ERIC WAETJEN (NPI# 1831540608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831540608 |
| Entity Type | Individual |
| Full Name | ERIC WAETJEN |
| Credential | MD |
| Practice Address |
4502 E 51st St 2g06 Tulsa OK 74135-3702 |
| Practice Telephone | 9186347539 |
| Practice Fax Number | 9186347567 |
| Mailing Telephone | 9186347539 |
| Mailing Fax Number | 9186347567 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2017-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 2016020253 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MI | 2016020253 | 01 |
| Street Address |
4502 E 51ST ST 2G06 |
| City | TULSA |
| State | OK |
| Zip Code | 74135-3702 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702127 | Advanced Surgical Assisting, LLC | Surgery | 4012 E 108th St, Tulsa, OK 74137-6707 | 2020-05-20 |
| 1376016329 | Oklahoma Acute Care Surgical Specialists LLC | Surgery | 4016 E 27th St, Tulsa, OK 74114-5908 | 2019-01-02 |
| 1538418504 | Daniel Kent Towsley | Surgery | 2502 E 45th St, Tulsa, OK 74105-5147 | 2012-09-05 |
| 1235420043 | Ty Douglas Kirkpatrick | Surgery | 1725 E 19th St Ste 800, Tulsa, OK 74104-5464 | 2011-04-27 |
| 1689965741 | John Skelly Watson | Surgery | 803 S Jackson Ave, Suite 130, Tulsa, OK 74127-9010 | 2011-04-25 |
| 1528386984 | William Aaron Hanner | Surgery | 5555 E 71st St Ste 7250, Tulsa, OK 74136-6554 | 2010-05-11 |
| 1316181720 | Patrick James Ross | Surgery | 6475 S Yale Ave Ste 406, Tulsa, OK 74136-7818 | 2009-04-29 |
| 1831375500 | Nicole Marie Castellese | Surgery | 1723 E 15th St Ste 100, Tulsa, OK 74104-4608 | 2008-01-12 |
| 1508063975 | Dr Richard Lee Cooper PC | Surgery | 10131 S Yale Ave Ste 200, Tulsa, OK 74137-6012 | 2007-06-29 |
| 1659576700 | Kelly Kazuaki Nagasawa | Surgery | 1923 S Utica Ave Fl 5, Tulsa, OK 74104-6520 | 2007-06-19 |
| Find all providers in TULSA | ||||
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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.