SOUTHERN OKLAHOMA INTERNAL MEDICINE P C


Address: 307 N Monte Vista St, Ada, OK 74820-4607
Phone: 5804364495

SOUTHERN OKLAHOMA INTERNAL MEDICINE P C (NPI# 1205971694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205971694
Entity Type Organization
Organization Name SOUTHERN OKLAHOMA INTERNAL MEDICINE P C
Practice Address 307 N Monte Vista St
Ada
OK 74820-4607
Practice Telephone 5804364495
Practice Fax Number 5804364499
Mailing Telephone 5804364495
Mailing Fax Number 5804364499
Enumeration Date 2007-02-21
Last Update Date 2007-12-10
Authorized Official Name DR. BARBARA K TULEY (PRESIDENT)
Authorized Official Telephone 5804364495
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 17220 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK BLUE CROSS BLUE SHIELD 500648296001 01

Office Location

Street Address 307 N MONTE VISTA ST
City ADA
State OK
Zip Code 74820-4607

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578103727 Curry Orthopedics and Sports Medicine Pllc Orthopaedic Surgery 919 Colony Drive, Ada, OK 74820 2020-01-15
1215574603 Miranda Denise Bowman Counselor 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 2019-12-04
1326509654 Patricia June Harjo Case Manager/Care Coordinator Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 2019-03-28
1649737172 Rylee Nikole Leblanc Case Manager/Care Coordinator 1119 S High School St, Ada, OK 74820 2019-02-20
1891251328 David Kinback Rehabilitation Counselor 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 2019-02-20
1922571009 Central Oklahoma Family Medical Center, Inc. Pharmacy 905 Colony Dr, Ada, OK 74820 2019-01-10
1063988673 Central Oklahoma Family Medical Center, Inc Clinic/Center 905 Colony Drive Bldg, Ada, OK 74820 2018-10-22
1265907885 Apex Surgery Center, LLC Surgery 2001 Cradduck Road, Ada, OK 74820 2018-10-10
1689150898 Sabrina Simmons Social Worker 2516 Oakhurst Dr Apt E, Ada, OK 74820 2018-07-11
1700370467 Brianna Leigh Youngwolfe Nurse Practitioner 2020 Arlington St Ste 6, Ada, OK 74820 2018-06-17
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831351287 Weidong Zhao Internal Medicine 430 N Monte Vista, Ada, OK 74820-4610 2008-06-26
1417096769 Leander Nikima Cragin Branham Internal Medicine 1001 North Country Club Rd, Carl Albert Hospital I M Dept, Ada, OK 74820 2007-02-05
1306956651 Drs. Troska, Morgan and Johnston Internal Medicine 625 N Monte Vista St, Ada, OK 74820-4613 2006-08-30
1407882855 Richard Lovy Internal Medicine 5007 Meadow Springs Trl Se, Ada, MI 49301-8156 2006-06-25
1053389833 Gary L Paddack Internal Medicine 902 Arlington Ctr, Pmb 224, Ada, OK 74820-2883 2006-03-09
1760450555 Bruce W Dennis Internal Medicine 721 Better Now Plz, Ada, OK 74820-2279 2006-03-09
1831170646 Peter C Lenhart Internal Medicine 6741 E Fulton St, Ste 201, Ada, MI 49301 2005-11-09
1992705024 Rodney L. Huddleston Internal Medicine Chickasaw Nation Health System, 1001 North Country Club Road, Ada, OK 74820 2005-07-29
1316945363 Jerry S Morgan Internal Medicine 1921 Stonecipher Blvd, Ada, OK 74820-3439 2005-07-13
1124022660 Robert Mackinder Internal Medicine 7128 Fulton St E, Ada, MI 49301-8436 2005-06-13
Find all providers in ADA

Competitor

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City ADA
Zip Code 74820

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Dataset Information

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.

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