COLIN MCKENNA (NPI# 1558884536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558884536 |
| Entity Type | Individual |
| Full Name | COLIN MCKENNA |
| Credential | MS ANESTHESIOLOGY |
| Practice Address |
6839 S Canton Ave Tulsa OK 74136-3402 |
| Mailing Address |
339 Consort Dr Ballwin MO 63011-4439 |
| Practice Telephone | 9183124685 |
| Mailing Telephone | 6363869224 |
| Mailing Fax Number | 6363867679 |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2019-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6839 S CANTON AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74136-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789337 | Christopher D. Emerson | Anesthesiology | 6839 S Canton Ave, Tulsa, OK 74136-3402 | 2005-06-10 |
| 1205336583 | Stephanie M Gotcher | Registered Nurse | 6839 S Canton Ave, Tulsa, OK 74136-3402 | 2018-02-13 |
| 1104330281 | Ryan Charles Johnson | Registered Nurse | 6839 S Canton Ave, Tulsa, OK 74136-3402 | 2017-11-27 |
| 1619489879 | Jamie Ann Mcanulty | Registered Nurse | 6839 S Canton Ave, Tulsa, OK 74136 | 2017-10-27 |
| 1477092344 | Kasey R Metts | Physician Assistant | 6839 S Canton Ave, Tulsa, OK 74136-3402 | 2017-02-13 |
| 1558809194 | Lindsay Rachelle Wuellner | Nurse Anesthetist, Certified Registered | 6839 S Canton Ave, Tulsa, OK 74136-3402 | 2017-02-02 |
| 1447616768 | Nikita Michelle Layson | Nurse Anesthetist, Certified Registered | 6839 S Canton Ave, Tulsa, OK 74136-3402 | 2016-01-04 |
| 1366817538 | Jessica Ovard | Nurse Anesthetist, Certified Registered | 6839 S Canton Ave, Tulsa, OK 74136-3402 | 2015-12-14 |
| 1588053698 | Melissa Anne Gilkison | Nurse Anesthetist, Certified Registered | 6839 S Canton Ave, Tulsa, OK 74136-3402 | 2015-01-13 |
| 1366840571 | Brittany Estes | Nurse Anesthetist, Certified Registered | 6839 S Canton Ave, Tulsa, OK 74136-3402 | 2014-12-22 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 74136 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881158178 | Ellen Chadick | Anesthesiologist Assistant | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2019-01-30 |
| 1528522810 | Hannah Chadick | Anesthesiologist Assistant | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2019-01-30 |
| 1497183743 | Tricia L Vowell | Anesthesiologist Assistant | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2013-10-24 |
| 1164655999 | Christopher Vincent Pollio | Anesthesiologist Assistant | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2009-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902429707 | Alex D Dumontier | Anesthesiologist Assistant | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-05-27 |
| 1558983387 | Anna S Kim | Anesthesiologist Assistant | 3300 Nw Expwy, Oklahoma City, OK 73112-4418 | 2020-05-14 |
| 1073134144 | Parker Thomas Richardson | Anesthesiologist Assistant | 3300 Nw Expwy, Oklahoma City, OK 73112-4418 | 2020-04-30 |
| 1225657711 | Tyra M Jenkins | Anesthesiologist Assistant | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-04-14 |
| 1528694148 | Savannah Schae Scott | Anesthesiologist Assistant | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2020-03-15 |
| 1306481239 | Kleopatra Ruddock | Anesthesiologist Assistant | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2019-11-14 |
| 1356983977 | Jason Robert Brogan | Anesthesiologist Assistant | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2019-10-15 |
| 1497307144 | Cody Ryan Gaul | Anesthesiologist Assistant | 5030 N May Ave, Oklahoma City, OK 73112-6010 | 2019-07-12 |
| 1699232736 | Jordan Michael Holt | Anesthesiologist Assistant | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2019-02-25 |
| 1881159085 | Small Group Anesthesia Services, LLC | Anesthesiologist Assistant | 4716 W Urbana St, Broken Arrow, OK 74012-5997 | 2019-02-01 |
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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.