IWAN T TJAUW (NPI# 1730154170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730154170 |
| Entity Type | Individual |
| Full Name | IWAN T TJAUW |
| Credential | MD |
| Practice Address |
3330 Nw 56th St Suite 206 Oklahoma City OK 73112-4479 |
| Practice Telephone | 4059454740 |
| Practice Fax Number | 4059454751 |
| Mailing Telephone | 4059454740 |
| Mailing Fax Number | 4059454751 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2015-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | 24754 | OK | Allopathic & Osteopathic Physicians |
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
24754 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | RAILROAD MEDICARE | P00283018 | 01 |
| OK | RAILROAD MEDICARE/MPI | P00285866 | 01 |
| OK | RAILROAD MEDICARE/AI | P00302394 | 01 |
| OK | 100738500A | 05 |
| Street Address |
3330 NW 56TH ST SUITE 206 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-4479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881697761 | Georgianne M Snowden | Radiology | 3330 Nw 56th St, Ste 206, Oklahoma City, OK 73112-4426 | 2005-05-24 |
| 1013444298 | Essential Integrative Health Pllc | Phlebology | 3330 Nw 56th St, Suite 612, Oklahoma City, OK 73112-4479 | 2017-05-18 |
| 1093165227 | Kourtney Peterson | Registered Nurse | 3330 Nw 56th St, Suite 208, Oklahoma City, OK 73112-4479 | 2016-06-19 |
| 1548615081 | Tricia Strahorn | Dietitian, Registered | 3330 Nw 56th St, Suite 106, Oklahoma City, OK 73112-4479 | 2016-05-03 |
| 1972963353 | Frontier Health Services, LLC | Internal Medicine | 3330 Nw 56th St, Oklahoma City, OK 73112-4479 | 2016-02-29 |
| 1114394251 | Shamika Mack | Nurse Practitioner | 3330 Nw 56th St, Suite 300, Oklahoma City, OK 73112-4479 | 2015-08-24 |
| 1114300316 | Matthew Munda | Nurse Practitioner | 3330 Nw 56th St, Suite 612, Oklahoma City, OK 73112-4479 | 2015-07-07 |
| 1689070047 | Dr. Scott L. Shields, P.C. | Podiatrist | 3330 Nw 56th St, Suite 600, Oklahoma City, OK 73112-4479 | 2014-11-13 |
| 1649672031 | Ashton Nicole Miller | Registered Nurse | 3330 Nw 56th St, Suite 300, Oklahoma City, OK 73112-4479 | 2014-09-17 |
| 1053712737 | David G. Wade Dpm Pllc | Podiatrist | 3330 Nw 56th St, #600, Oklahoma City, OK 73112-4479 | 2014-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336693845 | Mohammad Najim Alberawi | Radiology | 940 Ne 13th St Ste 3g3210, Oklahoma City, OK 73104-5008 | 2016-08-12 |
| 1003894569 | Vikas Vij | Radiology | 3330 Nw 56th, Suite 206, Oklahoma City, OK 73112-4426 | 2006-01-05 |
| 1598753618 | Dan Thach Dam Nguyen | Radiology | 14101 Parkway Commons Dr Ste 103, Oklahoma City, OK 73134 | 2005-10-12 |
| 1073804514 | Farooq Akram Choudhry | Radiology | 940 Ne 13th St # 4g4250, Oklahoma City, OK 73104-5008 | 2011-05-02 |
| 1407016587 | Divya Gunda | Radiology | 940 Ne 13th St, 4g4250, Oklahoma City, OK 73104-5008 | 2008-06-12 |
| 1386612570 | David L Coffman | Radiology | 1200 Everett Dr, 1np606, Oklahoma City, OK 73104-5047 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245280312 | James Lawrence Fleckenstein | Radiology | 11436 S Louisville Pl, Tulsa, OK 74137-1647 | 2006-05-11 |
| 1023067857 | Powers Radiology, PC | Radiology | Department 814, Tulsa, OK 74182-0001 | 2006-05-09 |
| 1902858244 | Matthew G. Powers | Radiology | 1923 S Utica Ave, Sjmc Radiology, Tulsa, OK 74104-6520 | 2006-05-16 |
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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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.