DR. THEODORE MATT WARE (NPI# 1417067794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417067794 |
| Entity Type | Individual |
| Full Name | DR. THEODORE MATT WARE |
| Credential | D.O. |
| Practice Address |
12200 Rivendell Dr Oklahoma City OK 73170-4704 |
| Practice Telephone | 4057355677 |
| Mailing Telephone | 4057355677 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-12-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 37640 | CO | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 3516 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902149925 | Theodore Allen Ware | Community/Behavioral Health | 1750 Santa Margarita St, 115, Las Vegas, NV 89146-0887 | 2013-03-27 |
| 1003800145 | Theodore J. Ware | Internal Medicine | 2409 Cherry St, Suite 207, Toledo, OH 43608-2625 | 2005-09-06 |
| Street Address |
12200 RIVENDELL DR |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73170-4704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847542 | Premier Healthcare, Aprn-cnp | Nurse Practitioner | 12208 South Western Avenue, Suite B, Oklahoma City, OK 73170 | 2020-07-01 |
| 1982233565 | Bethany Ann Arthur | Student in an Organized Health Care Education/Training Program | 661 Waterview Rd, Okc, OK 73170 | 2020-04-06 |
| 1952868929 | Ariana N. Ree | Peer Specialist | 328 Sw 147th St, Oklahoma City, OK 73170 | 2019-02-26 |
| 1780151431 | Looking Up Counseling | Counselor | 709 Sw 119th Ste. B1, Okc, OK 73170 | 2018-10-31 |
| 1902385859 | Danell Marie Rahni | Psychologist | 17300 Serrano Dr, Oklahoma City, OK 73170 | 2018-08-11 |
| 1619468378 | Nhan Nguyen | Student in an Organized Health Care Education/Training Program | 10504 S Miller Ave, Oklahoma City, OK 73170 | 2018-05-29 |
| 1740709906 | Hall Podiatry LLC | Clinic/Center | 20 Sw 132nd Terrace, Moore, OK 73170 | 2017-09-19 |
| 1942727896 | Adelaide V South | Dietitian, Registered | 12216 S Land Ave, Oklahoma City, OH 73170 | 2017-08-22 |
| 1477073609 | Mary Ann Hayden | Nurse Practitioner | 3224 Sw 119th Street, Hennessee & Associates, Oklahoma City, OK 73170 | 2017-06-20 |
| 1245762293 | Michael David Detten | Physical Therapist | 10740 S May Ave Ste 111, Oklahoma City, OK 73170 | 2017-03-29 |
| Find all providers in zip 73170 | ||||
| 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 |
|---|---|---|---|---|
| 1295359248 | Optimum Complete Care, Pllc | Emergency Medicine | 5200 E. Interstate 240 Service Rd., Oklahoma City, OK 73135 | 2020-06-05 |
| 1164920252 | True North Health Navigation LLC | Emergency Medicine | 2525 Nw Expressway St Ste 102, Oklahoma City, OK 73112-7200 | 2018-01-24 |
| 1477002277 | Marianne Bacharach, Md, Pllc | Emergency Medicine | 1905 Nw 56th Ter, Oklahoma City, OK 73118-1409 | 2016-09-22 |
| 1194105353 | Romel Baroi | Emergency Medicine | 1000 N Lee Ave Ste 4401, Oklahoma City, OK 73102-1036 | 2015-06-03 |
| 1932517562 | Cole Timmons Hodges | Emergency Medicine | 200 Ne 2nd St Apt 204, Oklahoma City, OK 73104-4070 | 2014-07-28 |
| 1811304199 | Tyler Clayton Stephens | Emergency Medicine | 10304 Southridge Ter, Oklahoma City, OK 73159-7326 | 2014-07-17 |
| 1053736173 | James Edward Trina | Emergency Medicine | 2745 Sw 66th St, Oklahoma City, OK 73159-2605 | 2014-02-26 |
| 1255686697 | Chris D Bradshaw | Emergency Medicine | 4401 Sw 44th St, Oklahoma City, OK 73119-2899 | 2012-07-23 |
| 1457615114 | Julie Lewis | Emergency Medicine | 524 Nw 20th St, Oklahoma City, OK 73103-1803 | 2012-06-27 |
| 1013277284 | Diana Dee Mills-maloney | Emergency Medicine | 10312 Creek Meadow Dr, Oklahoma City, OK 73151-9138 | 2012-05-22 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73170 |
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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.