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).
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 |
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 |
Street Address |
4444 E 41ST ST 3RD FLOOR, STE A |
City | TULSA |
State | OK |
Zip Code | 74135-2527 |
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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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 Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
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. |
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 |
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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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.