UROLOGIC SPECIALISTS OF TULSA, INC (NPI# 1477762730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477762730 |
| Entity Type | Organization |
| Organization Name | UROLOGIC SPECIALISTS OF TULSA, INC |
| Practice Address |
6585 S Yale Ave Suite 640 Tulsa OK 74136-8384 |
| Practice Telephone | 9187283344 |
| Practice Fax Number | 9187283350 |
| Mailing Telephone | 9187283344 |
| Mailing Fax Number | 9187283350 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-01-22 |
| Authorized Official Name | DR. WESLEY TODD BROOKOVER (PRACTICE OWNER) |
| Authorized Official Telephone | 9187283344 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 18009 | OK | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 9730 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
6585 S YALE AVE SUITE 640 |
| City | TULSA |
| State | OK |
| Zip Code | 74136-8384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750380085 | Thomas W. Rickner | Urology | 6585 S Yale Ave, Suite 720, Tulsa, OK 74136-8384 | 2005-07-19 |
| 1477068393 | Katelynn Bass | Physical Therapist | 6585 S Yale Ave, Tulsa, OK 74136-8384 | 2017-12-14 |
| 1912412842 | Marie Chantal Pixley | Physical Therapist | 6585 S Yale Ave, Tulsa, OK 74136-8384 | 2017-12-14 |
| 1801301759 | Victor Brown | Physical Therapist | 6585 S Yale Ave, Tulsa, OK 74136-8384 | 2017-12-13 |
| 1598270449 | Caroline Julia Kelly | Speech-Language Pathologist | 6585 S Yale Ave, Tulsa, OK 74136-8384 | 2017-12-13 |
| 1285174193 | Employee Assistance Associates and Consultants of Oklahoma, Pllc | Counselor | 6585 S Yale Ave, Suite 340, Tulsa, OK 74136-8384 | 2017-02-27 |
| 1255871265 | Katherine Bockenheuser | Social Worker | 6585 S Yale Ave, #340, Tulsa, OK 74136-8384 | 2017-02-24 |
| 1114460649 | Kayla Unruh | Specialist | 6585 S Yale Ave, Suite 445, Tulsa, OK 74136-8384 | 2016-12-01 |
| 1558716480 | Rheumatology & Osteoporosis Institute of Oklahoma LLC | Internal Medicine | 6585 S Yale Ave, Ste 310, Tulsa, OK 74136-8384 | 2016-04-28 |
| 1104290071 | Amanda Dawn Small | Nurse Practitioner | 6585 S Yale Ave, Suite 1150, Tulsa, OK 74136-8384 | 2015-11-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003159773 | Philip D. Diggdon Sr. | Urology | 3424 E. 65 St, Tulsa, OK 74136 | 2013-04-01 |
| 1811247885 | Melanie Nyeh Ketchandji | Urology | 1145 South Utica Avenue, Suite 202, Tulsa, OK 74104-4022 | 2012-09-17 |
| 1184818551 | Sunshine Murray | Urology | 10901 E. 48th Street S., Tulsa, OK 74146-5830 | 2007-08-29 |
| 1588685093 | Michael Burwell Smith | Urology | 10901 E 48 St S, Tulsa, OK 74146 | 2006-07-21 |
| 1013937911 | Bruce Carlton Stoesser | Urology | 10901 E 48th St S, Tulsa, OK 74146-5830 | 2006-07-20 |
| 1013983741 | Kevin Joseph Gancarczyk | Urology | 10901 E 48th St, Tulsa, OK 74146-5830 | 2006-02-23 |
| 1912978511 | Curtis Ryan Powell | Urology | 10901 E. 48th St. S., Tulsa, OK 74146-5830 | 2006-01-31 |
| 1750380085 | Thomas W. Rickner | Urology | 6585 S Yale Ave, Suite 720, Tulsa, OK 74136-8384 | 2005-07-19 |
| 1992068829 | Logan Campbell | Urology | 6585 S Yale Ave Ste 720, Tulsa, OK 74136 | 2012-06-15 |
| 1215299284 | Nora Baker | Urology | 6585 S Yale Ave Ste 720, Tulsa, OK 74136-8320 | 2012-06-14 |
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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.