STEPHANIE JEANNETH PENA-THARAYIL (NPI# 1497011977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497011977 |
| Entity Type | Individual |
| Full Name | STEPHANIE JEANNETH PENA-THARAYIL |
| Credential | M.D |
| Practice Address |
4444 E 41st St Tulsa OK 74135-2527 |
| Mailing Address |
8001 S Mingo Rd Apt 312 Tulsa OK 74133-0802 |
| Practice Telephone | 9186194400 |
| Mailing Telephone | 7862771704 |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2014-11-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 29107 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
4444 E 41ST ST |
| City | TULSA |
| State | OK |
| Zip Code | 74135-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629061213 | John William Ervin | Obstetrics & Gynecology | 4444 E 41st St, Tulsa, OK 74135-2527 | 2005-08-30 |
| 1891395000 | Gabrielle Fleming | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-10-27 |
| 1033717210 | Rachel Nichols | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-10-11 |
| 1336756089 | Hussan Gill | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-27 |
| 1508473430 | Elizabeth Wells | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-24 |
| 1649887753 | Savanna Rae Smith | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-23 |
| 1699381939 | Christopher John Jarrett | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-22 |
| 1275149635 | Anne Marie Nguyen | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-21 |
| 1114532652 | Katlynn Hendrix | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-11 |
| 1720693252 | Miri Elizabeth Wolfe | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679067664 | Laurie Ann Alfrey | Pediatrics | 1025 E 18th St, Tulsa, OK 74120-7406 | 2018-06-21 |
| 1114468436 | Vanessa Boshuizen | Pediatrics | 12020 E 31st St, Tulsa, OK 74146-2001 | 2017-03-20 |
| 1407390115 | Empower Pediatrics | Pediatrics | 9659 Riverside Pkwy, Tulsa, OK 74137-7398 | 2016-12-14 |
| 1346660834 | Amber Lee Shipman | Pediatrics | 3516 E 31st Street South, Suite B, Tulsa, OK 74135 | 2014-04-23 |
| 1811239569 | Sara Mcdonald | Pediatrics | 1919 S Wheeling Ave Ste 304, Tulsa, OK 74104-5632 | 2013-03-20 |
| 1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
| 1588982219 | Mary Emlyn Garber Baird | Pediatrics | 4444 East 41st Street, Ou Pediatrics, Tulsa, OK 74135-2512 | 2010-05-05 |
| 1982859963 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 4502 E 41st Street, 2g08, Ou Physicians Tulsa Community Health, Tulsa, OK 74135-2529 | 2008-11-18 |
| 1184872004 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 619 S. Quincy Ave., Ouptch-laura Dester Shelter, Tulsa, OK 74120 | 2008-09-04 |
| 1437307550 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 8811 E. 31st Street South, Ouptch-skelly, Tulsa, OK 74145 | 2008-09-03 |
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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.