PAMELA SUZANNE MALISKA (NPI# 1417106139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417106139 |
| Entity Type | Individual |
| Full Name | PAMELA SUZANNE MALISKA |
| Credential | CPNP |
| Practice Address |
4444 E 41st St 2nd Floor, Ste A Tulsa OK 74135-2527 |
| Mailing Address |
Po Box 268838 Oklahoma City OK 73126-8838 |
| Practice Telephone | 9186194400 |
| Practice Fax Number | 9186194322 |
| Mailing Telephone | 9186603632 |
| Mailing Fax Number | 9186603631 |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2010-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
759696 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4444 E 41ST ST 2ND FLOOR, STE A |
| City | TULSA |
| State | OK |
| Zip Code | 74135-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629061213 | John William Ervin | Obstetrics & Gynecology | 4444 E 41st St, Tulsa, OK 74135-2527 | 2005-08-30 |
| 1891395000 | Gabrielle Fleming | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-10-27 |
| 1033717210 | Rachel Nichols | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-10-11 |
| 1336756089 | Hussan Gill | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-27 |
| 1508473430 | Elizabeth Wells | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-24 |
| 1649887753 | Savanna Rae Smith | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-23 |
| 1699381939 | Christopher John Jarrett | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-22 |
| 1275149635 | Anne Marie Nguyen | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-21 |
| 1114532652 | Katlynn Hendrix | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-11 |
| 1720693252 | Miri Elizabeth Wolfe | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467984781 | Lauryn Kathleen Trepp | Nurse Practitioner | 2800 W 91st St, Tulsa, OK 74132-3510 | 2017-03-28 |
| 1144768821 | Rebekah J Labouff | Nurse Practitioner | 6465 S Yale Ave Ste 320, Tulsa, OK 74136-7805 | 2017-02-02 |
| 1740660349 | Sarah Wulfers | Nurse Practitioner | 3606 N Martin Luther King Jr Blvd, Tulsa, OK 74106-6459 | 2015-06-09 |
| 1043642580 | Carrie B. Mccracken | Nurse Practitioner | 8803 S. 101st East Avenue, Suite 200, Tulsa, OK 74133 | 2013-08-07 |
| 1306102272 | Elizabeth Nicole Thiel | Nurse Practitioner | 7711 E. 111th St, Suite 111, Tulsa, OK 74133 | 2012-04-05 |
| 1609141787 | Jillian Beth Gibson | Nurse Practitioner | 3845 S 103rd East Ave, Tulsa, OK 74146-2452 | 2012-03-21 |
| 1003095183 | Jennifer Christa Pimentel | Nurse Practitioner | 6565 S Yale Ave Ste 209, Tulsa, OK 74136-8303 | 2007-10-25 |
| 1538350178 | Jessica Lynn Spear | Nurse Practitioner | 2325 S Havard, Tulsa, OK 74114-3300 | 2007-08-08 |
| 1245250430 | Christy L Stewart | Nurse Practitioner | 2227 S Garnett Rd, Suite 101, Tulsa, OK 74129-5119 | 2006-07-20 |
| 1912937954 | Candace Smith Joiner | Nurse Practitioner | 7412 S Yale Ave., Tulsa, OK 74136 | 2006-07-04 |
| 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.