DR. NICASIO S GUTIERREZ JR. (NPI# 1831281070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831281070 |
| Entity Type | Individual |
| Full Name | DR. NICASIO S GUTIERREZ JR. |
| Credential | M.D. |
| Practice Address |
909 Alameda St Norman OK 73071-5229 |
| Mailing Address |
3616 Windover Dr Norman OK 73072-3249 |
| Practice Telephone | 4055733558 |
| Practice Fax Number | 4055733962 |
| Mailing Telephone | 4053217388 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
14904 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
909 ALAMEDA ST |
| City | NORMAN |
| State | OK |
| Zip Code | 73071-5229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295708519 | Jack Kenneth Gray Jr. | Psychiatry & Neurology | 909 Alameda St, Norman, OK 73071-5229 | 2006-02-08 |
| 1861091100 | Traci Winlock | Registered Nurse | 909 Alameda St, Norman, OK 73071-5229 | 2020-10-19 |
| 1609483098 | Patricia Ann Smith | Licensed Practical Nurse | 909 Alameda St, Norman, OK 73071-5229 | 2020-09-29 |
| 1265046783 | Christina Ann Seng | Case Manager/Care Coordinator | 909 Alameda St, Norman, OK 73071-5229 | 2020-09-02 |
| 1265044879 | Lori Hughes | Psychiatry & Neurology | 909 Alameda St, Norman, OK 73071-5229 | 2020-08-17 |
| 1285259556 | Dallas Coke Loffi-lara | Registered Nurse | 909 Alameda St, Norman, OK 73071-5229 | 2020-06-12 |
| 1225651995 | Carla Shenice Jones | Case Manager/Care Coordinator | 909 Alameda St, Norman, OK 73071-5229 | 2020-05-28 |
| 1619599693 | Francesca Murch | Counselor | 909 Alameda St, Norman, OK 73071-5229 | 2020-05-12 |
| 1447872650 | Sharon Wengier | Nurse Practitioner | 909 Alameda St, Norman, OK 73071-5229 | 2020-05-11 |
| 1902446313 | Keegan M Kinniburgh | Counselor | 909 Alameda St, Norman, OK 73071-5229 | 2020-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913741 | Jeanne Marie Tomlinson | Occupational Therapist | 2701 Weymouth Way, Norman, OK 73071 | 2020-08-21 |
| 1780215947 | Denise Kay Kliewer | Occupational Therapy Assistant | 1412 Spoonwood Dr, Norman, OK 73071 | 2020-01-27 |
| 1689182511 | Eric Melvin Green | Case Manager/Care Coordinator | 2038 24th Ave. Se, Norman, OK 73071 | 2018-01-12 |
| 1841726320 | Summer Dental Norman | Dentist | 1240 Alameda St., Norman, OK 73071 | 2017-05-03 |
| 1336503606 | Full Circle Adult Day Center, Inc | Clinic/Center | 1304 E. Lindsey Plaza Drive, Norman, OK 73071 | 2016-04-12 |
| 1538524616 | Ashley White | Case Manager/Care Coordinator | 805 East Robinson, Norman, OK 73071 | 2015-12-16 |
| 1396119111 | Joseph Fleming Pllc | Dentist | 1515 E. Rock Creek Road, Suite 140, Norman, OK 73071 | 2015-11-17 |
| 1881025104 | Jill Blayney | Counselor | 909 Alameda, # 2607, Norman, OK 73071 | 2013-12-12 |
| 1578800504 | Cherie Albert | Counselor | 900 E Alameda, Norman, OK 73071 | 2013-01-10 |
| 1437430618 | Rose Rock Dental Pllc | Dentist | 1049 12th Ave. Ne, Suite 100, Norman, OK 73071 | 2011-09-01 |
| Find all providers in zip 73071 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497223846 | Mind and Body Medical Clinic | Psychiatry & Neurology | 2216 Nw 164th St Ste A, Edmond, OK 73013-9078 | 2018-11-04 |
| 1306134929 | Kimberlee Van Wilson | Psychiatry & Neurology | 4851 Integris Parkway, Edmond, OK 73034 | 2011-07-17 |
| 1316124605 | Jorg Johannes Pahl | Psychiatry & Neurology | 3909 N Classen Blvd Ste 200, Oklahoma City, OK 73118-2650 | 2008-01-29 |
| 1164070314 | Lowell James Robertson | Psychiatry & Neurology | 1111 W 17th St, Tulsa, OK 74107-1886 | 2019-08-30 |
| 1588229033 | State of Oklahoma Osu Center for Health Sciences | Psychiatry & Neurology | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2019-05-09 |
| 1437683729 | F Clark Sauls, Md | Psychiatry & Neurology | 723 W Randolph Ave, Suite 6, Enid, OK 73701-3826 | 2017-04-13 |
| 1184981144 | Dustin O'leath Hayes | Psychiatry & Neurology | 817 S Elm Pl, Suite C, Broken Arrow, OK 74012-5369 | 2012-04-16 |
| 1942488986 | Jane Phillips Specialty Physicians | Psychiatry & Neurology | 226 Se Debell Ave, Bldg B, Bartlesville, OK 74006-2343 | 2008-02-01 |
| 1467659953 | Samuel Gene Martin | Psychiatry & Neurology | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2007-06-28 |
| 1801966338 | Gayathri Dasharathy | Psychiatry & Neurology | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2006-11-09 |
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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.