LAURA LYNN BODE (NPI# 1578853651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578853651 |
| Entity Type | Individual |
| Full Name | LAURA LYNN BODE |
| Credential | D.O. |
| Practice Address |
717 S Houston Ave Ste 400 Tulsa OK 74127 |
| Mailing Address |
717 S Houston Ave Ste 400 Tulsa OK 74127-9007 |
| Practice Telephone | 9183824600 |
| Mailing Telephone | 9183824600 |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2019-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 5185 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200440820B | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 S Peoria Ave, Tulsa, OK 741203820 | 9185881900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548441652 | Laura Jean Bode | Radiologic Technologist | 4921 Park View Place, St Louis, MO 63110 | 2007-11-16 |
| Street Address |
717 S HOUSTON AVE STE 400 |
| City | TULSA |
| State | OK |
| Zip Code | 74127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417150798 | Heather Dawn Rector | Pediatrics | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2007-06-06 |
| 1316574742 | Nidhi Rajesh Gandhi | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2020-03-25 |
| 1447887997 | Kimberly Dawn Harrison | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2020-03-25 |
| 1316574692 | Jill Kristine Hilden | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2020-03-25 |
| 1942837505 | Taiwo Ajumobi | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2020-03-24 |
| 1629605258 | Gretchan Lopez | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2020-03-24 |
| 1619504214 | Russell Davis | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2020-03-24 |
| 1013543917 | Christine Susan Kurien | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2020-03-23 |
| 1275160020 | Ryan Leachman | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2020-03-23 |
| 1467088468 | David George | Student in an Organized Health Care Education/Training Program | 717 S Houston Ave Ste 400, Tulsa, OK 74127-9007 | 2020-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366966699 | Tarell Lynell Earl | Case Manager/Care Coordinator | 602 N. 28th W. Pl., Tulsa, OK 74127 | 2017-07-28 |
| 1023538014 | Milton Dean IIi | Counselor | 1234 N Rosedale, Tulsa, OK 74127 | 2017-06-21 |
| 1740700988 | Lisa Lee Ann Gilliland | Case Manager/Care Coordinator | 2001 W Ute Pl, Tulsa, OK 74127 | 2017-06-20 |
| 1114456498 | Kevin Thomas Jackson | Counselor | 310 S 49th W Ave, Tulsa, OK 74127 | 2017-06-08 |
| 1427406180 | Byron Conrad Dixon Jr. | Case Manager/Care Coordinator | 551 N. 28th W. Ave., Tulsa, OK 74127 | 2016-06-02 |
| 1548621568 | Brandon Worth | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2016-03-18 |
| 1073987467 | Jo Lowe | Social Worker | 420 S. Lawton Ave. Apt 315, Tulsa, OK 74127 | 2015-11-23 |
| 1154718575 | William Hughes | Health Educator | 3101 W Edison, Tulsa, OK 74127 | 2015-04-23 |
| 1801289665 | Kristyn Janelle Zrenda | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2015-03-17 |
| 1831595719 | Mallory Yarbrough | Counselor | 3005 N 24th West Ave, Tulsa, OK 74127 | 2014-11-05 |
| Find all providers in zip 74127 | ||||
| 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 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on LAURA LYNN BODE.
| 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.