DR. TYRONE PHILIPSON (NPI# 1407288756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407288756 |
| Entity Type | Individual |
| Full Name | DR. TYRONE PHILIPSON |
| Credential | M.D. |
| Practice Address |
430 N Monte Vista St Ada OK 74820-4610 |
| Practice Telephone | 5804211127 |
| Practice Fax Number | 5804366674 |
| Mailing Telephone | 5804211127 |
| Mailing Fax Number | 5804366674 |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2016-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 31793 | OK | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 137903 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
| Street Address |
430 N MONTE VISTA ST |
| City | ADA |
| State | OK |
| Zip Code | 74820-4610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932187606 | Fionnuala M Gurley | Internal Medicine | 430 N Monte Vista St, Ada, OK 74820-4610 | 2006-01-04 |
| 1427693787 | Payton Elizabeth Mcadams | Physician Assistant | 430 N Monte Vista St, Ada, OK 74820-4610 | 2019-11-11 |
| 1033764378 | Shannon D Krueger | Registered Nurse | 430 N Monte Vista St, Ada, OK 74820-4610 | 2019-08-05 |
| 1609438159 | Mamie Alicia Thompson | Dietitian, Registered | 430 N Monte Vista St, Ada, OK 74820-4657 | 2019-07-05 |
| 1679135446 | Ada Valley Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 430 N Monte Vista St, Ada, OK 74820-4610 | 2019-07-02 |
| 1609330968 | Justin Issac Rammage | Nurse Practitioner | 430 N Monte Vista St, Ada, OK 74820-4610 | 2019-01-30 |
| 1871085829 | Bradley Brown | Emergency Medicine | 430 N Monte Vista St, Ada, OK 74820-4610 | 2018-06-05 |
| 1093240897 | Keerthana Anand | Family Medicine | 430 N Monte Vista St, Ada, OK 74820-4610 | 2017-04-29 |
| 1528426442 | Kevin Beaver | Physician Assistant | 430 N Monte Vista St, Ada, OK 74820-4610 | 2016-02-05 |
| 1295108751 | Nicole Smith | Nurse Practitioner | 430 N Monte Vista St, Ada, OK 74820-4610 | 2015-11-05 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 74820 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205822756 | Michael Fossel | Emergency Medicine | 9464 Conservation St Ne, Ada, MI 49301-9752 | 2005-09-21 |
| 1871085829 | Bradley Brown | Emergency Medicine | 430 N Monte Vista St, Ada, OK 74820-4610 | 2018-06-05 |
| 1104266659 | Joshua Medved | Emergency Medicine | 1921 Stonecipher Blvd, Ada, OK 74820 | 2013-06-28 |
| 1265775738 | Benjamin D. Lynch | Emergency Medicine | 430 N Monte Vista St, Ada, OK 74820-4610 | 2013-04-02 |
| 1407144728 | Justin Kent Roulston | Emergency Medicine | 1921 Stonecipher Blvd, Ada, OK 74820 | 2011-07-20 |
| 1811280506 | Steven Matthew Gearhart | Emergency Medicine | 1921 Stonecipher Blvd, Ada, OK 74820 | 2011-05-27 |
| 1366750069 | Brian Gaddis | Emergency Medicine | 1921 Stonecipher Blvd, Ada, OK 74820 | 2010-09-16 |
| 1427214022 | Michael Gearhart | Emergency Medicine | 1921 Stonecipher Blvd, Ada, OK 74820 | 2008-08-03 |
| 1285758904 | Kent Denson | Emergency Medicine | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2007-03-19 |
| 1497825160 | Alexia Smith Willis | Emergency Medicine | 430 N Monte Vista St, Ada, OK 74820-4610 | 2006-11-09 |
| Find all providers in ADA | ||||
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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.