MRS. KEELIE RENEE TUCKER (NPI# 1851586721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851586721 |
| Entity Type | Individual |
| Full Name | MRS. KEELIE RENEE TUCKER |
| Credential | MD |
| Practice Address |
620 S Madison St Suite 203 Enid OK 73701-7273 |
| Mailing Address |
5300 N Independence Ave 280 Oklahoma City OK 73112-5556 |
| Practice Telephone | 5802139760 |
| Practice Fax Number | 5802139769 |
| Mailing Telephone | 5802139760 |
| Mailing Fax Number | 5802139769 |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2018-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | P0146 | TX | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 28642 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200345390A | 05 |
| Street Address |
620 S MADISON ST SUITE 203 |
| City | ENID |
| State | OK |
| Zip Code | 73701-7273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720087869 | Daniel E Oathout | Obstetrics & Gynecology | 620 S Madison St, Suite 301, Enid, OK 73701-7270 | 2005-07-20 |
| 1740880483 | Integris Bass Baptist Health Center | Clinic/Center | 620 S Madison St, Stes 107, 209 & 301, Enid, OK 73701-7273 | 2020-10-30 |
| 1205232683 | Osu Center for Health Sciences | Clinic/Center | 620 S Madison St, Suite 105, Enid, OK 73701-7273 | 2014-11-12 |
| 1407266026 | Facial Surgery Center Pllc | Dentist | 620 S Madison St, 302, Enid, OK 73701-7273 | 2014-05-05 |
| 1912347618 | Yasir Usman | Internal Medicine | 620 S Madison St, Enid, OK 73701-7273 | 2013-06-27 |
| 1003050410 | Integris Bass Baptist Health Center | Family Medicine | 620 S Madison St, Suite 209, Enid, OK 73701-7273 | 2009-04-29 |
| 1770692360 | Adhikari M Reddy | Psychiatry & Neurology | 620 S Madison St, Suite 101, Enid, OK 73701-7273 | 2006-08-29 |
| 1083626246 | University of Oklahoma Health Scien Ctr Col of Med Enid Fam Med | Family Medicine | 620 S Madison St, Suite 304, Enid, OK 73701-7273 | 2006-08-13 |
| 1194735407 | Bruce D Pendleton | Neurological Surgery | 620 S Madison St, Suite 202, Enid, OK 73701-7273 | 2006-08-09 |
| 1053355073 | Brian D. Whitson | Internal Medicine | 620 S Madison St, Suite 209, Enid, OK 73701-7273 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407318595 | Sheila Watkins | Speech-Language Pathologist | 401 S. 3rd St, Physical Therapy, Enid, OK 73701 | 2019-04-05 |
| 1225548993 | Mirannda Lea Shourek | Case Manager/Care Coordinator | 3225 E Randolph, Apt 5a, Enid, OK 73701 | 2017-10-06 |
| 1962942045 | Nicole Elisibeth Hood | Social Worker | 605 W. Oxford St, Enid, OK 73701 | 2017-03-08 |
| 1689027237 | Amanda Partridge | Physician Assistant | 231 S. 30th St., Enid, OK 73701 | 2016-07-19 |
| 1134576952 | Keli Lanee Caffey | Counselor | 317 W. Cherokee Suite B, Enid, OK 73701 | 2016-05-22 |
| 1447670559 | Tamica Webster | Counselor | 1137 Hillside Dr, Enid, OK 73701 | 2014-04-16 |
| 1881024024 | Misty Ward | Registered Nurse | 600 S. Monroe, Enid, OK 73701 | 2013-11-26 |
| 1164856944 | Pharmcareok of Enid, Inc. | Pharmacy | 1119a E Owen Garriott Rd, Enid, OK 73701 | 2013-08-28 |
| 1922383421 | Bobby Doyle Taylor | Pharmacist | 902 West Garriott, Enid, OK 73701 | 2011-10-15 |
| 1194009324 | Stacia Paul | Counselor | 121 W. Maple, Enid, OK 73701 | 2011-10-06 |
| Find all providers in zip 73701 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548389240 | Christopher Marcus Lee | Obstetrics & Gynecology | 615 E Oklahoma Ave Ste 203, Enid, OK 73701-5952 | 2007-03-27 |
| 1194755793 | Michael S Jackson | Obstetrics & Gynecology | 620 S Madison St Ste 304, Enid, OK 73701-7270 | 2006-07-03 |
| 1720087869 | Daniel E Oathout | Obstetrics & Gynecology | 620 S Madison St, Suite 301, Enid, OK 73701-7270 | 2005-07-20 |
| 1538168679 | Michelle R Bergner | Obstetrics & Gynecology | 601 W Garriott Rd, Enid, OK 73701-5524 | 2005-07-20 |
| 1245233246 | David D Parker | Obstetrics & Gynecology | 615 E Oklahoma Ave, Suite 203, Enid, OK 73701-5951 | 2005-05-23 |
| 1992151948 | Andrea Partida | Obstetrics & Gynecology | 620 S Madison St Ste 304, Enid, OK 73701-7270 | 2016-05-09 |
| 1114165586 | Dmac,pllc | Obstetrics & Gynecology | 615 E Oklahoma Ave, 203, Enid, OK 73701-5951 | 2009-01-23 |
| 1306894639 | Enid Womens Healthcare Associates | Obstetrics & Gynecology | 615 E Oklahoma Ave, Ste 203, Enid, OK 73701-5951 | 2006-05-05 |
| 1386612711 | Terry King Badzinski | Obstetrics & Gynecology | 615 E Oklahoma Ave, Suite 203, Enid, OK 73701-5951 | 2006-03-10 |
| 1790785202 | David M Keuchel | Obstetrics & Gynecology | 620 S Madison St, Suite 203, Enid, OK 73701-7273 | 2005-07-26 |
| Find all providers in ENID | ||||
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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.