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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 13121 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100089490A | 05 | |
| OK | 200020920 A | 05 |
| Street Address |
6606 S. YALE #220 |
| City | TULSA |
| State | OK |
| Zip Code | 74136 |
| 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 Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| 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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| 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.