KREITZBERG PLASTIC SURGERY LLC (NPI# 1699390963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699390963 |
| Entity Type | Organization |
| Organization Name | KREITZBERG PLASTIC SURGERY LLC |
| Practice Address |
6585 S Yale Ave Ste 315 Tulsa OK 74136-8316 |
| Practice Telephone | 9184922282 |
| Practice Fax Number | 9184919188 |
| Mailing Telephone | 9184922282 |
| Mailing Fax Number | 9184919188 |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |
| Authorized Official Name | SCOTT KREITZBERG (DO/OWNER) |
| Authorized Official Telephone | 9184922282 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
6585 S YALE AVE STE 315 |
| City | TULSA |
| State | OK |
| Zip Code | 74136-8316 |
| 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 | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346476579 | Brenda Schiesel | Surgery | 10131 S Yale Ave Ste B, Tulsa, OK 74137-6007 | 2009-06-02 |
| 1568479384 | Stephen Murray Paulsen | Surgery | 6585 S Yale Ave Ste 1020, Tulsa, OK 74136-8323 | 2006-08-02 |
| 1770512097 | Greg Ratliff | Surgery | 2107 E 15th St, Tulsa, OK 74104-4613 | 2006-06-30 |
| 1578548475 | Joey M Manduano | Surgery | 2219 E 21st St, Tulsa, OK 74114-1411 | 2005-12-13 |
| 1114923794 | Laurie Ann Duckett | Surgery | 1809 E 13th St Ste 400, Tulsa, OK 74104-4431 | 2005-06-28 |
| 1629365085 | E Bradley Garber, M.d., P.C. | Surgery | 1784 S Utica Ave, Tulsa, OK 74104-5336 | 2011-07-06 |
| 1164651394 | Aesthetic Surgery of Tulsa, Pllc | Surgery | 6802 S Olympia Ave, Suite G113, Tulsa, OK 74132-1823 | 2009-07-09 |
| 1336388792 | Angie M Hignite | Surgery | 2000 S Wheeling Ave Ste 100, Tulsa, OK 74104 | 2009-02-09 |
| 1760644637 | Rola E Eid | Surgery | 6585 S Yale Ave, Suite 315, Tulsa, OK 74136-8384 | 2008-07-01 |
| 1952527178 | Utica Plastic Surgery Inc | Surgery | 1145 S Utica Ave, Suite 1109, Tulsa, OK 74104-4000 | 2007-04-17 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on KREITZBERG PLASTIC SURGERY LLC.
| 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.