DR. DAVID C. CAVALLARO, D.P.M., INC. (NPI# 1871627315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871627315 |
Entity Type | Organization |
Organization Name | DR. DAVID C. CAVALLARO, D.P.M., INC. |
Practice Address |
7370 S Walker Ave Oklahoma City OK 73139-7628 |
Practice Telephone | 4056312333 |
Practice Fax Number | 4056312350 |
Mailing Telephone | 4056312333 |
Mailing Fax Number | 4056312350 |
Enumeration Date | 2007-03-15 |
Last Update Date | 2011-10-25 |
NPI Deactivation Date | 08/11/2008 |
NPI Reactivation Date | 2011-02-02 |
Authorized Official Name | DR. DAVID CARL CAVALLARO (CEO) |
Authorized Official Telephone | 4056312333 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
140 | OK | Podiatric Medicine & Surgery Service Providers |
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
140 | OK | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | BCBS PROVIDER # | 078425699002 | 01 |
OK | 100779410A | 05 | |
OK | INDIVIDUAL NPI # | 1548261050 | 01 |
Street Address |
7370 S WALKER AVE |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73139-7628 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760989909 | Ideal Option, Pllc | Clinic/Center | 7370 S Walker Ave, Oklahoma City, OK 73139-7628 | 2018-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447899778 | First Med Primary Care LLC | Clinic/Center | 1142 Sw 104th St, Oklahoma City, OK 73139 | 2020-01-03 |
1205305737 | Transit Medical Team LLC | In Home Supportive Care | 1145 S I-240 Service Rd Ste F, Oklahoma City, OK 73139 | 2018-11-14 |
1336621770 | Mayra Edith Solis | Case Manager/Care Coordinator | 6510 S. Western Ave Bldg. 400, Oklahoma City, OK 73139 | 2018-09-01 |
1619470184 | Linzi L Stewart, D.o., P.l.l.c. | Obstetrics & Gynecology | 10400 S Western Ave Ste 7, Oklahoma City, OK 73139 | 2018-03-12 |
1467970467 | Oklahoma Healthcare Transitions Inc | Home Health | 6803 S Western Ave Ste 400, Oklahoma City, OK 73139 | 2017-08-30 |
1841714169 | Gentry Kyler Jones | Case Manager/Care Coordinator | 301 W I240 Service Rd, Oklahoma City, OK 73139 | 2017-07-28 |
1437688082 | Jasmine Small | Case Manager/Care Coordinator | 6100 S Walker, Okc, OK 73139 | 2017-06-07 |
1689029266 | Swalk Operations, LLC | Skilled Nursing Facility | 315 Sw 80th Street, Oklahoma City, OK 73139 | 2016-05-02 |
1225491343 | Elizabeth Pratt | Counselor | 301 Interstate 240 Service Rd, Oklahoma City, OK 73139 | 2016-04-05 |
1326418542 | Brittany Elis Walley | Case Manager/Care Coordinator | 8015 S Klein Ave, Oklahoma City, OK 73139 | 2015-09-30 |
Find all providers in zip 73139 |
Taxonomy Code | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043496409 | John Andrew Maupin Jr. | Podiatrist | 705 Nw 57th St, Oklahoma City, OK 73118-5905 | 2008-01-16 |
1629072376 | Clifford D. Mcentire | Podiatrist | 1700 Exchange Ave, Oklahoma City, OK 73108-3021 | 2005-06-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235677121 | Brayderik Consulting | Podiatrist | 1607 S Muskogee Ave Ste C, Tahlequah, OK 74464-5440 | 2017-02-10 |
1669799441 | Patrick Paul Branagan | Podiatrist | 101 Rockefeller Dr Ste 204, Muskogee, OK 74401-5050 | 2010-05-03 |
1669642351 | John James Ditmars, Jr. Dpm PC | Podiatrist | 47 N Kimbell Rd, Yukon, OK 73099-2251 | 2008-03-10 |
1073511648 | Maureen Lee Crotty | Podiatrist | 3627 S Harvard Ave, Tulsa, OK 74135-2227 | 2005-07-08 |
1013915701 | Jeff Robert Finkenstaedt | Podiatrist | 3540 East 31st, Suite 2, Tulsa, OK 74135-1526 | 2005-07-07 |
1699339804 | Oklahoma Mobile Podiatry Services LLC | Podiatrist | 3001 S Telephone Rd, Moore, OK 73160-2942 | 2019-04-24 |
1588184014 | Newstep Plc | Podiatrist | 9306 S Toledo Ct Ste 200, Tulsa, OK 74137-2746 | 2017-06-26 |
1508117698 | Glacier Podiatry Clinics LLC | Podiatrist | 416 W 15th St, Suite 400b, Edmond, OK 73013-3747 | 2012-09-28 |
1407025323 | John K Cauthon D P M | Podiatrist | 1314 N Harville Rd, Duncan, OK 73533-1514 | 2008-02-25 |
1023286382 | John James Ditmars, Jr. Dpm, PC | Podiatrist | 1620 W Elm St, El Reno, OK 73036-4202 | 2008-02-20 |
Find all providers with the same taxonomy |
City | OKLAHOMA CITY |
Zip Code | 73139 |
Please comment or provide details below to improve the information on DR. DAVID C. CAVALLARO, D.P.M., INC..
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.