TIMOTHY VAVRICKA (NPI# 1700927175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700927175 |
| Entity Type | Individual |
| Full Name | TIMOTHY VAVRICKA |
| Credential | MD |
| Practice Address |
401 Sw 80th St Ste 101 Oklahoma City OK 73139 |
| Mailing Address |
401 Sw 80th St Ste 101 Oklahoma City OK 73139-8123 |
| Practice Telephone | 4056015169 |
| Practice Fax Number | 4056019095 |
| Mailing Telephone | 4056015169 |
| Mailing Fax Number | 4056019095 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2018-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 24483 | OK | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 920 Stanton L Young Blvd, Wp 2140, Oklahoma City, OK 731045020 | 4052716308 |
| Street Address |
401 SW 80TH ST STE 101 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659834307 | Osu Center for Health Sciences | Clinic/Center | 401 Sw 80th St Ste 101, Oklahoma City, OK 73139-8123 | 2019-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899778 | First Med Primary Care LLC | Clinic/Center | 1142 Sw 104th St, Oklahoma City, OK 73139 | 2020-01-03 |
| 1205305737 | Transit Medical Team LLC | In Home Supportive Care | 1145 S I-240 Service Rd Ste F, Oklahoma City, OK 73139 | 2018-11-14 |
| 1336621770 | Mayra Edith Solis | Case Manager/Care Coordinator | 6510 S. Western Ave Bldg. 400, Oklahoma City, OK 73139 | 2018-09-01 |
| 1619470184 | Linzi L Stewart, D.o., P.l.l.c. | Obstetrics & Gynecology | 10400 S Western Ave Ste 7, Oklahoma City, OK 73139 | 2018-03-12 |
| 1467970467 | Oklahoma Healthcare Transitions Inc | Home Health | 6803 S Western Ave Ste 400, Oklahoma City, OK 73139 | 2017-08-30 |
| 1841714169 | Gentry Kyler Jones | Case Manager/Care Coordinator | 301 W I240 Service Rd, Oklahoma City, OK 73139 | 2017-07-28 |
| 1437688082 | Jasmine Small | Case Manager/Care Coordinator | 6100 S Walker, Okc, OK 73139 | 2017-06-07 |
| 1689029266 | Swalk Operations, LLC | Skilled Nursing Facility | 315 Sw 80th Street, Oklahoma City, OK 73139 | 2016-05-02 |
| 1225491343 | Elizabeth Pratt | Counselor | 301 Interstate 240 Service Rd, Oklahoma City, OK 73139 | 2016-04-05 |
| 1326418542 | Brittany Elis Walley | Case Manager/Care Coordinator | 8015 S Klein Ave, Oklahoma City, OK 73139 | 2015-09-30 |
| Find all providers in zip 73139 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642655 | Okc Surgicalists Pllc | Surgery | 4140 W Memorial Rd Ste 408, Oklahoma City, OK 73120-8300 | 2019-01-03 |
| 1811381247 | Mohamad Sidani | Surgery | 800 Stanton L Young Blvd # 9432, Oklahoma City, OK 73104-5018 | 2015-03-24 |
| 1720425390 | Jonathan Green | Surgery | 1200 Everett Dr Ste 2320, Oklahoma City, OK 73104-5047 | 2013-05-23 |
| 1407290844 | Celia Yen Quang | Surgery | 800 Stanton L Young Blvd Ste 9000, Oklahoma City, OK 73104-5018 | 2013-04-27 |
| 1700123916 | Laura Jane Holsey | Surgery | 3543 West Memorial Road, Holsey Cosmetic Surgery & Spa, Oklahoma City, OK 73134 | 2013-01-08 |
| 1619234572 | Esan Kiel Harris | Surgery | 15200 S May Ave, Oklahoma City, OK 73170-8600 | 2012-04-17 |
| 1760788962 | Rowlan Surgical Pllc | Surgery | 3400 Nw Expressway Bldg C, Suite 812, Oklahoma City, OK 73112-4493 | 2011-02-04 |
| 1073822847 | Amanda Michelle Celii | Surgery | 825 Ne 10th St Ste 4g, Oklahoma City, OK 73104-5417 | 2010-09-28 |
| 1396063392 | Laura E Fischer | Surgery | 920 Department of Surgery, Williams Pavilion 2140, Oklahoma City, OK 73104-5033 | 2010-05-14 |
| 1205064730 | Ian Daniel | Surgery | 4827 S Western Ave, Oklahoma City, OK 73109-3835 | 2009-06-23 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73139 |
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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.