DR. EDWIN LYNN MCCREARY


Address: 1809 E 13th St, Suite 402, Tulsa, OK 74104-4419
Phone: 9185793850

DR. EDWIN LYNN MCCREARY (NPI# 1609820034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609820034
Entity Type Individual
Full Name DR. EDWIN LYNN MCCREARY
Credential M.D.
Practice Address 1809 E 13th St
Suite 402
Tulsa
OK 74104-4419
Mailing Address 1245 S Utica Ave
Fl 1
Tulsa
OK 74104-4214
Practice Telephone 9185793850
Practice Fax Number 9185793859
Mailing Telephone 9185793850
Mailing Fax Number 9185793859
Enumeration Date 2006-05-20
Last Update Date 2016-01-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
22240 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK 100137340A 05

Office Location

Street Address 1809 E 13TH ST
SUITE 402
City TULSA
State OK
Zip Code 74104-4419

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861453102 Brian A. Chalkin Orthopaedic Surgery 1809 E 13th St, Suite 100, Tulsa, OK 74104-4419 2006-03-28
1346779923 Alyssa Puckett Occupational Therapist 1809 E 13th St, Tulsa, OK 74104-4419 2017-06-07
1275088635 Samantha Kuplicki Registered Nurse 1809 E 13th St, Ste 400, Tulsa, OK 74104-4419 2016-08-15
1174975486 Osu Center for Health Sciences Clinic/Center 1809 E 13th St, Suite 400, Tulsa, OK 74104-4419 2016-07-11
1063803146 Tiffany Marie Ngo Nurse Practitioner 1809 E 13th St, Suite 400, Tulsa, OK 74104-4419 2015-02-11
1114340627 Cerberus Surgical, Pllc Surgery 1809 E 13th St, Suite 200, Tulsa, OK 74104-4419 2014-02-04
1124468848 Integrated Toxicology LLC Clinical Medical Laboratory 1809 E 13th St, Ste 300, Tulsa, OK 74104-4419 2013-06-26
1780935320 Matthew Paul Giuliano Physical Therapist 1809 E 13th St, Suite 100, Tulsa, OK 74104-4419 2012-09-22
1528333515 Amy Suzanne Garner Nurse Practitioner 1809 E 13th St, Tulsa, OK 74104-4419 2012-03-09
1689943870 Shannon Nicole Delloiacono Physician Assistant 1809 E 13th St, Ste. 400, Tulsa, OK 74104-4419 2011-12-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982253811 Ultimate Health and Pain Management Pain Medicine 1844 East 15th Street, Tulsa, OK 74104 2019-09-04
1225691223 David Murray Student in an Organized Health Care Education/Training Program 2100 S Wheeling Ave, Tulsa, OK 74104 2019-04-16
1083115828 Susan Fortner Counselor 1328 S. Delaware Pl, Tulsa, OK 74104 2018-02-27
1033636915 Mark Brizendine Dietitian, Registered Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 2017-08-23
1295259067 Demi Reyd Cook Nurse Practitioner 1717 A South Utica, Tulsa, OK 74104 2017-08-02
1851827059 Oklahoma Cvs Pharmacy Durable Medical Equipment & Medical Supplies 1701 E 15th Street, Tulsa, OK 74104 2017-05-08
1801334982 Jamie Lynne Miller Internal Medicine 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 2017-02-08
1578913430 Donna Durant-macon Registered Nurse 315 South Utica, Tulsa, OK 74104 2016-06-21
1669833851 Mbc Dental Dentist 401 S. Utica Ave, #a, Tulsa, OK 74104 2016-03-15
1518332170 Neuro Dynamics LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 22 S Lewis, Tulsa, OK 74104 2015-12-08
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730403882 Oklahoma Oncology and Hematology, P.C. Internal Medicine 1810 E 15th St, Tulsa, OK 74104-4611 2010-03-18
1093782245 John L. Eckenrode Internal Medicine 11212 E 48th St, Tulsa, OK 74146 2006-03-07
1255334496 Barry Clinton Mirtsching Internal Medicine 6161 S Yale Ave, Tulsa, OK 74136-1902 2005-05-23
1376969378 Oncology Physicians LLC Internal Medicine 7107 S Yale Ave, No,198, Tulsa, OK 74136-6308 2014-03-14
1568721033 Jessica Ann Kreitzberg Internal Medicine 11212 E 48th St, Tulsa, OK 74146-5824 2012-05-03
1336406685 Chelsea Nicole Thomas Internal Medicine 11212 E 48th St, Tulsa, OK 74146 2012-04-11
1669745667 Amara Gayathri Nandikolla Internal Medicine 1245 S Utica Ave, Ste 100, Tulsa, OK 74104 2012-02-22
1083920425 Nikhil Mukhi Internal Medicine 11212 E 48th St, Tulsa, OK 74146-5824 2010-08-24
1235398066 Laura K Brett Internal Medicine 1809 E 13th St, Suite 402, Tulsa, OK 74104-4419 2008-06-06
1770790289 Supriya Koya Internal Medicine 1919 S Wheeling Ave, Ste 204, Tulsa, OK 74104-5638 2007-05-16
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City TULSA
Zip Code 74104

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Dataset Information

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.

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