HOMER CLARK HYDE MD, PC (NPI# 1174983670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174983670 |
| Entity Type | Organization |
| Organization Name | HOMER CLARK HYDE MD, PC |
| Practice Address |
4140 W Memorial Rd Suite 422 Oklahoma City OK 73120-8366 |
| Mailing Address |
12901 River Oaks Dr Oklahoma City OK 73142-5163 |
| Practice Telephone | 4057510051 |
| Practice Fax Number | 4057516902 |
| Mailing Telephone | 4057510051 |
| Mailing Fax Number | 4057516902 |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-10-18 |
| Authorized Official Name | DR. HOMER CLARK HYDE (PRESIDENT) |
| Authorized Official Telephone | 4057510051 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200631400A | 05 |
| Street Address |
4140 W MEMORIAL RD SUITE 422 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-8366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205832607 | Christian Ellis | Neuromusculoskeletal Medicine & OMM | 4140 W Memorial Rd, Ste. 621, Oklahoma City, OK 73120-8366 | 2005-06-22 |
| 1265989982 | Stacey Amanda Lytle | Nurse Practitioner | 4140 W Memorial Rd, Suite 215, Oklahoma City, OK 73120-8366 | 2016-09-10 |
| 1508240516 | Nicole Greiner | Nurse Practitioner | 4140 W Memorial Rd, Suite 215, Oklahoma City, OK 73120-8366 | 2015-07-20 |
| 1801219225 | Steven D. Meltzner, Dmd, Pllc | Dentist | 4140 W Memorial Rd, Suite 201, Oklahoma City, OK 73120-8366 | 2014-01-22 |
| 1255673349 | Kathryn Marie Feisal | Physician Assistant | 4140 W Memorial Rd, Suite 208, Oklahoma City, OK 73120-8366 | 2013-03-26 |
| 1609137330 | Wesley Vaughan | Obstetrics & Gynecology | 4140 W Memorial Rd, Suite 215, Oklahoma City, OK 73120-8366 | 2012-05-29 |
| 1003182718 | Imari Elena Moore | Obstetrics & Gynecology | 4140 W Memorial Rd, Suite 215, Oklahoma City, OK 73120-8366 | 2012-03-27 |
| 1750675971 | Amanda Titus | Internal Medicine | 4140 W Memorial Rd, Suite 518, Oklahoma City, OK 73120-8366 | 2011-06-06 |
| 1396064176 | Vincent Olorunnisomo | Urology | 4140 W Memorial Rd, Suite 208, Oklahoma City, OK 73120-8366 | 2010-05-19 |
| 1811214190 | Marcia S. Moore, Ph.d., Plc | Psychologist | 4140 W Memorial Rd, Ste. 221, Oklahoma City, OK 73120-8366 | 2010-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| 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 |
|---|---|---|---|---|
| 1194338426 | Davis Urology, Pllc | Urology | 13509 N Meridian Ave Ste 6, Oklahoma City, OK 73120-8396 | 2020-08-26 |
| 1073146304 | Roy W Bankhead Md PC | Urology | 5700 N Portland Ave Ste 100, Oklahoma City, OK 73112-1662 | 2020-02-14 |
| 1851877567 | Richard E. Herlihy Md, PC | Urology | 4140 W Memorial Rd Ste 611, Oklahoma City, OK 73120-8300 | 2018-07-16 |
| 1306383849 | Urology Affiliates of Oklahoma LLC | Urology | 5300 N Grand Blvd Ste 200, Oklahoma City, OK 73112-5517 | 2017-01-23 |
| 1285015057 | Caitlin Shepherd | Urology | 722 Nw 28th St, Oklahoma City, OK 73103-1009 | 2015-06-17 |
| 1295174969 | Joseph Fernando Rodriguez IIi | Urology | 920 Stanton L Young Blvd # Wp3150, Oklahoma City, OK 73104-5036 | 2013-06-17 |
| 1992055990 | Kathryn Griffin Cunningham | Urology | 4140 W Memorial Rd Ste 208, Oklahoma City, OK 73120 | 2012-09-17 |
| 1477847374 | Bhalaajee Meenakshi-sundaram | Urology | 1200 Childrens Ave # 7d, Oklahoma City, OK 73104 | 2011-06-08 |
| 1205157120 | Mohammad Omar Ramadan | Urology | Ssm Health Medical Group Urology, 608 Nw 9th St., Suite 5000, Oklahoma City, OK 73102 | 2010-06-15 |
| 1093959785 | Sanjay Govind Patel | Urology | 800 Ne 10th St Ste 4300, Oklahoma City, OK 73104-5418 | 2009-04-24 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
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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.