DR. STACY MARIE CHRONISTER (NPI# 1194987750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194987750 |
| Entity Type | Individual |
| Full Name | DR. STACY MARIE CHRONISTER |
| Credential | D.O. |
| Practice Address |
717 S Houston Ave Ste 304 Tulsa OK 74127-9023 |
| Practice Telephone | 9183825064 |
| Practice Fax Number | 9183823589 |
| Mailing Telephone | 9183825064 |
| Mailing Fax Number | 9183823589 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2019-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | P1629 | TX | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 4888 | OK | Allopathic & Osteopathic Physicians |
| N | 207RB0002X |
Internal Medicine Specialization: Obesity Medicine |
4888 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200612290B | 05 |
| Street Address |
717 S HOUSTON AVE STE 304 |
| City | TULSA |
| State | OK |
| Zip Code | 74127-9023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053371682 | Paul B. Rock | Internal Medicine | 717 S Houston Ave Ste 304, Tulsa, OK 74127-9023 | 2006-03-27 |
| 1841759701 | Rachael Cobbs | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Ste 304, Tulsa, OK 74127-9023 | 2019-03-19 |
| 1588123350 | Tyler Austin Cobbs | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Ste 304, Tulsa, OK 74127-9023 | 2019-03-19 |
| 1548605199 | Micah Jon Derby | Internal Medicine | 717 S Houston Ave Ste 304, Tulsa, OK 74127-9023 | 2013-05-08 |
| 1003178443 | Kaleb Tanner Veit | Internal Medicine | 717 S Houston Ave Ste 304, Tulsa, OK 74127-9023 | 2012-06-12 |
| 1710217203 | Jennifer Lynn Stauffer | Physician Assistant | 717 S Houston Ave Ste 304, Tulsa, OK 74127-9023 | 2010-01-05 |
| 1467782094 | Amy Harrison | Physician Assistant | 717 S Houston Ave Ste 304, Tulsa, OK 74127-9023 | 2010-01-04 |
| 1821253410 | Katherine Dewitt Cook | Internal Medicine | 717 S Houston Ave Ste 304, Tulsa, OK 74127-9023 | 2008-07-23 |
| 1720248529 | Justin David Chronister | Internal Medicine | 717 S Houston Ave Ste 304, Tulsa, OK 74127-9023 | 2008-06-15 |
| 1730350034 | Mousumi Som | Internal Medicine | 717 S Houston Ave Ste 304, Tulsa, OK 74127-9023 | 2008-03-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366966699 | Tarell Lynell Earl | Case Manager/Care Coordinator | 602 N. 28th W. Pl., Tulsa, OK 74127 | 2017-07-28 |
| 1023538014 | Milton Dean IIi | Counselor | 1234 N Rosedale, Tulsa, OK 74127 | 2017-06-21 |
| 1740700988 | Lisa Lee Ann Gilliland | Case Manager/Care Coordinator | 2001 W Ute Pl, Tulsa, OK 74127 | 2017-06-20 |
| 1114456498 | Kevin Thomas Jackson | Counselor | 310 S 49th W Ave, Tulsa, OK 74127 | 2017-06-08 |
| 1427406180 | Byron Conrad Dixon Jr. | Case Manager/Care Coordinator | 551 N. 28th W. Ave., Tulsa, OK 74127 | 2016-06-02 |
| 1548621568 | Brandon Worth | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2016-03-18 |
| 1073987467 | Jo Lowe | Social Worker | 420 S. Lawton Ave. Apt 315, Tulsa, OK 74127 | 2015-11-23 |
| 1154718575 | William Hughes | Health Educator | 3101 W Edison, Tulsa, OK 74127 | 2015-04-23 |
| 1801289665 | Kristyn Janelle Zrenda | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2015-03-17 |
| 1831595719 | Mallory Yarbrough | Counselor | 3005 N 24th West Ave, Tulsa, OK 74127 | 2014-11-05 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033688270 | Results Medical Aesthetics LLC | Internal Medicine | 8014 S. 101st E. Ave., Suite 200, Tulsa, OK 74133-4580 | 2018-11-16 |
| 1598175077 | Jm Medical | Internal Medicine | 4181 Oak Rd, Tulsa, OK 74105 | 2014-05-05 |
| 1891131223 | Rebecca Thrun | Internal Medicine | 6600 S Yale Ave Ste 800, Tulsa, OK 74136 | 2013-05-13 |
| 1477811321 | Syed Tahsin Ahmed | Internal Medicine | 7356 S Trenton Ave, Tulsa, OK 74136-7357 | 2012-04-30 |
| 1861761660 | Satyabama C Johnson Sr. | Internal Medicine | 3145 East 82 Street, Ok74137, Tulsa, OK 74137 | 2011-12-22 |
| 1447541172 | Kara Marie Beair-butler | Internal Medicine | 5018 E 68th St Ste 200, Tulsa, OK 74136-3338 | 2011-04-28 |
| 1235428921 | John Charles Hervert | Internal Medicine | 9645 Riverside Pkwy Ste C, Tulsa, OK 74137-7427 | 2011-04-04 |
| 1366747149 | Zubair Ashraf | Internal Medicine | 1145 S Utica Ave Ste 1109, Tulsa, OK 74104-4010 | 2011-01-25 |
| 1679892764 | Lindsey Tricinella | Internal Medicine | 3345 S Harvard Ave Ste 201, Tulsa, OK 74135-1809 | 2010-05-27 |
| 1770800435 | South Tulsa Urgent Care LLC | Internal Medicine | 7731 E 91st St, Suite C, Tulsa, OK 74133-6022 | 2010-04-21 |
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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.