TILLMAN HUDSON (NPI# 1154680056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154680056 |
| Entity Type | Individual |
| Full Name | TILLMAN HUDSON |
| Credential | M.D. |
| Practice Address |
6585 S Yale Ave Ste 720 Tulsa OK 74136-8320 |
| Mailing Address |
6600 S Yale Ave Ste 1200 Tulsa OK 74136-3333 |
| Practice Telephone | 9185025930 |
| Practice Fax Number | 9185025935 |
| Mailing Telephone | 9184886687 |
| Mailing Fax Number | 9184886098 |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2018-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 32187 | OK | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 565314 | TX | Student, Health Care |
| Street Address |
6585 S YALE AVE STE 720 |
| City | TULSA |
| State | OK |
| Zip Code | 74136-8320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992762892 | Thomas M Rashid | Specialist | 6585 S Yale Ave Ste 720, Tulsa, OK 74136-8320 | 2006-04-26 |
| 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 |
| 1831398668 | Aaron Benson | Urology | 6585 S Yale Ave Ste 720, Tulsa, OK 74136-8320 | 2007-07-12 |
| 1174560361 | Jennifer Ann Compton | Physician Assistant | 6585 S Yale Ave Ste 720, Tulsa, OK 74136 | 2006-05-31 |
| 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 | 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.