DR. MATTHEW DAVIDSON (NPI# 1790042752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790042752 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW DAVIDSON |
| Credential | PHARM.D. |
| Practice Address |
4502 E 41st St Suite 2h23 Tulsa OK 74135-2536 |
| Practice Telephone | 9186603018 |
| Practice Fax Number | 9186603009 |
| Mailing Telephone | 9186603018 |
| Mailing Fax Number | 9186603009 |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
15136 | OK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629590880 | Matthew S Davidson | Dentist | 5611 Sheldon Rd, Tampa, FL 33615-3532 | 2017-07-10 |
| 1144562372 | Matthew Alan Davidson | Behavioral Analyst | 4055 N Park Loop Ste 1000, Memphis, TN 38152-4236 | 2013-03-26 |
| 1427307073 | Matthew Philip Davidson | Physical Therapist | 5510 E State St, Rockford, IL 61108-2381 | 2012-08-29 |
| 1255624508 | Matthew Lee Davidson | Chiropractor | 1809 Heritage Hills Dr, Washington, MO 63090-4624 | 2011-05-19 |
| 1689663775 | Matthew D Davidson | Surgery | 875 S Arlington Ave, Harrisburg, PA 17109-5004 | 2005-10-20 |
| Street Address |
4502 E 41ST ST SUITE 2H23 |
| City | TULSA |
| State | OK |
| Zip Code | 74135-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659378735 | Nancy C. Brahm | Pharmacist | 4502 E 41st St, Tulsa, OK 74135-2553 | 2005-07-05 |
| 1285247056 | Mason Alexander Kennon | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-08-31 |
| 1578186656 | Scott Louis Puckett | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-05-22 |
| 1861012247 | Emily Ann Bolender | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-25 |
| 1760002513 | Nadeem Toujjo El-kouri | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-22 |
| 1962022749 | John Thomas Hiett | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-21 |
| 1245859578 | Liuyi Chen | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-16 |
| 1255950713 | Stuart Andrew Jack | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-14 |
| 1447879366 | Thomas Stewart | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-10 |
| 1689293672 | Ekene Ezenwa | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2020-04-10 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558693804 | Brooke Lynn Honey | Pharmacist | 4444 E 41st St Fl 2, Suite A, Tulsa, OK 74135-2527 | 2010-02-10 |
| 1104449370 | Laura Ann Holliday | Pharmacist | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-05-22 |
| 1922599133 | Steven Christopher Dobbs | Pharmacist | 10109 E 79th St, Tulsa, OK 74133-4564 | 2018-05-23 |
| 1992293302 | Judith Pattinson | Pharmacist | 4909 E 41st St, Tulsa, OK 74135-6057 | 2018-05-01 |
| 1225387277 | Minhye Kim | Pharmacist | 4502 E 41st St, Tulsa, OK 74135-2536 | 2012-09-06 |
| 1467775049 | Barnabas M John | Pharmacist | 4502 E 41st St, Tulsa, OK 74135-9923 | 2010-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128957 | Stacy Crystel Gee | Pharmacist | 1007 N Country Club, Ada, OK 74820-2847 | 2020-06-15 |
| 1700345824 | Kermit Eugene Kay | Pharmacist | 5401 N Portland Ave Ste 250, Oklahoma City, OK 73112-2082 | 2019-03-18 |
| 1942737101 | Aaron Jahmal Johnson | Pharmacist | 36640 Hwy 270 and Barking Water Road, Wewoka, OK 74884 | 2017-05-18 |
| 1396133674 | Clayton Herr | Pharmacist | 23 Roka Rdg, Stillwater, OK 74075-1230 | 2015-01-08 |
| 1396086948 | Gerry Oquinn | Pharmacist | 72928 S 330 Rd, Wagoner, OK 74467-9420 | 2013-03-06 |
| 1295001881 | William Dean Balfour-grice | Pharmacist | 301 S. Jt Stites St., Sallisaw, OK 74955 | 2012-03-28 |
| 1720233422 | Charles Michael Gates | Pharmacist | 3009 Nw Wilson St., Attn: Credentials, Fort Sill, OK 73503-9042 | 2008-11-21 |
| 1982851564 | Gregg Buxton Dalley | Pharmacist | 1400 East Downing, Tahlequah, OK 74464 | 2008-08-26 |
| 1346405784 | Miki Lynn Finnin | Pharmacist | 790 W 147th Pl S, Glenpool, OK 74033-4436 | 2008-07-24 |
| 1306446885 | Jesse Baker Adams | Pharmacist | 13503 S Santa Fe Ave, Oklahoma City, OK 73170-7314 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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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.