JERROLD BENEDICT (NPI# 1447379987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447379987 |
| Entity Type | Individual |
| Full Name | JERROLD BENEDICT |
| Credential | M.D. |
| Practice Address |
1541 N Sheridan Rd Tulsa OK 74115-4610 |
| Mailing Address |
720 Cool Springs Blvd Suite 300 Franklin TN 37067-2626 |
| Practice Telephone | 6157784066 |
| Practice Fax Number | 6157789114 |
| Mailing Telephone | 6157784066 |
| Mailing Fax Number | 6157789114 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
17441 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
1541 N SHERIDAN RD |
| City | TULSA |
| State | OK |
| Zip Code | 74115-4610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841231495 | Joseph J. Piccione | Physician Assistant | 1541 N Sheridan Rd, Tulsa, OK 74115-4610 | 2006-06-08 |
| 1588077952 | Christy Marie Pestel-noland | Physical Therapist | 1541 N Sheridan Rd, Tulsa, OK 74115-4610 | 2014-06-03 |
| 1639315799 | Patricia F Collins | Physical Therapy Assistant | 1541 N Sheridan Rd, Tulsa, OK 74115-4610 | 2008-12-19 |
| 1477768893 | Latricia A Killman | Physical Therapist | 1541 N Sheridan Rd, Tulsa, OK 74115-4610 | 2007-05-10 |
| 1346362118 | Patricia L Smith | Physical Therapist | 1541 N Sheridan Rd, Tulsa, OK 74115-4610 | 2007-04-04 |
| 1952420424 | Mary L. Wilkerson | Physical Therapist | 1541 N Sheridan Rd, Tulsa, OK 74115-4610 | 2007-03-28 |
| 1932227691 | Christian Nielsen | Preventive Medicine | 1541 N Sheridan Rd, Tulsa, OK 74115-4610 | 2007-03-27 |
| 1407973571 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 1541 N Sheridan Rd, Tulsa, OK 74115-4610 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538698899 | Pateisha Royal | Counselor | 7813 E. Independence St., Tulsa, OK 74115 | 2017-06-08 |
| 1154788750 | Heather Sisson-white | Case Manager/Care Coordinator | 132 N. Marion Ave, Tulsa, OK 74115 | 2016-01-27 |
| 1427234004 | American Current Care P.a. | Clinic/Center | 1541 North Sheridan Road, Tulsa, OK 74115 | 2008-01-14 |
| 1205031317 | Veera Aparanji Kaja | Dentist | 6801 E. Admiral Place, Tulsa, OK 74115 | 2007-06-19 |
| 1922137926 | Gregory L Mitchell | Preventive Medicine | 1515 N Harvard, Suite B, Tulsa, OK 74115 | 2007-03-05 |
| 1215942602 | G Chris Bussman | Dentist | 6716 E Pine, Tulsa, OK 74115 | 2006-07-31 |
| 1205870912 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Family Medicine | Bcchs Celia Clinton Elementary, 1740 N. Harvard Ave., Tulsa, OK 74115 | 2006-06-15 |
| 1356853832 | Phoenix Soleil-maria Cooper | Case Manager/Care Coordinator | 3641 E 36th St N, Tulsa, OK 74115-1702 | 2017-10-24 |
| 1215380449 | Taleya Mayberry | Case Manager/Care Coordinator | 4115 E 36th St N, Tulsa, OK 74115-1709 | 2016-07-23 |
| 1104925619 | Marsha Ann Basner | Nutritionist | 3324 E 30th Pl N, Tulsa, OK 74115-2421 | 2006-09-21 |
| Find all providers in zip 74115 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629494000 | Lee Ann Schafer | Preventive Medicine | 1027 E 66th St N, Tulsa, OK 74126-1349 | 2014-03-10 |
| 1366560104 | John W. Hallford Jr. | Preventive Medicine | 5682 W Skelly Dr, Tulsa, OK 74107-9144 | 2007-03-27 |
| 1922137926 | Gregory L Mitchell | Preventive Medicine | 1515 N Harvard, Suite B, Tulsa, OK 74115 | 2007-03-05 |
| 1659427391 | William R. Gillock | Preventive Medicine | 7170 S Braden Ave, # 175, Tulsa, OK 74136-6329 | 2007-01-26 |
| 1437134657 | Karen Gail Smallwood Ryan | Preventive Medicine | 7820 E 15th Pl, Tulsa, OK 74112-7832 | 2005-12-09 |
| 1548383003 | Tiari Avakian Harris | Preventive Medicine | 1923 S Utica Ave, Ehs - 3rd Floor Kravis Building, Tulsa, OK 74104-6520 | 2007-04-09 |
| 1932227691 | Christian Nielsen | Preventive Medicine | 1541 N Sheridan Rd, Tulsa, OK 74115-4610 | 2007-03-27 |
| 1134247802 | Terry Wagner | Preventive Medicine | 9515 E 51st St, Suite G & F, Tulsa, OK 74145-9053 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093341224 | Mosaic Medical Foundation West Okc | Preventive Medicine | 1139 N Meridian Ave, Oklahoma City, OK 73107-5095 | 2020-03-19 |
| 1164709598 | Whitney Anne Johnson | Preventive Medicine | 107 E Anderson Ave, Waurika, OK 73573-3008 | 2011-11-14 |
| 1417120023 | Robert Luther Swicord | Preventive Medicine | 14300 N Pennsylvania Ave, # 57, Oklahoma City, OK 73134-6066 | 2008-04-04 |
| 1851509236 | Gary Lloyd Massad | Preventive Medicine | 7501 N Country Club Drive, Oklahoma City, OK 73116 | 2007-05-18 |
| 1558489385 | Stephen P. Klassen | Preventive Medicine | 6101 W Reno Ave, Suite 800, Oklahoma City, OK 73127-6542 | 2007-03-27 |
| 1730204975 | William C Parsons | Preventive Medicine | 310 S Keeler, B-fptc Medical, Bartlesville, OK 74004-0001 | 2007-03-20 |
| 1245361500 | Jeffrey Paul Pardee | Preventive Medicine | 1006 Sw 104th St, Oklahoma City, OK 73139-2990 | 2007-03-08 |
| 1891825337 | Debra Lea Montgomery | Preventive Medicine | 1500 W I 240 Service Rd, Oklahoma City, OK 73159-8209 | 2007-03-06 |
| 1174650782 | Myron Mills | Preventive Medicine | 238 S Quadrum Dr, Oklahoma City, OK 73108-1101 | 2007-02-28 |
| 1386723369 | Pinnacle Healthcare of Oklahoma, LLP | Preventive Medicine | 10512 N 110 East Avenue, Suite 220, Owasso, OK 74055 | 2006-11-02 |
| Find all providers with the same taxonomy | ||||
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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.