DR. JESSICA REY CHILDE (NPI# 1568784957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568784957 |
Entity Type | Individual |
Full Name | DR. JESSICA REY CHILDE |
Credential | D.O. |
Practice Address |
4802 S 109th East Ave Tulsa OK 74146-5822 |
Practice Telephone | 9183921400 |
Practice Fax Number | 9183921488 |
Mailing Telephone | 9183921400 |
Mailing Fax Number | 9183921488 |
Enumeration Date | 2010-02-25 |
Last Update Date | 2017-01-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
5910 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 200649470A | 05 |
Street Address |
4802 S 109TH EAST AVE |
City | TULSA |
State | OK |
Zip Code | 74146-5822 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275500415 | Jaafar M Bazih | Orthopaedic Surgery | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2006-03-07 |
1285294710 | Tbj Advanced Care LLC | Orthopaedic Surgery | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2019-06-17 |
1003391905 | Rebecca Holland | Physician Assistant | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2018-09-27 |
1730685314 | Johnathon David Millwee | Specialist/Technologist | 4802 S 109th East Ave, Tulsa, OK 74146 | 2018-04-03 |
1124400064 | Craig Stewart | Physical Therapist | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2015-06-28 |
1396155222 | Rey Amezquita | Orthotist | 4802 S 109th East Ave, Brace Shop, Tulsa, OK 74146-5822 | 2014-04-30 |
1700223070 | Thomas Calvin Blair IIi | Physical Therapist | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2013-05-28 |
1396082137 | Ashley Linn Legg | Physician Assistant | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2013-01-14 |
1417251372 | Luis Hernandez | Physician Assistant | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2011-01-06 |
1720306277 | Jason Griffin | Orthopaedic Surgery | 4802 S 109th East Ave, Tulsa, OK 74146-5822 | 2010-05-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
1184158404 | Alexis Lauren Allen | Case Manager/Care Coordinator | 9820 E 41st St #400, Tulsa, OK 74146 | 2017-04-13 |
1578995908 | Adrian Gheorghe Butuc | Massage Therapist | 5635 S Mingo #b, Tulsa, OK 74146 | 2013-08-08 |
1336587088 | Tulsa Cancer Institute, Pllc | Obstetrics & Gynecology | 12697 E. 51st St. South, Tulsa, OK 74146 | 2013-06-04 |
1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
1619232972 | Diagnostic Imaging Associates | General Acute Care Hospital | 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 | 2012-07-11 |
1790046654 | Aundra Lamar Fuller | Behavioral Analyst | 10922 E. 39th St., Tulsa, OK 74146 | 2012-06-06 |
1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
1922307958 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5115 S. 122nd East Ave., Suite 204, Tulsa, OK 74146 | 2011-03-16 |
Find all providers in zip 74146 |
Taxonomy Code | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245256486 | Broken Arrow Orthopedics Inc | Orthopaedic Surgery | 10507 E 91st St Ste 350, Tulsa, OK 74133-5598 | 2006-07-14 |
1730120155 | Jean-louis Gabriel | Orthopaedic Surgery | 10507 E 91st St Ste 450, Tulsa, OK 74133-5515 | 2006-06-09 |
1558771618 | Christopher Treat | Orthopaedic Surgery | 1809 E 13th St Ste 402, Tulsa, OK 74104-4431 | 2014-04-29 |
1407002694 | Paul A. Howard, M.d., P.C. | Orthopaedic Surgery | 6048 S Sheridan Rd, Tulsa, OK 74145-9212 | 2008-08-07 |
1245427558 | St. John Physicians, Inc. | Orthopaedic Surgery | 2000 S Wheeling Ave, Suite 900, Tulsa, OK 74104-5649 | 2007-10-01 |
1649462375 | William Earl Harrison Jr. | Orthopaedic Surgery | 2000 S Wheeling Ave, Suite 900, Tulsa, OK 74104-5649 | 2007-08-16 |
1255373122 | Garrett Edward Watts | Orthopaedic Surgery | 10507 E 91st St, Ste 350, Tulsa, OK 74133-5598 | 2006-06-12 |
1336194406 | St John Physicians Inc | Orthopaedic Surgery | 1923 S Utica Ave, Davis Tower 200, Tulsa, OK 74104-6520 | 2006-05-24 |
1003816265 | James F Bischoff | Orthopaedic Surgery | 6475 S Yale Ave, Ste. 301, Tulsa, OK 74136-7816 | 2005-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306841903 | Houshang Seradge | Orthopaedic Surgery | 1044 Sw 44th St, Suite 518, Oklahoma City, OK 73109-3613 | 2005-06-20 |
1073679775 | Oklahoma Hand Surgery Center, Inc. | Orthopaedic Surgery | 10914 Hefner Pointe Dr, Suite 200, Oklahoma City, OK 73120-5066 | 2006-12-28 |
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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.