DR. KIMBALL N PRATT (NPI# 1588608293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588608293 |
| Entity Type | Individual |
| Full Name | DR. KIMBALL N PRATT |
| Credential | M.D. |
| Practice Address |
620 24th Ave Sw Norman OK 73069 |
| Mailing Address |
1122 Ne 13th St Ori 236 Oklahoma City OK 73117-1039 |
| Practice Telephone | 4053255800 |
| Mailing Telephone | 4053255800 |
| Mailing Fax Number | 4057015927 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2013-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 26028 | OK | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 4301065100 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3147543-10 | 05 | |
| OK | 200194340A | 05 | |
| MI | BLUE CROSS | 1406100832 | 01 |
| Street Address |
620 24TH AVE SW |
| City | NORMAN |
| State | OK |
| Zip Code | 73069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780296947 | Catherine A Dean | Registered Nurse | 620 24th Ave Sw, Norman, OK 73069-3913 | 2020-08-19 |
| 1245740968 | Daniel Williamson | Registered Nurse | 620 24th Ave Sw, Norman, OK 73069-3913 | 2017-10-08 |
| 1518183417 | Rilla K Walker | Physician Assistant | 620 24th Ave Sw, Ou Norman Neurosurgery, Norman, OK 73069-3913 | 2007-04-18 |
| 1528195252 | Daniel Clay Cochran | Neurological Surgery | 620 24th Ave Sw, Norman, OK 73069-3913 | 2007-02-28 |
| 1912044322 | Veronica E Worrell | Physician Assistant | 620 24th Ave Sw, Norman, OK 73069-3913 | 2007-02-01 |
| 1194899732 | Affordable Quality Healthcare, LLC | Nurse Practitioner | 620 24th Ave Sw, Norman, OK 73069-3913 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1841828290 | Cheryl Renee Stoepker | Nurse Practitioner | 3441 24th Ave Nw, Norman, OK 73069 | 2020-03-31 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| 1528539376 | Monika Potdar | Pharmacist | 2550 Mount Williams Dr, Norman, OK 73069 | 2018-12-05 |
| 1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
| 1528536109 | Summit Health and Wellness Center LLC | Counselor | 2770 Washington Dr, Suite 100, Norman, OK 73069 | 2018-11-13 |
| 1386121960 | Sarah Lawhead | Case Manager/Care Coordinator | 525 Dakota St, Norman, OK 73069 | 2018-07-25 |
| 1528554433 | Katie Blankenship | Occupational Therapist | 330 W Grey Street 100-2, Norman, OK 73069 | 2018-07-03 |
| 1568918886 | Brandi Deerinwater | Case Manager/Care Coordinator | 321 S Peters, Norman, OK 73069 | 2016-08-28 |
| Find all providers in zip 73069 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750317137 | Norman Neurosurgical PC | Neurological Surgery | 2412 Palmer Cir, Norman, OK 73069-6301 | 2006-06-25 |
| 1104036920 | Shon Cook Md Pllc | Neurological Surgery | 3400 W Tecumseh Rd, Suite 304, Norman, OK 73072-1810 | 2007-05-23 |
| 1942410832 | Jeffrey P Nees Md PC | Neurological Surgery | 3400 W Tecumseh Rd, Suite 305, Norman, OK 73072-1810 | 2007-05-22 |
| 1528195252 | Daniel Clay Cochran | Neurological Surgery | 620 24th Ave Sw, Norman, OK 73069-3913 | 2007-02-28 |
| 1760401780 | James Michael Alvis | Neurological Surgery | 2412 Palmer Cir, Norman, OK 73069-6301 | 2006-07-19 |
| 1629060660 | Shon William Cook | Neurological Surgery | 3400 W Tecumseh Rd, Norman, OK 73072 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114560554 | Secure Interpretation, LLC | Neurological Surgery | 5561 South Lewis Ave, Tulsa, OK 74105 | 2019-10-17 |
| 1710540257 | David M Mckalip Md Pllc | Neurological Surgery | 5108 W Gore Blvd Ste 2b, Lawton, OK 73505-6025 | 2019-04-19 |
| 1215356589 | Zoya Alexandrovna Voronovich | Neurological Surgery | 1000 N Lincoln Blvd Ste 300, Oklahoma City, OK 73104-3252 | 2014-04-15 |
| 1588912034 | Carrissa Candler Md Pllc | Neurological Surgery | 120 N Bryant Ave Ste A6, Edmond, OK 73034-6300 | 2012-08-15 |
| 1396034047 | Saints Medical Group, LLC | Neurological Surgery | 800 Nw 9th St Ste 201, Oklahoma City, OK 73106-7253 | 2011-04-04 |
| 1669784351 | Thomas D. Reeder II, D.o., P.C. | Neurological Surgery | 2212 Nw 47th St, Oklahoma City, OK 73112-8848 | 2010-07-09 |
| 1215252440 | Joanna Elizabeth Gernsback | Neurological Surgery | 1000 N Lincoln Blvd # 4000, Oklahoma City, OK 73104-3252 | 2010-03-31 |
| 1811222094 | John Albert Coates | Neurological Surgery | 6416 S Quebec Ave, Tulsa, OK 74136-1611 | 2009-10-06 |
| 1003050493 | Tyler Sean Auschwitz | Neurological Surgery | 2000 South Wheeling, Ste 200, St. Johns Neuroscience Institute, Tulsa, OK 74104 | 2009-04-29 |
| 1881867547 | Rongsheng Cai | Neurological Surgery | 6151 S Yale Ave Ste 2403, Tulsa, OK 74136-1907 | 2008-04-02 |
| Find all providers with the same taxonomy | ||||
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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.