EAR NOSE & THROAT CLINIC OF TULSA, INC (NPI# 1518028125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518028125 |
Entity Type | Organization |
Organization Name | EAR NOSE & THROAT CLINIC OF TULSA, INC |
Practice Address |
4444 S Harvard Ave #100 Tulsa OK 74135-2634 |
Practice Telephone | 9187440228 |
Practice Fax Number | 9187446613 |
Mailing Telephone | 9187440228 |
Mailing Fax Number | 9187446613 |
Enumeration Date | 2006-12-13 |
Last Update Date | 2020-08-22 |
Authorized Official Name | C KATHLEEN WORRALL (OFFICE ADMINISTRATION) |
Authorized Official Telephone | 9187440228 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
Allopathic & Osteopathic Physicians |
Street Address |
4444 S HARVARD AVE #100 |
City | TULSA |
State | OK |
Zip Code | 74135-2634 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124021191 | John Thomas Romano | Ophthalmology | 4444 S Harvard Ave, Ste 300, Tulsa, OK 74135-2611 | 2005-05-24 |
1992368278 | On The Cusp Midtown Pllc | Dentist | 4444 S Harvard Ave, Tulsa, OK 74135-2634 | 2019-04-22 |
1851814180 | Rebecca Heath | Optometrist | 4444 S Harvard Ave, Tulsa, OK 74135-2634 | 2017-07-18 |
1962758078 | Amy E Slama | Optometrist | 4444 S Harvard Ave, #300, Tulsa, OK 74135-2634 | 2012-07-26 |
1598941338 | Raymond C. Bothell & Associates, Inc. | Clinic/Center | 4444 S Harvard Ave, Suite 100, Tulsa, OK 74135-2634 | 2008-01-10 |
1780738583 | Raymond Cameron Bothell | Audiologist | 4444 S Harvard Ave, Suite 100, Tulsa, OK 74135-2634 | 2007-01-22 |
1811058407 | W Wes Mcfarland | Otolaryngology | 4444 S Harvard Ave, #100, Tulsa, OK 74135-2634 | 2006-12-13 |
1568523165 | Donald M Dushay | Otolaryngology | 4444 S Harvard Ave, #100, Tulsa, OK 74135-2634 | 2006-12-13 |
1922107648 | Adelaide L Priester | Ophthalmology | 4444 S Harvard Ave, Suite 300, Tulsa, OK 74135-2634 | 2006-09-21 |
1366445900 | Richard Elliott Mills | Ophthalmology | 4444 S Harvard Ave, Ste 300, Tulsa, OK 74135-2611 | 2005-05-27 |
Find all providers in the same location |
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 | 207YX0007X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Plastic Surgery within the Head & Neck |
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811058407 | W Wes Mcfarland | Otolaryngology | 4444 S Harvard Ave, #100, Tulsa, OK 74135-2634 | 2006-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962697987 | Perry M. Santos Md | Otolaryngology | 3435 Nw 56th St, Bldg A, Suite 412, Oklahoma City, OK 73112-4448 | 2007-09-12 |
1982721098 | Jose Antonio Sanclement | Otolaryngology | 825 Ne 10th, Suite 4200, Oklahoma City, OK 73104 | 2007-03-23 |
1457441180 | Oklahoma City Ear, Nose & Throat Clinic, PC | Otolaryngology | 535 Nw 9th St, Suite 300, Oklahoma City, OK 73102-1068 | 2006-10-13 |
Please comment or provide details below to improve the information on EAR NOSE & THROAT CLINIC OF TULSA, INC.
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.