CARDIOVASCULAR SURGICAL SPECIALISTS CORP (NPI# 1457399859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457399859 |
| Entity Type | Organization |
| Organization Name | CARDIOVASCULAR SURGICAL SPECIALISTS CORP |
| Practice Address |
1373 E Boone St Suite 3400 Tahlequah OK 74464-3364 |
| Mailing Address |
2448 E 81st St Suite 5100 Tulsa OK 74137-4250 |
| Practice Telephone | 9184569500 |
| Practice Fax Number | 9184569569 |
| Mailing Telephone | 9185842500 |
| Mailing Fax Number | 9185844634 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2015-03-12 |
| Authorized Official Name | DR. GEORGE SHAKER COHLMIA JR. (OWNER AND PRESIDENT OF COMPANY) |
| Authorized Official Telephone | 9185842500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 15023 | OK | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | CARDIOVASCULAR SURGICAL SPECIALISTS CORP. | 1265 S Utica Ste 105, Tulsa, OK 74104 |
| Street Address |
1373 E BOONE ST SUITE 3400 |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464-3364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710384672 | Osu Center for Health Sciences | Clinic/Center | 1373 E Boone St, Suite #3401, Tahlequah, OK 74464-3364 | 2014-11-20 |
| 1063725901 | Bilal Aziz | Internal Medicine | 1373 E Boone St, Suite 1201, Tahlequah, OK 74464-3364 | 2010-07-20 |
| 1740515378 | Platte Dialysis LLC | Clinic/Center | 1373 E Boone St, Tahlequah, OK 74464-3330 | 2009-10-15 |
| 1447428537 | Gary Scott Taggart | Physician Assistant | 1373 E Boone St, Suite 3401, Tahlequah, OK 74464-3330 | 2008-02-12 |
| 1124061551 | George Shaker Cohlmia Jr. | Specialist | 1373 E Boone St, Suite 3400, Tahlequah, OK 74464-3364 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992193130 | George S. Cohlmia | Specialist | 1373 E Boone St Ste 3400, Tahlequah, OK 74464-3365 | 2014-12-22 |
| 1710377064 | Cardiovascular Capital | Specialist | 1373 E Boone St Ste 3400, Tahlequah, OK 74464-3365 | 2015-01-26 |
| 1427498211 | Teresa Jean Roberts | Specialist | 1 Plaza South St, Tahlequah, OK 74464-4750 | 2013-06-26 |
| 1780808980 | Tahlequah Orthopedic Surgery Services, LLC | Specialist | 1373 E. Boone St., Suite 3401, Tahlequah, OK 74464-3379 | 2007-04-12 |
| 1124061551 | George Shaker Cohlmia Jr. | Specialist | 1373 E Boone St, Suite 3400, Tahlequah, OK 74464-3364 | 2006-06-14 |
| 1548201288 | Francisco Efrain Bravo Jr. | Specialist | 1500 E. Downing, #102, Tahlequah, OK 74464 | 2006-06-10 |
| 1114918778 | Charles Pradieu | Specialist | 100 S Bliss Ave, 100 South Bliss Ave, Tahlequah, OK 74464-2512 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244317 | Hannah Robinette | Specialist | 1822 N Perkins Rd Apt 1535, Stillwater, OK 74075-3138 | 2020-10-28 |
| 1962001453 | Chantelle Nicole Craig | Specialist | 515 S Hafner St, Stillwater, OK 74074-3980 | 2020-10-26 |
| 1073131496 | Ginger Dawn Weber | Specialist | 1431 Hite Blvd, Enid, OK 73703-7938 | 2020-07-13 |
| 1558993568 | Ihelpc LLC | Specialist | 913 N Roosevelt Ave, Sand Springs, OK 74063-7329 | 2020-02-07 |
| 1467092924 | Gabrielle Mae Fielstra | Specialist | 1711 S 77th East Ave, Tulsa, OK 74112-7817 | 2020-01-13 |
| 1821649146 | Stacie Garrett | Specialist | 15487 State Highway 17, Fletcher, OK 73541-4011 | 2019-09-27 |
| 1992355994 | Heaven Lax | Specialist | 1229 Live Oak St, Muskogee, OK 74403-2542 | 2019-09-12 |
| 1295383289 | Keto Wellness and Hormone Clinic | Specialist | 900 N Porter Ave Ste 212, Norman, OK 73071-6485 | 2019-09-03 |
| 1932634789 | Suboxone Solutions LLC | Specialist | 10813 N Macarthur Blvd Ste W, Oklahoma City, OK 73162-6904 | 2017-04-28 |
| 1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
| 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.