MARCIALEE LEDBETTER (NPI# 1164492567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164492567 |
| Entity Type | Individual |
| Full Name | MARCIALEE LEDBETTER |
| Credential | MD |
| Practice Address |
4444 E 41st St 3rd Floor, Ste C Tulsa OK 74135-2527 |
| Mailing Address |
Po Box 268838 Oklahoma City OK 73126-8838 |
| Practice Telephone | 9186603130 |
| Practice Fax Number | 9186603132 |
| Mailing Telephone | 9186603632 |
| Mailing Fax Number | 9186603631 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2014-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
20207 | OK | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
20207 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 10023880D | 05 |
| Street Address |
4444 E 41ST ST 3RD FLOOR, STE C |
| City | TULSA |
| State | OK |
| Zip Code | 74135-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629061213 | John William Ervin | Obstetrics & Gynecology | 4444 E 41st St, Tulsa, OK 74135-2527 | 2005-08-30 |
| 1891395000 | Gabrielle Fleming | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-10-27 |
| 1033717210 | Rachel Nichols | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-10-11 |
| 1336756089 | Hussan Gill | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-27 |
| 1508473430 | Elizabeth Wells | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-24 |
| 1649887753 | Savanna Rae Smith | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-23 |
| 1699381939 | Christopher John Jarrett | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-22 |
| 1275149635 | Anne Marie Nguyen | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-21 |
| 1114532652 | Katlynn Hendrix | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-11 |
| 1720693252 | Miri Elizabeth Wolfe | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316176340 | Andrew Hyun Liew | Psychiatry & Neurology | 4444 E 41st St Fl 3, Tulsa, OK 74135-2527 | 2009-07-13 |
| 1285640102 | Chariny Michelle Herring | Psychiatry & Neurology | 2530 E 71st St Ste B, Tulsa, OK 74136-5577 | 2006-07-31 |
| 1053708701 | Hilary Redemann | Psychiatry & Neurology | 4444 E 41st St, Tulsa, OK 74135-2527 | 2015-04-21 |
| 1386064988 | Ranelle Monterry Bracy-lewis | Psychiatry & Neurology | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2014-04-22 |
| 1376845578 | Capes Clinic, LLC | Psychiatry & Neurology | 5350 E 46th St, Suite 110, Tulsa, OK 74135-6612 | 2010-11-22 |
| 1992898209 | David L Shadid Do Inc | Psychiatry & Neurology | 4612 S Harvard Ave, Ste A, Tulsa, OK 74135-2908 | 2006-10-02 |
| 1346342664 | Dean E. Martin, M.d., PC | Psychiatry & Neurology | 2121 S Columbia Ave, Suite 301, Tulsa, OK 74114-3505 | 2006-09-05 |
| 1336251990 | Dion Lapoint Owens | Psychiatry & Neurology | 6262 S Sheridan Rd, Tulsa, OK 74133-4055 | 2006-08-31 |
| 1154338549 | Dean Erwin Martin | Psychiatry & Neurology | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2006-08-01 |
| 1679544340 | Khalil M. Saliba | Psychiatry & Neurology | 6655 S Yale Ave, Laureate Psychiatric Clinic and Hospital, Tulsa, OK 74136-3326 | 2006-01-30 |
| 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.