MILTON KEVIN OMONDI


Address: 1120 S Utica Ave, Tulsa, OK 74104-4012
Phone: 9185791000

MILTON KEVIN OMONDI (NPI# 1750894291) 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) 1750894291
Entity Type Individual
Full Name MILTON KEVIN OMONDI
Credential APRN
Practice Address 1120 S Utica Ave
Tulsa
OK 74104-4012
Mailing Address 1145 S Utica Ave Ste 110
Tulsa
OK 74104-4013
Practice Telephone 9185791000
Practice Fax Number 9183822569
Mailing Telephone 9185791000
Mailing Fax Number 9183822569
Enumeration Date 2017-11-07
Last Update Date 2017-11-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LC0200X Nurse Practitioner
Specialization: Critical Care Medicine
101088 OK Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK OK STATE LICENXE 101088 01

Office Location

Street Address 1120 S UTICA AVE
City TULSA
State OK
Zip Code 74104-4012

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043214497 Shawn D Grant Radiology 1120 S Utica Ave, Tulsa, OK 74104-4012 2005-06-13
1689289910 Wound Integrity Oklahoma Pa Family Medicine 1120 S Utica Ave, Tulsa, OK 74104-4012 2020-09-14
1902428097 Samantha Beck Student in an Organized Health Care Education/Training Program 1120 S Utica Ave, Tulsa, OK 74104-4012 2020-05-11
1447883632 Jennifer Knowlton Physical Therapist 1120 S Utica Ave, Tulsa, OK 74104-4012 2020-02-17
1902443344 Geoffrey Hopkins Nurse Anesthetist, Certified Registered 1120 S Utica Ave, Tulsa, OK 74104-4012 2019-12-04
1598307902 Patrick Brennan Physical Therapy Assistant 1120 S Utica Ave, Tulsa, OK 74104-4012 2019-10-17
1215578497 Ashley Wing Occupational Therapist 1120 S Utica Ave, Tulsa, OK 74104-4090 2019-09-30
1033768197 Dawna Lynnette Hendrix Occupational Therapist 1120 S Utica Ave, Tulsa, OK 74104-4012 2019-09-10
1417502212 Jeffrey Jackson Physical Therapist 1120 S Utica Ave, Tulsa, OK 74104-4012 2019-08-08
1952954349 Janis Elaine Jeffus Speech-Language Pathologist 1120 S Utica Ave, Tulsa, OK 74104-4012 2019-07-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982253811 Ultimate Health and Pain Management Pain Medicine 1844 East 15th Street, Tulsa, OK 74104 2019-09-04
1225691223 David Murray Student in an Organized Health Care Education/Training Program 2100 S Wheeling Ave, Tulsa, OK 74104 2019-04-16
1083115828 Susan Fortner Counselor 1328 S. Delaware Pl, Tulsa, OK 74104 2018-02-27
1033636915 Mark Brizendine Dietitian, Registered Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 2017-08-23
1295259067 Demi Reyd Cook Nurse Practitioner 1717 A South Utica, Tulsa, OK 74104 2017-08-02
1851827059 Oklahoma Cvs Pharmacy Durable Medical Equipment & Medical Supplies 1701 E 15th Street, Tulsa, OK 74104 2017-05-08
1801334982 Jamie Lynne Miller Internal Medicine 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 2017-02-08
1578913430 Donna Durant-macon Registered Nurse 315 South Utica, Tulsa, OK 74104 2016-06-21
1669833851 Mbc Dental Dentist 401 S. Utica Ave, #a, Tulsa, OK 74104 2016-03-15
1518332170 Neuro Dynamics LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 22 S Lewis, Tulsa, OK 74104 2015-12-08
Find all providers in zip 74104

Taxonomy Information

Taxonomy Code 363LC0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982189585 Cherri Dianne Foster Nurse Practitioner 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 2018-09-28
1790262012 Brooke Nichol Weaver Nurse Practitioner 1265 S Utica Ave, Tulsa, OK 74104-4243 2018-07-20
1013409945 Kristopher Wayne Mcdonald Nurse Practitioner 1265 S Utica Ave, Tulsa, OK 74104-4243 2018-06-06
1942797238 Jay W Vazquez Nurse Practitioner 1265 S Utica Ave, Tulsa, OK 74104-4243 2018-04-23
1215442728 Rebecca Kay Edwards Nurse Practitioner 1120 S Utica Ave, Tulsa, OK 74104-4012 2017-12-06
1487035770 Joshua A. Moushon Nurse Practitioner 1120 S Utica Ave, Tulsa, OK 74104-4012 2015-06-12
1659765493 Gini A Renfrow Nurse Practitioner 9228 S Mingo Rd, Suite 200, Tulsa, OK 74133-5718 2015-03-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912536269 Delaina Larae Davis Nurse Practitioner 920 Stanton L Young Blvd, Oklahoma City, OK 73104-5036 2020-04-07
1578107819 Victoria Janssen Kyle Nurse Practitioner 3300 Nw Expressway, Oklahoma City, OK 73112-4418 2019-10-30
1316432495 Djufo Yimfor Ajiboye Nurse Practitioner 3300 Nw Expressway, Oklahoma City, OK 73112-4418 2018-06-29
1801286737 Tabatha Nicole Steward Nurse Practitioner 102 South Main Street, Sand Springs, OK 74063 2015-01-30

Competitor

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City TULSA
Zip Code 74104

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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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