TIMOTHY L GRODE


Address: 13313 N Meridian Ave, Building D, Oklahoma City, OK 73120-8380
Phone: 4057554290

TIMOTHY L GRODE (NPI# 1639164163) 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) 1639164163
Entity Type Individual
Full Name TIMOTHY L GRODE
Credential MD
Practice Address 13313 N Meridian Ave
Building D
Oklahoma City
OK 73120-8380
Mailing Address 4401 W Memorial Rd
Suite 140
Oklahoma City
OK 73134-1785
Practice Telephone 4057554290
Practice Fax Number 4057557773
Mailing Telephone 4057523162
Mailing Fax Number 4059365211
Enumeration Date 2005-09-12
Last Update Date 2014-11-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
12230 OK Allopathic & Osteopathic Physicians
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
12230 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK RAILROAD MEDICARE P00196981 01
OK 100187150B 05

Office Location

Street Address 13313 N MERIDIAN AVE
BUILDING D
City OKLAHOMA CITY
State OK
Zip Code 73120-8380

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134403157 Linda Lea, Aprn-cnp, Pllc Nurse Practitioner 13313 N Meridian Ave, Suite A-3, Oklahoma City, OK 73120-8380 2011-10-10
1740504018 Oklahoma City Asc LLC Nurse Anesthetist, Certified Registered 13313 N Meridian Ave, Building B, Oklahoma City, OK 73120-8380 2010-03-16
1679767594 Cohlmia Orthodontics Dentist 13313 N Meridian Ave, Suite D-4, Oklahoma City, OK 73120-8380 2007-09-04
1942493747 Ralph I Kanaan Internal Medicine 13313 N Meridian Ave, Bldg D, Oklahoma City, OK 73120-8380 2007-08-24
1639220437 Tarek A Dernaika Internal Medicine 13313 N Meridian Ave, Building D, Oklahoma City, OK 73120-8380 2007-01-16
1285733345 Shawn Keith Lee Internal Medicine 13313 N Meridian Ave, Building D, Oklahoma City, OK 73120-8380 2006-09-22
1346349404 Stephen Neil Adler Internal Medicine 13313 N Meridian Ave, Bldg D, Oklahoma City, OK 73120-8380 2006-09-22
1427067628 Seyed M Alamian Internal Medicine 13313 N Meridian Ave, Building D, Oklahoma City, OK 73120-8380 2006-08-05
1265455604 Thara Rani Damodaran Internal Medicine 13313 N Meridian Ave, Building D, Oklahoma City, OK 73120-8380 2006-07-26
1366496218 John R Harkess Internal Medicine 13313 N Meridian Ave, Bldg D, Oklahoma City, OK 73120-8380 2006-05-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134768971 Nuvail Medical Services Inc In Home Supportive Care 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 2019-12-26
1134781677 Peak Solutions, LLC Clinic/Center 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 2019-07-05
1992363881 Laura Lynn's Home Care, LLC Home Health 9801 N May Ave, Oklahoma City, OK 73120 2019-06-05
1962992115 Erin Lyn Florer Occupational Therapist 12401 Trail Oak Dr, Oklahoma City, OK 73120 2018-05-14
1780171009 Diabetic Foot and Wound Center of Okfas Podiatrist 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 2018-04-23
1285134387 Motley Vision Professionals, Pllc Eyewear Supplier (Equipment, not the service) 9805 N. May Avenue, Oklahoma City, OK 73120 2018-02-15
1043729700 Jenna Marie Howard Social Worker 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 2017-09-26
1962928895 Susan Chacko Counselor 12000 N Virginia Avenue, Oklahoma City, OK 73120 2017-08-22
1023533262 Farris Ree Stroupe Audiologist 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 2017-08-09
1881116200 Rebekah Danielle Kabariti Counselor 12000 N. Virgnia Ave, Oklahoma City, OK 73120 2017-07-07
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417319096 Abed Madanieh Internal Medicine 800 Stanton L Young Blvd # 8400, Oklahoma City, OK 73104-5018 2016-03-23
1689966103 Anthony Xavier Troitino Internal Medicine 3366 Nw Expressway Ste 650, Oklahoma City, OK 73112-4490 2011-05-03
1164654117 Viral K Doshi Internal Medicine 13313 N Meridian Ave Ste D, Oklahoma City, OK 73120-8316 2009-08-10
1518007632 Saif Ullah Farooq Internal Medicine 4221 S Western Ave Ste 4005, Oklahoma City, OK 73109-3436 2007-02-07
1255419115 Mohammad I Paracha Internal Medicine 4221 S Western Ave Ste 2045, Oklahoma City, OK 73109-3445 2006-11-01
1891893657 Najwa Bahu Baugh Internal Medicine 3330 Nw 56th St Ste 208, Oklahoma City, OK 73112-4426 2006-09-20
1922064542 Norman Kerr Imes Internal Medicine 3613 Nw 56 Ste 150, Oklahoma City, OK 73112-4506 2006-04-22
1780651315 Stacey Lyn Foshee Internal Medicine 3048 Sw 89th St Ste B, Oklahoma City, OK 73159-6359 2006-03-02
1619599214 Anthony X Troitino Md Pllc Internal Medicine 3366 Nw Expressway Ste 650, Oklahoma City, OK 73112-4490 2020-05-18
1558909002 Oklahoma Pulmonary and Critical Care Pllc Internal Medicine 3524 Nw 56th St, Oklahoma City, OK 73112-4518 2019-12-16
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Competitor

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City OKLAHOMA CITY
Zip Code 73120

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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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