CARLY ANN DYKSTRA KUBAT (NPI# 1801207493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801207493 |
| Entity Type | Individual |
| Full Name | CARLY ANN DYKSTRA KUBAT |
| Credential | M.D. |
| Practice Address |
6151 S Yale Ave Tulsa OK 74136-1907 |
| Mailing Address |
6600 S Yale Ave Ste 1400 Tulsa OK 74136-3331 |
| Practice Telephone | 9185026097 |
| Practice Fax Number | 9185026046 |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2020-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
36089 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
6151 S YALE AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74136-1907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659370401 | Charles William Mc Entee | Internal Medicine | 6151 S Yale Ave, Suite 304, Tulsa, OK 74136-1907 | 2005-07-14 |
| 1346799723 | Andrew Murray Thompson | Nurse Practitioner | 6151 S Yale Ave, Suite A-100, Tulsa, OK 74136-1907 | 2016-09-27 |
| 1730540584 | Matthew Jezik | Specialist/Technologist, Other | 6151 S Yale Ave, Suite 1301, Tulsa, OK 74136-1907 | 2016-03-08 |
| 1902267750 | Tambra Sharrock | Specialist/Technologist, Other | 6151 S Yale Ave, Suite 1301, Tulsa, OK 74136-1907 | 2016-03-08 |
| 1013386259 | Jasmine Thompson | Nurse Practitioner | 6151 S Yale Ave, Suite 1304, Tulsa, OK 74136-1907 | 2015-09-17 |
| 1942630660 | Rebecca Wilton | Nurse Practitioner | 6151 S Yale Ave, Level B, Tulsa, OK 74136-1907 | 2013-11-15 |
| 1073942975 | Warren Clinic Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6151 S Yale Ave, Suite 1301, Tulsa, OK 74136-1907 | 2013-11-01 |
| 1013351881 | Megan Elizabeth Renz | Nurse Practitioner | 6151 S Yale Ave, Suite A-100, Tulsa, OK 74136-1907 | 2013-04-24 |
| 1639410764 | Sheila L Hamilton | Nurse Practitioner | 6151 S Yale Ave, Suite 1301, Tulsa, OK 74136-1907 | 2013-03-14 |
| 1063756708 | Jojin Angelo Mathews | Physician Assistant | 6151 S Yale Ave, Suite 1-301, Tulsa, OK 74136-1907 | 2012-11-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
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| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235497678 | Catherine Carol Milner | Pediatrics | 6151 S Yale Ave # Levelb, Tulsa, OK 74136-1907 | 2012-04-23 |
| 1740286848 | Lisa Owens | Pediatrics | 2502 Woodward Blvd, Tulsa, OK 74114-2634 | 2005-06-23 |
| 1629626536 | Catherine Marie Bryant | Pediatrics | St Francis Hospital, 6161 S. Yale, Tulsa, OK 74136 | 2019-09-04 |
| 1932405313 | Pediatric Respiratory Sleep Services | Pediatrics | 2424 E 21st St, 440, Tulsa, OK 74114-1711 | 2011-02-02 |
| 1184937328 | Mehtap Yurt | Pediatrics | 6151 S Yale Ave, Level B, Tulsa, OK 74136-1907 | 2010-07-16 |
| 1972750628 | Stephanie Lynn Carner | Pediatrics | 1120 S Utica Ave, Suite 2123, Tulsa, OK 74104-4012 | 2008-08-25 |
| 1093855066 | Parker L Simon | Pediatrics | 1120 S Utica Ave, Suite 2123, Tulsa, OK 74104 | 2007-02-07 |
| 1235151242 | Rachel Marie Everette | Pediatrics | 6151 S Yale Ave, Level B, Tulsa, OK 74136-1907 | 2006-07-25 |
| 1497793335 | Newborn Specialists of Tulsa, P.C. | Pediatrics | 1120 S Utica Ave, Suite 2123, Tulsa, OK 74104-4012 | 2006-06-03 |
| 1770540882 | Alok Kumar | Pediatrics | 6151 S Yale Ave, Level B, Tulsa, OK 74136-1907 | 2006-05-01 |
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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.