OSU CARDIOLOGY (NPI# 1346784683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346784683 |
| Entity Type | Organization |
| Organization Name | OSU CARDIOLOGY |
| Practice Address |
802 S Jackson Ave Suite 225 Tulsa OK 74127-9015 |
| Practice Telephone | 9185827711 |
| Practice Fax Number | 9185835831 |
| Mailing Telephone | 9185827711 |
| Mailing Fax Number | 9185835831 |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |
| Authorized Official Name | VICTORIA RENEE PARKS (PRACTICE MANAGER/LPN) |
| Authorized Official Telephone | 9185827711 |
| Is Organization Subpart | Y |
| Parent Organization Name | OSU COLLEGE OF OSTEOPATHIC MEDICINE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
3798 | OK | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
4168 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
802 S JACKSON AVE SUITE 225 |
| City | TULSA |
| State | OK |
| Zip Code | 74127-9015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972564169 | Daniel A Nader | Internal Medicine | 802 S Jackson Ave, Tulsa, OK 74127-9015 | 2006-03-29 |
| 1629437546 | Bret Colter Haines | Surgery | 802 S Jackson Ave, Suite 505, Tulsa, OK 74127-9015 | 2016-02-19 |
| 1902262421 | Lp Dullye Management, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 802 S Jackson Ave, Suite 200, Tulsa, OK 74127-9015 | 2016-01-13 |
| 1922491935 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave, Suite 210, Tulsa, OK 74127-9015 | 2015-03-16 |
| 1144650854 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave, Suite 210, Tulsa, OK 74127-9015 | 2013-11-15 |
| 1467748467 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave, Suite 312, Tulsa, OK 74127-9015 | 2011-06-28 |
| 1548556541 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave, Suite 110, Tulsa, OK 74127-9015 | 2011-06-28 |
| 1790076222 | Adam Derek Bradley | Surgery | 802 S Jackson Ave, #505, Tulsa, OK 74127-9015 | 2011-05-02 |
| 1013238872 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave, Suite 400, Tulsa, OK 74127-9015 | 2010-06-16 |
| 1679746895 | C. Michael Johnson, D.o,inc. | Urology | 802 S Jackson Ave, Suite 110, Tulsa, OK 74127-9015 | 2008-04-09 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 74127 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174956890 | Sahil Agrawal | Internal Medicine | 6151 S Yale Ave Ste 100a, Tulsa, OK 74136-1929 | 2013-08-16 |
| 1104180553 | Ajay Joseph | Internal Medicine | 6151 S Yale Ave Ste 1304, Tulsa, OK 74136-1907 | 2012-06-30 |
| 1396004636 | Tucker James Harrison | Internal Medicine | 802 S Jackson Ave Ste 225, Tulsa, OK 74127-9049 | 2012-05-07 |
| 1831333566 | Harsh Chittaranjan Patel | Internal Medicine | 6151 S Yale Ave Ste 1304, Tulsa, OK 74136-1907 | 2009-04-24 |
| 1316005333 | Robert Louis Smith Jr. | Internal Medicine | 9228 S Mingo Rd, Suite 200, Tulsa, OK 74133-5718 | 2006-12-04 |
| 1558372854 | Melvyn Vanroy Mahon | Internal Medicine | 6151 S Yale Ave, Suite 304, Tulsa, OK 74136-1907 | 2006-08-11 |
| 1043272982 | Michael P Carney | Internal Medicine | 802 S Jackson Ave, Suite 500, Tulsa, OK 74127-9015 | 2006-04-05 |
| 1497725857 | John G Ivanoff | Internal Medicine | 10505 E 91st St, Suite 208, Tulsa, OK 74133-5801 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710479324 | Parkway H&v | Internal Medicine | 3200 Quail Springs Pkwy Ste 100, Oklahoma City, OK 73134-2698 | 2018-05-31 |
| 1003315946 | Cardiac Cin of Oklahoma City LLC | Internal Medicine | 10601 S Western Ave # 3, Oklahoma City, OK 73170-6201 | 2018-02-06 |
| 1891097358 | Khurram Liaqat | Internal Medicine | 9020 E Reno Ave Ste 200, Midwest City, OK 73130-3336 | 2010-12-03 |
| 1629118740 | Raghav Gupta | Internal Medicine | 5401 N Portland Ave Ste 380, Oklahoma City, OK 73112 | 2007-02-07 |
| 1699886077 | Bryan Allen Lucenta | Internal Medicine | 101 Rockefeller Dr Ste 100, Muskogee, OK 74401-5050 | 2006-08-31 |
| 1811996861 | Grand Lake Regional Cardiology Services LLC | Internal Medicine | 1001 E 18th St, Grove, OK 74344-2907 | 2005-07-20 |
| 1760486484 | Francis H Oliver | Internal Medicine | 731 12th Ave Nw, Ardmore, OK 73401-5761 | 2005-06-09 |
| 1801358981 | Cok Care of Ok, LLC | Internal Medicine | 10601 S Western Ave Ste 3, Oklahoma City, OK 73170-6201 | 2019-04-05 |
| 1447754007 | Rajaram Md Pllc | Internal Medicine | 105 S Bryant Ave, Edmond, OK 73034 | 2018-03-20 |
| 1063850832 | Ssm Healthcare of Ok, Inc | Internal Medicine | 608 Nw 9th St, Suite 4000, Oklahoma City, OK 73102-1068 | 2013-06-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OSU CARDIOLOGY.
| 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.