DR. TIMOTHY PETTINGELL (NPI# 1376546531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376546531 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY PETTINGELL |
| Credential | M.D. |
| Practice Address |
4735 E 91st St Suite 100 Tulsa OK 74137-2807 |
| Mailing Address |
10026 S Mingo Rd Ste A Pmb 234 Tulsa OK 74133-5717 |
| Practice Telephone | 9182527952 |
| Practice Fax Number | 9182529218 |
| Mailing Telephone | 9182527952 |
| Mailing Fax Number | 9182529218 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2012-05-29 |
| NPI Deactivation Date | 03/15/2006 |
| NPI Reactivation Date | 2006-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
20806 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100251620A | 05 |
| Street Address |
4735 E 91ST ST SUITE 100 |
| City | TULSA |
| State | OK |
| Zip Code | 74137-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487801080 | Advanced Medical Enterprises Lp | Durable Medical Equipment & Medical Supplies | 4735 E 91st St, Suite 100, Tulsa, OK 74137-2807 | 2008-08-26 |
| 1710141569 | Nocturna Sleep Clinic LLC | Internal Medicine | 4735 E 91st St, Suite 100, Tulsa, OK 74137-2807 | 2008-07-10 |
| 1851422869 | Lisa C. Goulden | Psychologist | 4735 E 91st St, Suite 100, Tulsa, OK 74137-2807 | 2007-03-08 |
| 1881623015 | Scott Arthur Fengler | Colon & Rectal Surgery | 4735 E 91st St, #200, Tulsa, OK 74137 | 2006-07-01 |
| 1316974389 | Marc Stephen Rocklin | Colon & Rectal Surgery | 4735 E 91st St, #200, Tulsa, OK 74137-2804 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487493 | Christopher Thibeault | Physician Assistant | 10326 S Oswego Ave, Tulsa, OK 74137 | 2019-09-27 |
| 1851896237 | Leslie King | Nurse Practitioner | 4809 East 89th Street South, Suite 100, Tulsa, OK 74137 | 2018-03-27 |
| 1245756428 | Olakunle Ajanaku | Dentist | 4818 East 113th Place South, Tulsa, OK 74137 | 2017-08-18 |
| 1831610096 | Cameron Craig | Dentist | 9671 South Riverside Drive East, Tulsa, OK 74137 | 2017-06-28 |
| 1669915336 | Verum Health | Chiropractor | 5014 East 101st Street, Suite 200, Tulsa, OK 74137 | 2016-11-29 |
| 1518327014 | Richard A Felmlee | General Practice | 8955 S. College Place, Tulsa, OK 74137 | 2016-02-26 |
| 1164815395 | John F Carletti Dds Prof Corp | Dentist | 2808 E. 101st St., Tulsa, OK 74137 | 2015-03-12 |
| 1023356581 | The Bair Foundation | Exclusive Provider Organization | 2921 E. 91st St, Tulsa, OK 74137 | 2013-01-17 |
| 1588900328 | Isaac Newton Causey | Counselor | 9325 S. Erie Avenue, Tulsa, OK 74137 | 2012-12-26 |
| 1952656894 | Crystal I Phillips | Behavioral Analyst | 2921 E 91st, Tulsa, OK 74137 | 2012-07-17 |
| Find all providers in zip 74137 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447878269 | Tulsa Accident Care Center LLC | Physical Medicine & Rehabilitation | 5711 E 71st St Ste 100c, Tulsa, OK 74136-6655 | 2020-07-08 |
| 1003981135 | Anil Kumar Reddy | Physical Medicine & Rehabilitation | 9725 East 79th Street, Suit A, Tulsa, OK 74133-4569 | 2006-11-22 |
| 1326148123 | Jeffrey S Halsell Do Pllc | Physical Medicine & Rehabilitation | 9308 S Toledo Ave, Tulsa, OK 74137-2739 | 2006-09-22 |
| 1811907538 | Omega Practice Management Inc | Physical Medicine & Rehabilitation | 1145 S. Utica, Ste 901, Tulsa, OK 74104-4013 | 2006-08-08 |
| 1851922140 | Jpk LLC | Physical Medicine & Rehabilitation | 7030 S Lewis Ave Ste M, Tulsa, OK 74136-3915 | 2020-01-27 |
| 1699246645 | Advanced Pain of Tulsa Pllc | Physical Medicine & Rehabilitation | 9320 S Mingo Rd, Tulsa, OK 74133-5710 | 2018-12-16 |
| 1467711929 | Brandon S Claflin, Do, Pllc | Physical Medicine & Rehabilitation | 9308 S Toledo Ave, Tulsa, OK 74137-2739 | 2012-05-03 |
| 1538474648 | Kelly Jean Volk | Physical Medicine & Rehabilitation | 2448 E 81st St, St#363, Tulsa, OK 74137-4250 | 2010-08-12 |
| 1972750941 | Electrodiagnostic Medicine of Tulsa | Physical Medicine & Rehabilitation | 9308 S Toledo Ave, Tulsa, OK 74137-2739 | 2008-08-21 |
| 1902082258 | Lam D. Nguyen | Physical Medicine & Rehabilitation | 9320 S Mingo Rd, Tulsa, OK 74133-5710 | 2008-01-17 |
| Find all providers in TULSA | ||||
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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.