DR. SCOTT ALLEN DEMPEWOLF (NPI# 1437130762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437130762 |
| Entity Type | Individual |
| Full Name | DR. SCOTT ALLEN DEMPEWOLF |
| Credential | M.D. |
| Practice Address |
2002 12th Ave Nw Ardmore OK 73401-1206 |
| Practice Telephone | 5802268646 |
| Practice Fax Number | 5802268641 |
| Mailing Telephone | 5802268646 |
| Mailing Fax Number | 5802268641 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2011-11-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
20353 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICARE RAILROAD | 040012718 | 01 |
| OK | 100119370A | 05 |
| Street Address |
2002 12TH AVE NW |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073515474 | Bryan Eliot Shapiro | Anesthesiology | 2002 12th Ave Nw, Suite C, Ardmore, OK 73401-1206 | 2005-08-15 |
| 1164756235 | Angela Donnice Amparano | Nurse Practitioner | 2002 12th Ave Nw, Ardmore, OK 73401-1227 | 2009-09-23 |
| 1326281106 | Nicole Elkins | Physician Assistant | 2002 12th Ave Nw, Suite D, Ardmore, OK 73401-1227 | 2009-04-09 |
| 1376709907 | Ardmore Regional Surgery Center, LLC | Clinic/Center | 2002 12th Ave Nw, Suite C, Ardmore, OK 73401-1227 | 2008-08-04 |
| 1699974840 | Frederick Alan Dorroh Md PC | Surgery | 2002 12th Ave Nw, Ste E, Ardmore, OK 73401-1227 | 2007-07-17 |
| 1932258613 | Southern Oklahoma Podiatry Services Pllc | Podiatrist | 2002 12th Ave Nw, Suite F, Ardmore, OK 73401-1227 | 2007-01-10 |
| 1760561351 | John Thomas Paul | Physician Assistant | 2002 12th Ave Nw, Suite B, Ardmore, OK 73401-1206 | 2006-11-03 |
| 1043301153 | James Q. Mcclelland, Dpm, Ppc | Podiatrist | 2002 12th Ave Nw, Suite F, Ardmore, OK 73401-1227 | 2006-09-27 |
| 1376652032 | W M Parker,pc | Obstetrics & Gynecology | 2002 12th Ave Nw, Ste E, Ardmore, OK 73401-1227 | 2006-08-29 |
| 1861506032 | Mary Riley Parker | Obstetrics & Gynecology | 2002 12th Ave Nw, Ste E, Ardmore, OK 73401-1227 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 207YX0602X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngic Allergy |
| An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740233733 | Southern Oklahoma Ear Nose Throat and Allgery Clinic Inc | Otolaryngology | 2002 12th Ave Nw, Suite D, Ardmore, OK 73401-1206 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366814121 | Smart Sinus Ok, LLC | Otolaryngology | 13908 Quailbrook Dr, Quailbrook Buldg C, Oklahoma City, OK 73134-1718 | 2015-10-20 |
| 1386826626 | Ear Nose Throat and Allergy Center Pllc | Otolaryngology | 1715 N Lynn Riggs Blvd, Claremore, OK 74017-3056 | 2007-11-28 |
| 1679527337 | Benjamine Mark Welch | Otolaryngology | 1715 N Lynn Riggs Blvd, Claremore, OK 74017-3056 | 2006-05-19 |
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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.