EDWARD HENRY YOB (NPI# 1205825619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205825619 |
| Entity Type | Individual |
| Full Name | EDWARD HENRY YOB |
| Credential | DO |
| Practice Address |
8803 S 101st East Ave Suite 335 Tulsa OK 74133-7550 |
| Practice Telephone | 9183070215 |
| Practice Fax Number | 9182507669 |
| Mailing Telephone | 9183070215 |
| Mailing Fax Number | 9182507669 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2011-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 2842 | OK | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
2842 | OK | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
2842 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | RAILROAD MEDICARE | 070015931 | 01 |
| OK | 100025020A | 05 |
| Street Address |
8803 S 101ST EAST AVE SUITE 335 |
| City | TULSA |
| State | OK |
| Zip Code | 74133-7550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497755540 | Christy Bennett | Family Medicine | 8803 S 101st East Ave, Suite 370, Tulsa, OK 74133-5726 | 2005-07-29 |
| 1811471303 | Evan Miller | Nurse Practitioner | 8803 S 101st East Ave, Ste 100, Tulsa, OK 74133-7546 | 2018-09-20 |
| 1265899405 | Norton Crna Pllc | Nurse Anesthetist, Certified Registered | 8803 S 101st East Ave, Tulsa, OK 74133-5726 | 2016-01-19 |
| 1114325685 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Orthopaedic Surgery | 8803 S 101st East Ave, Ste 300, Tulsa, OK 74133-5726 | 2014-12-15 |
| 1477971315 | The Orthopaedic Center | Physician Assistant | 8803 S 101st East Ave, Suite 100, Tulsa, OK 74133-5726 | 2014-03-28 |
| 1740545722 | Timmeni Lynn Stevens | Obstetrics & Gynecology | 8803 S 101st East Ave, Ste 205, Tulsa, OK 74133-5730 | 2012-07-06 |
| 1023380110 | William F Burnside | Specialist/Technologist, Other | 8803 S 101st East Ave, Ste 320, Tulsa, OK 74133-5726 | 2012-02-03 |
| 1386947604 | Southcrest LLC | Clinic/Center | 8803 S 101st East Ave, Suite 160, Tulsa, OK 74133-5726 | 2010-12-08 |
| 1528375995 | Em Madd, LLC | Internal Medicine | 8803 S 101st East Ave, Suite 383, Tulsa, OK 74133-5726 | 2010-09-08 |
| 1912212481 | Osu Center for Health Sciences | Clinic/Center | 8803 S 101st East Ave, Suite 350, Tulsa, OK 74133-5726 | 2010-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285647586 | Scott William Meyers | Dermatology | 1440 Terrace Dr, Tulsa, OK 74104-4626 | 2006-08-15 |
| 1124038518 | Mary Margaret Christian-reed | Dermatology | 9306 S Toledo Ct, Suite #100, Tulsa, OK 74137-2746 | 2006-08-08 |
| 1023378759 | Robert Fischer | Dermatology | 5801 E 41st St Ste 200, Tulsa, OK 74135-5627 | 2012-05-29 |
| 1942335773 | Dermatology and Laser Center of Oklahoma | Dermatology | 9306 S Toledo Ct, Suite #100, Tulsa, OK 74137-2746 | 2007-02-22 |
| 1932286069 | Oklahoma Skin Surgery & Cosmetic Dermatology, P.C. | Dermatology | 1440 Terrace Dr, Tulsa, OK 74104-4626 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750466934 | Advanced Dermatology, Inc | Dermatology | 1030 E Washington Ave, Mcalester, OK 74501-4850 | 2006-10-26 |
| 1962061440 | Skin Cancer Center, Pllc | Dermatology | 2404 Palmer Cir, Norman, OK 73069-6301 | 2019-06-10 |
| 1104291236 | Oklahoma Cancer Specialists and Research Institute LLC | Dermatology | 800 W Boise Cir Ste 400, Broken Arrow, OK 74012-4974 | 2015-12-01 |
| 1831349281 | Susannah L Collier Md Pllc | Dermatology | 3705 W Memorial Rd, Suite 101, Oklahoma City, OK 73134-1512 | 2008-09-23 |
| 1598776866 | James B. Stewart, Jr., M.d., P.C. | Dermatology | 3705 W Memorial Rd, Suite 101, Oklahoma City, OK 73134-1512 | 2006-08-11 |
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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.