DR. BRUCE BEN PETTIGROVE


Address: 6606 S. Yale, #220, Tulsa, OK 74136
Phone: 9184924122

DR. BRUCE BEN PETTIGROVE (NPI# 1154351310) 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) 1154351310
Entity Type Individual
Full Name DR. BRUCE BEN PETTIGROVE
Credential M.D.
Practice Address 6606 S. Yale
#220
Tulsa
OK 74136
Practice Telephone 9184924122
Practice Fax Number 9184927451
Mailing Telephone 9184924122
Mailing Fax Number 9184927451
Enumeration Date 2006-07-04
Last Update Date 2013-12-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 13121 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK 100089490A 05
OK 200020920 A 05

Office Location

Street Address 6606 S. YALE
#220
City TULSA
State OK
Zip Code 74136

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912520883 Esmeralda Rosales Behavior Technician 7306 S. Yale Ave, Tulsa, OK 74136 2020-05-26
1851939631 Kenneth Aaron Pohl Behavior Technician 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 2019-12-12
1578109195 Brett Ray Weaver Chiropractor Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 2019-11-19
1477194488 Adhd and Mood Center of Oklahoma Clinic/Center 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 2019-10-01
1093272510 Whitney Christine Pilkenton Registered Nurse 6161 S. Yale Ave., Tulsa, OK 74136 2019-02-21
1538639190 Osu Center for Health Sciences Clinic/Center 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 2018-11-27
1043786304 Saint Francis Hospital, Inc. Hospice Care, Community Based 6600 South Yale Ave Suite 350, Tulsa, OK 74136 2018-10-15
1891282877 Premier Rheumatology of Oklahoma Internal Medicine 6114 E. 61st Street, Tulsa, OK 74136 2018-04-16
1679092175 Grace Eloise Evans Counselor 6655 S. Yale Ave, Tulsa, OK 74136 2017-09-15
1598283756 David Oladipo Abioye Counselor 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 2017-09-07
Find all providers in zip 74136

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962780627 Mary Anne Ahluwalia Ophthalmology 6140 S Memorial Dr Ste 220, Tulsa, OK 74133-1933 2011-07-29
1912299892 Joyce Kokatt Varkey Ophthalmology 3906 S. Peoria, Eye Care for Tulsa, Tulsa, OK 74105 2011-05-10
1578883336 Jamal Dean Siddiqui Ophthalmology 7171 S Yale Ave Ste 103, Tulsa, OK 74136-6367 2010-06-03
1750617809 Tlc Vision Center PC Ophthalmology 6827 S Memorial Dr, Ste. A, Tulsa, OK 74133-2126 2009-10-26
1982838397 Anika K Tandon Ophthalmology 4606 E. 67th St., Bldg 7, Suite 400, Tulsa, OK 74136-4950 2009-05-13
1235385766 Kelli Herlihy Dyer Ophthalmology 10010 E 81st St Ste 100, Tulsa, OK 74133-4558 2008-08-15
1952563025 Shannon Gregory Cox Ophthalmology 1826 E 15th St Ste B, Tulsa, OK 74104-4637 2008-06-30
1245258789 Walter James Peters Jr. Ophthalmology 7171 S Yale Ave Ste 101, Tulsa, OK 74136-6367 2006-07-17
1093768590 Zeb Linston Brister Ophthalmology 3906 S Peoria Ave, Tulsa, OK 74105-3131 2006-05-18
1689648958 Manek Edalji Anklesaria Ophthalmology 4815 S Harvard Ave Ste 210, Tulsa, OK 74135-3066 2006-02-14
Find all providers in TULSA

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City TULSA
Zip Code 74136

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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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