JERRY HANSON PUCKETT (NPI# 1366441115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366441115 |
Entity Type | Individual |
Full Name | JERRY HANSON PUCKETT |
Credential | MD |
Practice Address |
6475 S Yale Ave Ste 401 Tulsa OK 74136-7818 |
Mailing Address |
6600 S Yale Ave Ste 1200 Tulsa OK 74136-3361 |
Practice Telephone | 9185029555 |
Practice Fax Number | 9185029559 |
Mailing Telephone | 9184886045 |
Mailing Fax Number | 9184886098 |
Enumeration Date | 2005-07-14 |
Last Update Date | 2018-04-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | 12175 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100078700A | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
6160 S Yale Ave, Tulsa, OK 741361930 | 9184816306 | 9184973175 |
Street Address |
6475 S YALE AVE STE 401 |
City | TULSA |
State | OK |
Zip Code | 74136-7818 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801451620 | Osu Center for Health Sciences | Clinic/Center | 6475 S Yale Ave Ste 401, Tulsa, OK 74136-7818 | 2019-05-07 |
1003324518 | Emily Ann Carter | Physician Assistant | 6475 S Yale Ave Ste 401, Tulsa, OK 74136-7818 | 2018-01-18 |
1659723864 | Callie Givens | Audiologist | 6475 S Yale Ave Ste 401, Tulsa, OK 74136-7818 | 2016-07-12 |
1639487499 | Spencer Edward Voth | Otolaryngology | 6475 S Yale Ave Ste 401, Tulsa, OK 74136-7818 | 2010-09-15 |
1467783282 | Meredith Lowe Gatzemeyer | Audiologist | 6475 S Yale Ave Ste 401, Tulsa, OK 74136-7818 | 2010-01-18 |
1518108711 | Steven Rance Dyer | Otolaryngology | 6475 S Yale Ave Ste 401, Tulsa, OK 74136-7818 | 2009-03-18 |
1053537365 | Erin Buchanan | Audiologist | 6475 S Yale Ave Ste 401, Tulsa, OK 74136-7818 | 2007-04-17 |
1245456565 | Vicki Fisher | Audiologist | 6475 S Yale Ave Ste 401, Tulsa, OK 74136-7818 | 2007-04-17 |
1295868917 | Andrew W Gaut | Otolaryngology | 6475 S Yale Ave Ste 401, Tulsa, OK 74136-7818 | 2007-03-13 |
1922007988 | Edward L Barns | Otolaryngology | 6475 S Yale Ave Ste 401, Tulsa, OK 74136-7818 | 2005-07-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
Find all providers in zip 74136 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255687638 | Richmond Jay Brownson | Otolaryngology | 7906 E 55th Street, Tulsa, OK 74145 | 2012-08-03 |
1972737641 | Tulsa Only Choice Inc | Otolaryngology | 2705 E Skelly Dr Ste 111, Tulsa, OK 74105-6239 | 2009-05-11 |
1497979686 | Tulsa Ear Nose and Throat Center, PC | Otolaryngology | 8803 S 101st East Ave Ste 165, Tulsa, OK 74133-5750 | 2007-04-12 |
1134109358 | Michael B Shaw | Otolaryngology | 4230 W 83rd St, Tulsa, OK 74132-3020 | 2006-01-23 |
1972593622 | Tom A Hamilton | Otolaryngology | 6802 S Olympia Ave Ste 200, Tulsa, OK 74132-1826 | 2005-10-25 |
1154310555 | William H Hawkins | Otolaryngology | 6802 S Olympia Ave W, Suite 200, Tulsa, OK 74132-1823 | 2005-10-18 |
1245229657 | Bruce E Hudkins | Otolaryngology | 6802 S Olympia Ave West, Ste 200, Tulsa, OK 74132 | 2005-10-18 |
1164422408 | Alen Munson Fuller | Otolaryngology | 1725 E 19th St, Suite 100, Tulsa, OK 74104-5437 | 2005-07-28 |
1528065331 | Anthony Edward Loehr | Otolaryngology | 5020 E 68th St, Tulsa, OK 74136-3307 | 2005-07-07 |
1942749080 | Ear, Nose, & Throat, Inc. | Otolaryngology | 2448 E 81st St, Suite 1350, Tulsa, OK 74137-4250 | 2017-02-22 |
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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.