ROOPA THUKARAM (NPI# 1629124201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629124201 |
| Entity Type | Individual |
| Full Name | ROOPA THUKARAM |
| Credential | MD |
| Practice Address |
6161 S Yale Ave Tulsa OK 74136-1902 |
| Mailing Address |
6600 S Yale Ave Suite 1400 Tulsa OK 74136-3310 |
| Practice Telephone | 9185026135 |
| Mailing Telephone | 9184886001 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2010-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
27128 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200247950A | 05 |
| Street Address |
6161 S YALE AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74136-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334496 | Barry Clinton Mirtsching | Internal Medicine | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2005-05-23 |
| 1295334977 | Linda Mccall Williams | Nurse Practitioner | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-10-22 |
| 1487253530 | Nikkira Renae Barnes | Nurse Practitioner | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-10-20 |
| 1114524998 | Garrett Anthony Hastings | Registered Nurse | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-10-05 |
| 1891308532 | Kristy Mckinnie | Nurse Practitioner | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-08-24 |
| 1508478439 | Jessica Lynn Avila | Nurse Practitioner | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-08-21 |
| 1447878632 | Heather Ann Durow | Respiratory Therapist, Registered | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-07-14 |
| 1518584374 | Kellie Jean Norris | Registered Nurse | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-06-28 |
| 1417585654 | Thomas Weaver | Physician Assistant | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2020-04-01 |
| 1205464773 | Catherine Grantham | Dietitian, Registered | 6161 S Yale Ave, Tulsa, OK 74136-1992 | 2020-03-31 |
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| 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 | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598852428 | Timothy Glenn Carroll | Pediatrics | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2006-10-10 |
| 1174540785 | Jennifer T. Jenkins | Pediatrics | 6151 S Yale Ave, Tulsa, OK 74136-1907 | 2006-07-17 |
| 1083658447 | Mahmood Hussain Khichi | Pediatrics | 6161 S Yale Ave, Picu, Tulsa, OK 74136-1902 | 2006-06-16 |
| 1689659823 | Roger Phil Barton | Pediatrics | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861422628 | Randall M Schwartz | Pediatrics | 750 Ne 13th St Ste 200, Oklahoma City, OK 73104-5024 | 2006-07-04 |
| 1871126193 | Jessica Scaramucci | Pediatrics | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-02-14 |
| 1922369610 | Steven Nye | Pediatrics | 3300 Nw Expressway, Oklahoma City, OK 73112 | 2012-05-30 |
| 1972635134 | Emilie Henry | Pediatrics | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2007-03-12 |
| 1205864253 | Pediatric Intensive Care Services Inc | Pediatrics | 3300 Nw Expressway St, #100 3135, Oklahoma City, OK 73112-4418 | 2006-06-29 |
| 1629013883 | Johnny Ray Griggs | Pediatrics | 3300 Nw Expressway St, 100 3135, Oklahoma City, OK 73112-4418 | 2006-06-19 |
| 1215981881 | Martin Alswang | Pediatrics | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2006-05-19 |
| 1881662054 | Andrew K Gormley | Pediatrics | 940 Ne 13th St, 6g6115, Oklahoma City, OK 73104-5008 | 2006-03-14 |
| 1154399426 | Morris R Gessouroun | Pediatrics | 940 Ne 13th St, 6g6115, Oklahoma City, OK 73104-5008 | 2006-03-10 |
| 1972571271 | Helen C Allen | Pediatrics | 940 Ne 13th St, 2b2416, Oklahoma City, OK 73104-5008 | 2006-03-10 |
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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.