DR. PAUL ANTHONY BEVILACQUA (NPI# 1376505461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376505461 |
| Entity Type | Individual |
| Full Name | DR. PAUL ANTHONY BEVILACQUA |
| Credential | M.D. |
| Practice Address |
1802 E 19th St 400 Tulsa OK 74104-5425 |
| Mailing Address |
1611 S Utica Ave Pmb 217 Tulsa OK 74104-4909 |
| Practice Telephone | 9187487644 |
| Practice Fax Number | 9182933184 |
| Mailing Telephone | 9187442618 |
| Mailing Fax Number | 9182933184 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2007-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 17304 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
1802 E 19TH ST 400 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-5425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720073133 | Brian Ribak | Anesthesiology | 1802 E 19th St, Suite 400, Tulsa, OK 74104-5425 | 2005-09-13 |
| 1578183703 | Mitchell Mccain | Student in an Organized Health Care Education/Training Program | 1802 E 19th St, Tulsa, OK 74104-5403 | 2020-04-17 |
| 1316576085 | Kelly Lorraine Stone | Student in an Organized Health Care Education/Training Program | 1802 E 19th St, Tulsa, OK 74104-5403 | 2020-04-05 |
| 1437787942 | Bradley Cox | Student in an Organized Health Care Education/Training Program | 1802 E 19th St, Tulsa, OK 74104-5403 | 2020-03-30 |
| 1851929483 | Daniel Ray Asher | Student in an Organized Health Care Education/Training Program | 1802 E 19th St, Tulsa, OK 74104-5403 | 2020-03-30 |
| 1639707334 | Jordan Williams | Student in an Organized Health Care Education/Training Program | 1802 E 19th St, Tulsa, OK 74104-5403 | 2020-03-29 |
| 1548721269 | Aaron R Alvarado | Student in an Organized Health Care Education/Training Program | 1802 E 19th St, Tulsa, OK 74104-5403 | 2019-03-26 |
| 1184111015 | Justin Puthoff | Student in an Organized Health Care Education/Training Program | 1802 E 19th St, Tulsa, OK 74104-5403 | 2018-04-17 |
| 1427554898 | Stuart Reynolds | Student in an Organized Health Care Education/Training Program | 1802 E 19th St, Tulsa, OK 74104-5403 | 2018-04-03 |
| 1962936922 | Adee Heiman | Surgery | 1802 E 19th St, Kravis Building, Tulsa, OK 74104-5403 | 2017-04-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225557242 | Lifeguard Anesthesia Services LLC | Anesthesiology | 6310 E 102nd St, Tulsa, OK 74137-7061 | 2017-09-11 |
| 1598029431 | Clinical Medical Consultants of Oklahoma LLC | Anesthesiology | 10807 S 91st East Ave, Tulsa, OK 74133-7077 | 2012-06-26 |
| 1518230002 | Advanced Pain Specialists of Tulsa, Pllc | Anesthesiology | 5555 E 71st St Ste 7200, Tulsa, OK 74136-6544 | 2012-02-15 |
| 1851619688 | Anthony Paul Tricinella | Anesthesiology | 1611 S Utica Ave, Box 217, Tulsa, OK 74104 | 2010-05-04 |
| 1366692295 | Megan Rian Buchan | Anesthesiology | 1924 S Utica Ave Ste 400, Tulsa, OK 74104-6510 | 2008-09-28 |
| 1790947083 | Chad Michael Cannon | Anesthesiology | 8131 S. Memorial Drive, Suite 107, Tulsa, OK 74133-4348 | 2008-06-27 |
| 1831380021 | Kathy Copeland Trahan | Anesthesiology | 2425 E 45th St, Tulsa, OK 74105 | 2007-08-05 |
| 1275755654 | Brian W Macha | Anesthesiology | 9840 E 81st St Ste 200, Tulsa, OK 74133-4584 | 2007-05-03 |
| 1528107406 | Jose Ivan Vela-hernandez | Anesthesiology | Hhs Centralized Verification/medical Staff Services, 1120 S Utica Ave, Tulsa, OK 74104 | 2007-02-06 |
| 1689721565 | Sarah S. Turner | Anesthesiology | 7380 S Olympia Ave W, Suite 312, Tulsa, OK 74132-1849 | 2007-01-04 |
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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.