MELVYN VANROY MAHON (NPI# 1558372854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558372854 |
Entity Type | Individual |
Full Name | MELVYN VANROY MAHON |
Credential | MD FACC |
Practice Address |
6151 S Yale Ave Suite 304 Tulsa OK 74136-1907 |
Mailing Address |
6600 S Yale Ave Suite 1400 Tulsa OK 74136-3310 |
Practice Telephone | 9184945300 |
Mailing Telephone | 9184886001 |
Enumeration Date | 2006-08-11 |
Last Update Date | 2008-02-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
12620 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | 126205 | 05 | |
SC | GP1217 | 05 | |
SC | GP2525 | 05 |
Street Address |
6151 S YALE AVE SUITE 304 |
City | TULSA |
State | OK |
Zip Code | 74136-1907 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659370401 | Charles William Mc Entee | Internal Medicine | 6151 S Yale Ave, Suite 304, Tulsa, OK 74136-1907 | 2005-07-14 |
1346799723 | Andrew Murray Thompson | Nurse Practitioner | 6151 S Yale Ave, Suite A-100, Tulsa, OK 74136-1907 | 2016-09-27 |
1730540584 | Matthew Jezik | Specialist/Technologist, Other | 6151 S Yale Ave, Suite 1301, Tulsa, OK 74136-1907 | 2016-03-08 |
1902267750 | Tambra Sharrock | Specialist/Technologist, Other | 6151 S Yale Ave, Suite 1301, Tulsa, OK 74136-1907 | 2016-03-08 |
1013386259 | Jasmine Thompson | Nurse Practitioner | 6151 S Yale Ave, Suite 1304, Tulsa, OK 74136-1907 | 2015-09-17 |
1801207493 | Carly Ann Dykstra Kubat | Pediatrics | 6151 S Yale Ave, Tulsa, OK 74136-1907 | 2014-05-16 |
1942630660 | Rebecca Wilton | Nurse Practitioner | 6151 S Yale Ave, Level B, Tulsa, OK 74136-1907 | 2013-11-15 |
1073942975 | Warren Clinic Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6151 S Yale Ave, Suite 1301, Tulsa, OK 74136-1907 | 2013-11-01 |
1013351881 | Megan Elizabeth Renz | Nurse Practitioner | 6151 S Yale Ave, Suite A-100, Tulsa, OK 74136-1907 | 2013-04-24 |
1639410764 | Sheila L Hamilton | Nurse Practitioner | 6151 S Yale Ave, Suite 1301, Tulsa, OK 74136-1907 | 2013-03-14 |
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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 | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346784683 | Osu Cardiology | Internal Medicine | 802 S Jackson Ave, Suite 225, Tulsa, OK 74127-9015 | 2016-12-06 |
1174956890 | Sahil Agrawal | Internal Medicine | 6151 S Yale Ave Ste 100a, Tulsa, OK 74136-1929 | 2013-08-16 |
1104180553 | Ajay Joseph | Internal Medicine | 6151 S Yale Ave Ste 1304, Tulsa, OK 74136-1907 | 2012-06-30 |
1396004636 | Tucker James Harrison | Internal Medicine | 802 S Jackson Ave Ste 225, Tulsa, OK 74127-9049 | 2012-05-07 |
1831333566 | Harsh Chittaranjan Patel | Internal Medicine | 6151 S Yale Ave Ste 1304, Tulsa, OK 74136-1907 | 2009-04-24 |
1316005333 | Robert Louis Smith Jr. | Internal Medicine | 9228 S Mingo Rd, Suite 200, Tulsa, OK 74133-5718 | 2006-12-04 |
1043272982 | Michael P Carney | Internal Medicine | 802 S Jackson Ave, Suite 500, Tulsa, OK 74127-9015 | 2006-04-05 |
1497725857 | John G Ivanoff | Internal Medicine | 10505 E 91st St, Suite 208, Tulsa, OK 74133-5801 | 2006-01-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710479324 | Parkway H&v | Internal Medicine | 3200 Quail Springs Pkwy Ste 100, Oklahoma City, OK 73134-2698 | 2018-05-31 |
1003315946 | Cardiac Cin of Oklahoma City LLC | Internal Medicine | 10601 S Western Ave # 3, Oklahoma City, OK 73170-6201 | 2018-02-06 |
1891097358 | Khurram Liaqat | Internal Medicine | 9020 E Reno Ave Ste 200, Midwest City, OK 73130-3336 | 2010-12-03 |
1629118740 | Raghav Gupta | Internal Medicine | 5401 N Portland Ave Ste 380, Oklahoma City, OK 73112 | 2007-02-07 |
1699886077 | Bryan Allen Lucenta | Internal Medicine | 101 Rockefeller Dr Ste 100, Muskogee, OK 74401-5050 | 2006-08-31 |
1811996861 | Grand Lake Regional Cardiology Services LLC | Internal Medicine | 1001 E 18th St, Grove, OK 74344-2907 | 2005-07-20 |
1760486484 | Francis H Oliver | Internal Medicine | 731 12th Ave Nw, Ardmore, OK 73401-5761 | 2005-06-09 |
1801358981 | Cok Care of Ok, LLC | Internal Medicine | 10601 S Western Ave Ste 3, Oklahoma City, OK 73170-6201 | 2019-04-05 |
1447754007 | Rajaram Md Pllc | Internal Medicine | 105 S Bryant Ave, Edmond, OK 73034 | 2018-03-20 |
1063850832 | Ssm Healthcare of Ok, Inc | Internal Medicine | 608 Nw 9th St, Suite 4000, Oklahoma City, OK 73102-1068 | 2013-06-13 |
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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.