MICHAEL J PURTELL (NPI# 1639112220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639112220 |
Entity Type | Individual |
Full Name | MICHAEL J PURTELL |
Credential | M.D. |
Practice Address |
104 Nw 31st St Lawton OK 73505 |
Mailing Address |
104 Nw 31st St Lawton OK 73505-6100 |
Practice Telephone | 5805362121 |
Practice Fax Number | 5802505183 |
Mailing Telephone | 5805362121 |
Mailing Fax Number | 5802505183 |
Enumeration Date | 2006-06-13 |
Last Update Date | 2018-08-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
D19714 | MD | Allopathic & Osteopathic Physicians |
Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
D19714 | MD | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 311941600 | 05 |
Street Address |
104 NW 31ST ST |
City | LAWTON |
State | OK |
Zip Code | 73505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295714939 | Manal L. Robin-hanna | Internal Medicine | 104 Nw 31st St, Lawton, OK 73505-6100 | 2006-01-11 |
1578087243 | Monica Rhodes | Clinical Nurse Specialist | 104 Nw 31st St, Lawton, OK 73505-6100 | 2017-08-03 |
1588003719 | Trena Lanelle Stoute | Internal Medicine | 104 Nw 31st St, Lawton, OK 73505-6100 | 2013-06-20 |
1073787792 | Cancer Centers of Southwest Oklahoma, LLC | Radiology | 104 Nw 31st St, Lawton, OK 73505-6100 | 2008-04-14 |
1760667851 | Jose E. Najera | Internal Medicine | 104 Nw 31st St, Lawton, OK 73505-6100 | 2008-01-08 |
1417007139 | Eric Wyatt | Dermatology | 104 Nw 31st St, Lawton, OK 73505-6100 | 2007-01-12 |
1952499592 | Winona R Mackey | Radiology | 104 Nw 31st St, Lawton, OK 73505-6100 | 2006-10-10 |
1689692725 | James C Ziegler | Radiology | 104 Nw 31st St, Lawton, OK 73505 | 2006-07-17 |
1275512915 | Nadim F. Nimeh | Internal Medicine | 104 Nw 31st St, Lawton, OK 73505-6100 | 2006-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
Find all providers in zip 73505 |
Taxonomy Code | 207RX0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Medical Oncology |
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023358181 | Pinnacle Oncology Oklahoma PC | Internal Medicine | 301 N 32nd St, Muskogee, OK 74401-5037 | 2013-02-26 |
1568770105 | Oncology Services LLC | Internal Medicine | 2408 E 81st St, Suite 110, Tulsa, OK 74137-4200 | 2010-09-16 |
1295040806 | Issam Abdelkarim Hussein Alawin | Internal Medicine | 10109 E. 79th Street, Tulsa, OK 74133 | 2010-08-09 |
1841485216 | Asha Karippot | Internal Medicine | 10109 E. 79th Street, Tulsa, OK 74133 | 2007-09-10 |
1255472122 | Sumbal Nabi | Internal Medicine | 600 S Monroe St, Enid, OK 73701-7211 | 2007-02-12 |
1679688352 | Manjula Krishnamurthi | Internal Medicine | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2006-08-20 |
1104870344 | Aleda A Toma | Internal Medicine | 3525 Nw 56th St, Suite D100, Oklahoma City, OK 73112-4550 | 2006-05-20 |
1497717037 | Sagun Shrestha | Internal Medicine | 10109 E. 79th Street, Tulsa, OK 74133 | 2006-04-06 |
1235124330 | Rick G Mckinney | Internal Medicine | 500 E Robinson St, Suite 2100, Norman, OK 73071-6697 | 2005-09-14 |
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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.