BRYAN ALLEN LUCENTA (NPI# 1699886077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699886077 |
| Entity Type | Individual |
| Full Name | BRYAN ALLEN LUCENTA |
| Credential | MD |
| Practice Address |
101 Rockefeller Dr Ste 100 Muskogee OK 74401-5050 |
| Mailing Address |
6600 S Yale Ave Ste 1400 Tulsa OK 74136-3331 |
| Practice Telephone | 9186831831 |
| Practice Fax Number | 9186877043 |
| Mailing Telephone | 9184886001 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
15220 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100090100A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10505 E 91st St, Suite 202, Tulsa, OK 741335829 | 9189945580 | 9189945585 |
| Street Address |
101 ROCKEFELLER DR STE 100 |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-5050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790075034 | John Kesler Evans | Internal Medicine | 101 Rockefeller Dr Ste 100, Muskogee, OK 74401-5050 | 2011-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790075034 | John Kesler Evans | Internal Medicine | 101 Rockefeller Dr Ste 100, Muskogee, OK 74401-5050 | 2011-04-07 |
| 1194836684 | Jack W. Casas | Internal Medicine | 350 S 40th St, Muskogee, OK 74401-4915 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710479324 | Parkway H&v | Internal Medicine | 3200 Quail Springs Pkwy Ste 100, Oklahoma City, OK 73134-2698 | 2018-05-31 |
| 1003315946 | Cardiac Cin of Oklahoma City LLC | Internal Medicine | 10601 S Western Ave # 3, Oklahoma City, OK 73170-6201 | 2018-02-06 |
| 1891097358 | Khurram Liaqat | Internal Medicine | 9020 E Reno Ave Ste 200, Midwest City, OK 73130-3336 | 2010-12-03 |
| 1629118740 | Raghav Gupta | Internal Medicine | 5401 N Portland Ave Ste 380, Oklahoma City, OK 73112 | 2007-02-07 |
| 1811996861 | Grand Lake Regional Cardiology Services LLC | Internal Medicine | 1001 E 18th St, Grove, OK 74344-2907 | 2005-07-20 |
| 1760486484 | Francis H Oliver | Internal Medicine | 731 12th Ave Nw, Ardmore, OK 73401-5761 | 2005-06-09 |
| 1801358981 | Cok Care of Ok, LLC | Internal Medicine | 10601 S Western Ave Ste 3, Oklahoma City, OK 73170-6201 | 2019-04-05 |
| 1447754007 | Rajaram Md Pllc | Internal Medicine | 105 S Bryant Ave, Edmond, OK 73034 | 2018-03-20 |
| 1346784683 | Osu Cardiology | Internal Medicine | 802 S Jackson Ave, Suite 225, Tulsa, OK 74127-9015 | 2016-12-06 |
| 1174956890 | Sahil Agrawal | Internal Medicine | 6151 S Yale Ave Ste 100a, Tulsa, OK 74136-1929 | 2013-08-16 |
| Find all providers with the same taxonomy | ||||
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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.