DR. LISA DUCKETT


Address: 4444 E 41st St, 3rd Floor, Ste A, Tulsa, OK 74135-2527
Phone: 9186194400

DR. LISA DUCKETT (NPI# 1730444746) 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) 1730444746
Entity Type Individual
Full Name DR. LISA DUCKETT
Credential M.D.
Practice Address 4444 E 41st St
3rd Floor, Ste A
Tulsa
OK 74135-2527
Mailing Address Po Box 268838
Oklahoma City
OK 73126-8838
Practice Telephone 9186194400
Practice Fax Number 9186194152
Mailing Telephone 9186194400
Mailing Fax Number 9186194152
Enumeration Date 2012-07-06
Last Update Date 2015-02-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 15640 OK Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 29711 CO Allopathic & Osteopathic Physicians
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
15640 OK Allopathic & Osteopathic Physicians

Office Location

Street Address 4444 E 41ST ST
3RD FLOOR, STE A
City TULSA
State OK
Zip Code 74135-2527

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629061213 John William Ervin Obstetrics & Gynecology 4444 E 41st St, Tulsa, OK 74135-2527 2005-08-30
1891395000 Gabrielle Fleming Student in an Organized Health Care Education/Training Program 4444 E 41st St, Tulsa, OK 74135-2527 2020-10-27
1033717210 Rachel Nichols Student in an Organized Health Care Education/Training Program 4444 E 41st St, Tulsa, OK 74135-2527 2020-10-11
1336756089 Hussan Gill Student in an Organized Health Care Education/Training Program 4444 E 41st St, Tulsa, OK 74135-2527 2020-09-27
1508473430 Elizabeth Wells Student in an Organized Health Care Education/Training Program 4444 E 41st St, Tulsa, OK 74135-2527 2020-09-24
1649887753 Savanna Rae Smith Student in an Organized Health Care Education/Training Program 4444 E 41st St, Tulsa, OK 74135-2527 2020-09-23
1699381939 Christopher John Jarrett Student in an Organized Health Care Education/Training Program 4444 E 41st St, Tulsa, OK 74135-2527 2020-09-22
1275149635 Anne Marie Nguyen Student in an Organized Health Care Education/Training Program 4444 E 41st St, Tulsa, OK 74135-2527 2020-09-21
1114532652 Katlynn Hendrix Student in an Organized Health Care Education/Training Program 4444 E 41st St, Tulsa, OK 74135-2527 2020-09-11
1720693252 Miri Elizabeth Wolfe Student in an Organized Health Care Education/Training Program 4444 E 41st St, Tulsa, OK 74135-2527 2020-09-11
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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 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730214362 Empyreal Healthcare, LLC Internal Medicine 8826 S Hudson Ave, Tulsa, OK 74137-2943 2007-02-23
1568550051 Chandini Sharma Internal Medicine 2025 E 71st St, Tulsa, OK 74136-5407 2006-10-10
1073521332 Kenneth John Kirk Internal Medicine 6506 E 89th Pl, Tulsa, OK 74133-5009 2006-08-03
1518900505 Board of Regents of The University of Oklahoma Ou Physicians Tulsa Internal Medicine 4444 E 41st Street 3rd Floor Ste B, Schusterman Center Clinic, Tulsa, OK 74135-2527 2006-06-14
1811391386 Jm Medical, LLC Internal Medicine 4181 Oak Rd, Tulsa, OK 74105-4219 2014-10-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043856230 Lori K Scott, Aprn-cnp, LLC Internal Medicine 12101 N Macarthur Blvd # 280, Oklahoma City, OK 73162-1800 2019-11-22
1336245679 Christos Dimas Internal Medicine 2716 Sw 44th, Oklahoma City, OK 73119 2006-09-15
1447360698 Laurence Z. Rubenstein Internal Medicine 1122 Ne 13th St Ste 150, Ou Senior Health Center, Oklahoma City, OK 73117-1039 2006-08-30
1417983701 Muhammad Firdaus Internal Medicine 14916 Salem Creek Rd, Edmond, OK 73013-2452 2006-06-25
1841286010 Gerimed Inc Internal Medicine 518 Chautauqua Ave, Norman, OK 73069-5508 2005-09-23
1477965408 Terad Talmesany Internal Medicine 1122 Ne 13th St, Oklahoma City, OK 73117-1039 2014-05-26
1174715932 Bich-thy Nguyen Ngo Internal Medicine 1122 Ne 13th St, Orb 1200, Oklahoma City, OK 73117-1039 2007-08-15
1609929660 Internal Medicine & Geriatric Practice, PC Internal Medicine 1125 N Porter Ave, 200, Norman, OK 73071-6443 2007-01-20
1083766703 Dearborn Edwards Internal Medicine 921 Ne 13th St, Donald W Reynolds Dept. Geriatric Medicine (vamc 11g), Oklahoma City, OK 73104 2007-01-16
1811073158 Internal Medicine Associates of Ponca City Pllc Internal Medicine 100 Elmwood Ave, Ponca City, OK 74601-3406 2006-10-30
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Competitor

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City TULSA
Zip Code 74135

Improve Information

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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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