MR. MARK A JANZEN


Address: 4111 S Darlington Ave, Ste 700, Tulsa, OK 74135-6348
Phone: 9187438943

MR. MARK A JANZEN (NPI# 1699758961) 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) 1699758961
Entity Type Individual
Full Name MR. MARK A JANZEN
Credential M.D.
Practice Address 4111 S Darlington Ave
Ste 700
Tulsa
OK 74135-6348
Mailing Address Po Box 4939
Tulsa
OK 74159-0939
Practice Telephone 9187438943
Practice Fax Number 9183881242
Mailing Telephone 9187438943
Mailing Fax Number 9183881242
Enumeration Date 2005-11-21
Last Update Date 2012-05-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
18316 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK 100224530A 05
OK MEDICARE 243407701 01
OK RAILROAD MEDICARE 300129659 01
OK RAILROAD MEDICARE 300033051 01

Other Providers MARK JANZEN

NPI Name Taxonomy Address Enumeration
1932329265 Mark Laverne Janzen Surgery 10800 Magnolia Avenue, Kaiser Permanente Riverside Medical Center, Riverside, CA 92505 2007-04-27

Office Location

Street Address 4111 S DARLINGTON AVE
STE 700
City TULSA
State OK
Zip Code 74135-6348

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902801731 Leslie Anne Taylor Physician Assistant 4111 S Darlington Ave, Suite 700, Tulsa, OK 74135-6348 2005-06-17
1144551029 Lauren M Spencer Physician Assistant 4111 S Darlington Ave, Ste 700, Tulsa, OK 74135-6348 2010-01-16
1962733808 Eric Wayne Leach Physician Assistant 4111 S Darlington Ave, Ste 700, Tulsa, OK 74135-6348 2010-01-15
1841429008 Bryan Scott Smith Radiology 4111 S Darlington Ave, Ste 700, Tulsa, OK 74135 2009-07-09
1396973434 James Albert Rittimann Radiology 4111 S Darlington Ave, Ste 700, Tulsa, OK 74135-6348 2009-06-28
1982867511 Cordell Lee Privat Radiology 4111 S Darlington Ave, Ste 700, Tulsa, OK 74135-6348 2008-07-03
1427218296 John Morelli Radiology 4111 S Darlington Ave, Ste 700, Tulsa, OK 74135-6348 2008-06-14
1063544237 Lisa Mykelan Hayes Radiology 4111 S Darlington Ave, Ste 700, Tulsa, OK 74135 2007-03-12
1548301971 Jeffrey Scott Stafira Radiology 4111 S Darlington Ave, Suite 700, Tulsa, OK 74135-6348 2007-02-09
1497805907 Zachary D. Chonka Radiology 4111 S Darlington Ave, Ste 700, Tulsa, OK 74135-6348 2007-01-10
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104442292 Direct Medical Imaging LLC Radiology 5711 E 71st St Ste 100, Tulsa, OK 74136-6655 2020-06-24
1386933737 Robert A Skib Md Pllc Radiology 305 S Kenosha Ave, Tulsa, OK 74120-2430 2011-04-06
1639302060 Stephen Arthur Back Radiology 744 W. 9th St., Tulsa, OK 74127 2009-09-02
1427243641 American Radiology Consultants Pllc Radiology 10537 S 92nd East Circle, Tulsa, OK 74133 2007-09-11
1215136361 Colby James Coulson Radiology 7718 E 91st St Ste 220, Tulsa, OK 74133-6064 2007-07-17
1083738199 Us Radiology Partners of Texas Inc Radiology 6129 S Louisville Ave, Tulsa, OK 74136-1502 2007-03-16
1841321668 George Kamp Radiology 6422 S. Indianapolis Place, Tulsa, OK 74136-1421 2007-03-07
1326107624 James R Webb Jr Md PC Radiology 6550 E. 71st Street, Suite 200, Tulsa, OK 74133-2773 2006-12-06
1972675817 Richard Bliss Williams Radiology 2608 E 74th St, Tulsa, OK 74136-5557 2006-11-15
1669405023 John Edward Kauth Radiology 2448 E Admiral Blvd, Tulsa, OK 74110-5323 2006-07-09
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Competitor

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City TULSA
Zip Code 74135

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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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