JOHN CLARK BUNDREN (NPI# 1649240045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649240045 |
Entity Type | Individual |
Full Name | JOHN CLARK BUNDREN |
Credential | MD |
Practice Address |
4444 E. 41st St 3rd Floor,ste B Tulsa OK 74135-2527 |
Mailing Address |
Po Box 268838 Oklahoma City OK 73126-8838 |
Practice Telephone | 9185820721 |
Practice Fax Number | 9185824751 |
Mailing Telephone | 9186603632 |
Mailing Fax Number | 9186603631 |
Enumeration Date | 2006-01-26 |
Last Update Date | 2007-10-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207V00000X | Obstetrics & Gynecology | 13630 | OK | Allopathic & Osteopathic Physicians |
Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
13630 | OK | Allopathic & Osteopathic Physicians |
Street Address |
4444 E. 41ST ST 3RD FLOOR,STE B |
City | TULSA |
State | OK |
Zip Code | 74135-2527 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255301651 | Ondria Chris Gleason | Psychiatry & Neurology | 4444 E. 41st St, 3rd Floor, Ste C, Tulsa, OK 74135-2527 | 2006-01-26 |
1013129329 | John Maxwell Carment | Internal Medicine | 4444 E. 41st St, 3rd Floor, Ste A, Tulsa, OK 74135-2527 | 2007-05-07 |
1679614291 | Sherry Diane Warlick | Advanced Practice Midwife | 4444 E. 41st St, 3rd Floor, Ste B, Tulsa, OK 74135-2527 | 2007-02-08 |
1184656530 | Hollie Lea Hawkins | Nurse Practitioner | 4444 E. 41st St, 2nd Floor, Ste A, Tulsa, OK 74135-2527 | 2006-07-07 |
1588638027 | Paulette Pommier Bennett | Pediatrics | 4444 E. 41st St, 2nd Floor, Ste A, Tulsa, OK 74135-2527 | 2006-02-13 |
1235101114 | Sarah Joanne Passmore | Pediatrics | 4444 E. 41st St, 2nd Floor, Ste A, Tulsa, OK 74135-2527 | 2006-02-03 |
1386616266 | Meridith Dabney Coyne | Nurse Practitioner | 4444 E. 41st St, 2nd Floor, Ste A, Tulsa, OK 74135-2527 | 2006-02-03 |
1255302329 | Paul Martin Erdmann | Psychiatry & Neurology | 4444 E. 41st St, 3rd Floor, Ste C, Tulsa, OK 74135-2527 | 2006-01-27 |
1922078336 | Bryan Keith Touchet | Psychiatry & Neurology | 4444 E. 41st St, 3rd Floor, Ste C, Tulsa, OK 74135-2527 | 2006-01-26 |
1427028885 | Martina Jan Jelley | Internal Medicine | 4444 E. 41st St, 3rd Floor, Ste A, Tulsa, OK 74135-2527 | 2006-01-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
Find all providers in zip 74135 |
Taxonomy Code | 207VE0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Reproductive Endocrinology |
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649477092 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Obstetrics & Gynecology | 4444 E. 41st St., 3rd Floor, Ste B, Ou Physicians Tulsa Women's Health Care Specialist, Tulsa, OK 74135-2527 | 2007-06-29 |
1639120678 | Shauna Leigh Mckinney | Obstetrics & Gynecology | 115 E 15th St, Tulsa, OK 74119-4044 | 2006-05-15 |
1689788333 | Tulsa Fertility Center P C | Obstetrics & Gynecology | 115 E 15th St, Tulsa, OK 74119-4044 | 2006-08-19 |
1568493179 | Judith Louise Blackwell | Obstetrics & Gynecology | 9001 S 101st East Ave, Suite 350, Tulsa, OK 74133-5708 | 2006-07-05 |
1962432773 | Stanley Gene Prough | Obstetrics & Gynecology | 115 E 15th St, Tulsa, OK 74119-4044 | 2006-07-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639297211 | Donald Ray Tredway | Obstetrics & Gynecology | 6301 S 225th East Ave, Broken Arrow, OK 74014-2000 | 2007-03-26 |
1669829487 | Pardis Hosseinzadeh | Obstetrics & Gynecology | 800 Stanton L Young Blvd # 2475, Oklahoma City, OK 73104-5018 | 2016-05-23 |
1265549729 | Latasha Barker Craig | Obstetrics & Gynecology | 1000 N Lincoln Blvd, Suite 300, Oklahoma City, OK 73104-3252 | 2006-08-23 |
1679515811 | Karl Hansen | Obstetrics & Gynecology | 1000 N Lincoln Blvd, Suite 300, Oklahoma City, OK 73104-3252 | 2006-06-12 |
1316915671 | Robert A Wild | Obstetrics & Gynecology | 825 Ne 10th St, Oupb3300, Oklahoma City, OK 73104-5417 | 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.