DR. TRISTAN MICHAEL SPIERLING (NPI# 1417219288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417219288 |
| Entity Type | Individual |
| Full Name | DR. TRISTAN MICHAEL SPIERLING |
| Credential | D.O. |
| Practice Address |
527 Gott Rd Enid OK 73705-5103 |
| Mailing Address |
101 Bodin Cir Fairfield CA 94535-1809 |
| Practice Telephone | 7074237300 |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2017-04-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 171000000X | Military Health Care Provider | 5101020055 | MI | Other Service Providers |
| Street Address |
527 GOTT RD |
| City | ENID |
| State | OK |
| Zip Code | 73705-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043200793 | David Barnard | Family Medicine | 527 Gott Rd, Enid, OK 73705-5103 | 2005-10-25 |
| 1184225138 | Danielle Young | Social Worker | 527 Gott Rd, Enid, OK 73705-5103 | 2020-11-05 |
| 1598301277 | Anh N Ison | Pharmacist | 527 Gott Rd, Enid, OK 73705-5103 | 2019-11-18 |
| 1336792340 | Liam Connall Noone | Military Health Care Provider | 527 Gott Rd, Enid, OK 73705-5103 | 2019-07-18 |
| 1225598980 | Andrew Jonathan Carey | Military Health Care Provider | 527 Gott Rd, Enid, OK 73705-5103 | 2019-03-20 |
| 1801306188 | Scott Lynn Chance | Pharmacist | 527 Gott Rd, Enid, OK 73705-5103 | 2017-10-02 |
| 1114458957 | Chang Liu Lipinski | Family Medicine | 527 Gott Rd, Enid, OK 73705-5103 | 2017-03-23 |
| 1417349697 | Usaf | Military Hospital | 527 Gott Rd, Enid, OK 73705-5103 | 2015-02-25 |
| 1962818336 | 71 Mdg Mdss Sgsr | Military/U.S. Coast Guard Pharmacy | 527 Gott Rd, Enid, OK 73705-5103 | 2014-07-07 |
| 1689080418 | Alison Allen | Pediatrics | 527 Gott Rd, Enid, OK 73705-5103 | 2014-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699074013 | Christopher Lee Endres | Military Health Care Provider | 527 Gott Road, Vance Clinic, Vance Afb, OK 73705 | 2011-03-24 |
| 1578128070 | Jason Ruggieri | Psychologist | 527 Gott Road, Bldg 816, Enid, OK 73705-5103 | 2019-05-09 |
| 1831556455 | Jennifer Anne Barclay | Pediatrics | 527 Gott Rd Bldg 810, Enid, OK 73705-5103 | 2016-01-27 |
| 1669991758 | Omer S Sanabria | Dentist | 71st Mdg, 527 Gott Rd., Bldg 810, Enid, OK 73705-5105 | 2017-09-11 |
| 1164661096 | Traci Lynn Johnson | Licensed Vocational Nurse | 71 Mdg, 527 Gott Rd, Vance Afb, OK 73705-5105 | 2009-02-17 |
| 1255395174 | Christopher Makoto Tsueda | Family Medicine | 71 Medical Group, 527 Gott Road, Vance Afb, OK 73705-5105 | 2006-04-17 |
| 1447393889 | William F. Blackerby | Clinical Neuropsychologist | 71 Medical Group, 527 Gott Road Vance Afb, Enid, OK 73705-5105 | 2007-02-15 |
| 1306820915 | Ronald Stuart Johnson | Psychologist | 320 Young Rd, 71 Mdos/sgoml Building 248, Enid, OK 73705-5506 | 2005-12-06 |
| 1851659809 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | 242 Fields St Bldg 415, Enid, OK 73705-5700 | 2012-04-27 |
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225598980 | Andrew Jonathan Carey | Military Health Care Provider | 527 Gott Rd, Enid, OK 73705-5103 | 2019-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225527476 | Pau Khan Kap | Military Health Care Provider | 10123 S 72nd East Ave, Tulsa, OK 74133-6759 | 2018-05-03 |
| 1336556851 | Chenghui Su | Military Health Care Provider | 463 N Harr Dr Apt F, Midwest City, OK 73110-2922 | 2014-07-16 |
| 1245506500 | Sharon Lynne Rogers | Military Health Care Provider | 3415 Minor Rd, Fort Sill, OK 73503-4460 | 2012-03-30 |
| 1831216852 | Lois Ann Umdenstock | Military Health Care Provider | 6136 S Fulton Ave, Tulsa, OK 74136-2007 | 2007-03-23 |
| 1881788834 | Us Army | Military Health Care Provider | 42 Ne Pheasant Ln, Lawton, OK 73507-8850 | 2006-10-03 |
| 1801024369 | John Allan Miller | Military Health Care Provider | 3009 Nw Wilson St, Ft. Sill, OK 73503-9042 | 2009-06-23 |
| 1871527929 | Vinh X Vu | Military Health Care Provider | 5700 Arnold St, Tinker Afb, OK 73145-8105 | 2006-07-11 |
| 1013972884 | Phillip Wayne Halcum | Military Health Care Provider | 109 Kerr Ave, Poteau, OK 74953-5270 | 2006-04-17 |
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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.