | 2006-10-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124598149 | Pulmonary Care Innovations Pllc | Internal Medicine | 2832 E 101st St, Tulsa, OK 74137-5601 | 2018-12-03 |
1184145393 | A&r Management Services, Inc. | Internal Medicine | 2621 E 38th St, Tulsa, OK 74105-8206 | 2017-06-28 |
1417319096 | Abed Madanieh | Internal Medicine | 800 Stanton L Young Blvd # 8400, Oklahoma City, OK 73104-5018 | 2016-03-23 |
1689966103 | Anthony Xavier Troitino | Internal Medicine | 3366 Nw Expressway Ste 650, Oklahoma City, OK 73112-4490 | 2011-05-03 |
1164654117 | Viral K Doshi | Internal Medicine | 13313 N Meridian Ave Ste D, Oklahoma City, OK 73120-8316 | 2009-08-10 |
1538393384 | Richard Waldo Nicholson | Internal Medicine | Rr 1 Box 1799, Checotah, OK 74426-9794 | 2009-05-07 |
1821219098 | Robert Keith Wilson | Internal Medicine | 2753 S. Utica Ave, Tulsa, OK 74114 | 2007-05-02 |
1023239431 | Wachita Kidney and Hypertension Specialists Pllc | Internal Medicine | 4417 W Gore Blvd Ste 3, Lawton, OK 73505-5978 | 2007-05-01 |
1518007632 | Saif Ullah Farooq | Internal Medicine | 4221 S Western Ave Ste 4005, Oklahoma City, OK 73109-3436 | 2007-02-07 |
1427136381 | Pulmonary & Sleep Medicine Assoc PC | Internal Medicine | 2801 Parklawn Dr Ste 301, Midwest City, OK 73110-4230 | 2006-11-01 |
Find all providers with the same taxonomy |
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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.