CLINTON BRADSHAW WEBSTER (NPI# 1417955063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417955063 |
Entity Type | Individual |
Full Name | CLINTON BRADSHAW WEBSTER |
Credential | M.D. |
Practice Address |
3705 Nw 63rd St Suite 204 Oklahoma City OK 73116-1935 |
Practice Telephone | 4058429732 |
Practice Fax Number | 4058429771 |
Mailing Telephone | 4058429732 |
Mailing Fax Number | 4058429771 |
Enumeration Date | 2005-07-08 |
Last Update Date | 2013-06-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 173000000X | Legal Medicine | 362930 | UT | Other Service Providers |
Y | 208200000X | Plastic Surgery | 29518 | OK | Allopathic & Osteopathic Physicians |
N | 208200000X | Plastic Surgery | 99984 | FL | Allopathic & Osteopathic Physicians |
N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
29518 | OK | Allopathic & Osteopathic Physicians |
N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
99984 | FL | Allopathic & Osteopathic Physicians |
Street Address |
3705 NW 63RD ST SUITE 204 |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73116-1935 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922446780 | Clinton Webster Md PC | Plastic Surgery | 3705 Nw 63rd St, Suite 204, Oklahoma City, OK 73116-1935 | 2013-06-13 |
1063707875 | Pro Therapy Services LLC | Physical Therapist | 3705 Nw 63rd St, Suite 208, Oklahoma City, OK 73116-1935 | 2011-06-09 |
1861624074 | Tulsa Only Choice Inc | Clinical Medical Laboratory | 3705 Nw 63rd St, Suite 101, Oklahoma City, OK 73116-1935 | 2009-08-20 |
1134376445 | Surgical Specialists of Oklahoma, Pllc | Durable Medical Equipment & Medical Supplies | 3705 Nw 63rd St, Ste. 204, Oklahoma City, OK 73116-1935 | 2008-08-19 |
1245419340 | Surgical Specialists of Oklahoma Pllc | Durable Medical Equipment & Medical Supplies | 3705 Nw 63rd St, Ste 201, Oklahoma City, OK 73116-1935 | 2007-10-25 |
1932292026 | Victoria Thomas Bryant | Registered Nurse | 3705 Nw 63rd St, Ste 204, Oklahoma City, OK 73116-1905 | 2006-10-02 |
1114952025 | Esec LLC | Clinic/Center | 3705 Nw 63rd St, Ste 100, Oklahoma City, OK 73116-1905 | 2006-07-11 |
1467406348 | Erin S Klein | Physical Therapist | 3705 Nw 63rd St, Oklahoma City, OK 73116-1935 | 2006-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
1861058877 | Dental Depot of 63rd & Nw Expressway, Pllc | Clinic/Center | 4025 Nw 63rd Street, Oklahoma City, OK 73116 | 2019-05-15 |
1073001756 | Oklahoma Clinical Management LLC | Prevention Professional | 4301 Nw 63rd St Ste 107, Oklahoma City, OK 73116 | 2018-04-27 |
1235658261 | Heinen Physical Therapy, PC | Clinic/Center | 7710 N May Ave, Oklahoma City, OK 73116 | 2017-09-11 |
1235657842 | Jacque S Komers | Counselor | 6501 N Broadway Ext Suite 180, Oklahoma City, OK 73116 | 2017-09-04 |
1164943874 | Jo Ann Cole-johnson | Counselor | 6505 N. Shawnee Ave, Oklahoma, OK 73116 | 2017-07-03 |
1548790793 | Zachary Wayne Skates | Case Manager/Care Coordinator | North 6501 Broadway Extention Highway #180, Oklahoma City, OK 73116 | 2017-06-19 |
1548622673 | Jessica Defiore | Case Manager/Care Coordinator | 6501 N Broadway Extension, Oklahoma City, OK 73116 | 2016-03-28 |
1093173247 | Patrice Ann Cook | Specialist/Technologist, Other | 7700 N. Hudson Ave, Suite Number 9, Oklahoma City, OK 73116 | 2016-02-03 |
1467880708 | Abrina Marie Kneeland | Occupational Therapy Assistant | 6525 N. Meridian #311, Therapists Unlimited Division of Career Staff, Oklahoma City, OK 73116 | 2013-10-24 |
Find all providers in zip 73116 |
Taxonomy Code | 208200000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Plastic Surgery |
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134453202 | Garland Porterfield, Md Inc. | Plastic Surgery | 3727 N.w. 63rd. St., #200, Oklahoma City, OK 73116 | 2009-09-23 |
1689748501 | Erik Jon Nuveen | Plastic Surgery | 2100 Nw 63rd St, Oklahoma City, OK 73116-5111 | 2006-11-20 |
1801966155 | Michell Annette Cohn | Plastic Surgery | 12324 Saint Andrews Dr, Oklahoma City, OK 73120-8604 | 2006-11-08 |
1891891305 | Lisa Danele Taylor | Plastic Surgery | 4514 Memorial Cir, Suite B, Oklahoma City, OK 73142-5000 | 2006-09-15 |
1497769392 | W. Edward Dalton | Plastic Surgery | 3705 N.w. 63rd St., Suite 204, Oklahoma City, OK 73116 | 2006-07-28 |
1043234032 | Tim Rodney Love | Plastic Surgery | 11101 Hefner Pointe Dr Ste 104, Oklahoma City, OK 73120-5054 | 2006-07-26 |
1932136801 | James B. Lowe IIi | Plastic Surgery | 2520 Nw Expressway, Oklahoma City, OK 73112-7163 | 2006-06-27 |
1477506798 | Anthony Tufaro | Plastic Surgery | 825 Ne 10th St Ste 1g, Oklahoma City, OK 73104-5417 | 2006-05-18 |
1952351751 | Justin Michael Jones | Plastic Surgery | 6305 Waterford Blvd, Suite 115, Oklahoma City, OK 73118-1122 | 2006-05-11 |
1033178264 | Anureet Bajaj | Plastic Surgery | 8106 N May Ave, Ste. B, Oklahoma City, OK 73120-4545 | 2006-03-17 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73116 |
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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.