OKC KIDS UROLOGY PLLC (NPI# 1851868863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851868863 |
| Entity Type | Organization |
| Organization Name | OKC KIDS UROLOGY PLLC |
| Practice Address |
3705 Nw 63rd St Ste 211 Oklahoma City OK 73116-1937 |
| Mailing Address |
11 E 23rd St Edmond OK 73013-4404 |
| Practice Telephone | 4058230708 |
| Mailing Telephone | 4058445221 |
| Mailing Fax Number | 4053406926 |
| Enumeration Date | 2018-10-28 |
| Last Update Date | 2018-10-28 |
| Authorized Official Name | LAURA MCKENZIE (CLINIC MANAGER) |
| Authorized Official Telephone | 4058445221 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
3705 NW 63RD ST STE 211 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73116-1937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1861058877 | Dental Depot of 63rd & Nw Expressway, Pllc | Clinic/Center | 4025 Nw 63rd Street, Oklahoma City, OK 73116 | 2019-05-15 |
| 1073001756 | Oklahoma Clinical Management LLC | Prevention Professional | 4301 Nw 63rd St Ste 107, Oklahoma City, OK 73116 | 2018-04-27 |
| 1235658261 | Heinen Physical Therapy, PC | Clinic/Center | 7710 N May Ave, Oklahoma City, OK 73116 | 2017-09-11 |
| 1235657842 | Jacque S Komers | Counselor | 6501 N Broadway Ext Suite 180, Oklahoma City, OK 73116 | 2017-09-04 |
| 1164943874 | Jo Ann Cole-johnson | Counselor | 6505 N. Shawnee Ave, Oklahoma, OK 73116 | 2017-07-03 |
| 1548790793 | Zachary Wayne Skates | Case Manager/Care Coordinator | North 6501 Broadway Extention Highway #180, Oklahoma City, OK 73116 | 2017-06-19 |
| 1548622673 | Jessica Defiore | Case Manager/Care Coordinator | 6501 N Broadway Extension, Oklahoma City, OK 73116 | 2016-03-28 |
| 1093173247 | Patrice Ann Cook | Specialist/Technologist, Other | 7700 N. Hudson Ave, Suite Number 9, Oklahoma City, OK 73116 | 2016-02-03 |
| 1467880708 | Abrina Marie Kneeland | Occupational Therapy Assistant | 6525 N. Meridian #311, Therapists Unlimited Division of Career Staff, Oklahoma City, OK 73116 | 2013-10-24 |
| Find all providers in zip 73116 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1457972366 | Saint Medical Group, LLC | Pediatrics | 3400 S Douglas Blvd Ste 307a, Oklahoma City, OK 73150-1001 | 2020-05-01 |
| 1700380268 | Katherine Ann Brashears | Pediatrics | 6628 Fawn Canyon Dr, Oklahoma City, OK 73162-6759 | 2018-03-20 |
| 1649650920 | Amber Chantell Landry | Pediatrics | 937 Sw 89th St Ste A, Oklahoma City, OK 73139-9231 | 2015-06-02 |
| 1346628856 | Ankur Rughani | Pediatrics | 1200 Childrens Ave # 65532, Oucp 14000 A2, Oklahoma City, OK 73104-4637 | 2015-05-15 |
| 1629456124 | Nicholas Scott Peterson | Pediatrics | 1200 Childrens Ave Ste 12200, Oklahoma City, OK 73104 | 2015-05-15 |
| 1467848044 | Matthew Le | Pediatrics | 1200 Childrens Ave Ste 12300, Oklahoma City, OK 73104-4637 | 2015-04-10 |
| 1295140721 | Monica Wardwell Fogarty | Pediatrics | 1200 Childrens Ave Ste 14000, Oklahoma City, OK 73104-4637 | 2014-06-23 |
| 1912311200 | Melissa Jane Muhlinghause | Pediatrics | 4140 W Memorial Rd Ste 413, Oklahoma City, OK 73120 | 2014-06-16 |
| 1023364890 | Aswathy Kumar Vaikom House | Pediatrics | Ou Childrens Hospital, 1200 Everett Dr., Oklahoma City, OK 73104 | 2012-07-31 |
| 1417213943 | Theresa Mary Graif | Pediatrics | 1200 Everett Dr Rm 8305, Oklahoma City, OK 73104-5047 | 2012-04-10 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73116 |
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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.