DR. JOHN RUSSELL BOZALIS (NPI# 1881691921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881691921 |
Entity Type | Individual |
Full Name | DR. JOHN RUSSELL BOZALIS |
Credential | MD |
Practice Address |
750 Ne 13th St Oklahoma City OK 73104-5051 |
Mailing Address |
750 Ne 13th Street Oklahoma City OK 73104-5051 |
Practice Telephone | 4052350040 |
Practice Fax Number | 4052354495 |
Mailing Telephone | 4052350040 |
Mailing Fax Number | 4052354495 |
Enumeration Date | 2005-07-05 |
Last Update Date | 2009-05-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207K00000X | Allergy & Immunology | 8498 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100133760A | 05 |
Street Address |
750 NE 13TH ST |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73104-5051 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750384947 | Alberto J De Armendi | Anesthesiology | 750 Ne 13th St, Suite 200, Oklahoma City, OK 73104-5010 | 2005-05-23 |
1154981546 | Kortni Mccormick | Anesthesiology | 750 Ne 13th St, Oklahoma City, OK 73104-5010 | 2019-06-18 |
1962938308 | Quang Nguyen | Student in an Organized Health Care Education/Training Program | 750 Ne 13th St, Oac 200, Oklahoma City, OK 73104-5010 | 2017-05-04 |
1992239099 | William Robert Gordon | Student in an Organized Health Care Education/Training Program | 750 Ne 13th St, Oac Suite 200, Oklahoma City, OK 73104-5010 | 2017-04-14 |
1417481664 | Jeffrey Scott Davis | Student in an Organized Health Care Education/Training Program | 750 Ne 13th St, Oklahoma City, OK 73104-5010 | 2017-04-14 |
1326570003 | Ciera Ward | Student in an Organized Health Care Education/Training Program | 750 Ne 13th St, Oac 200, Oklahoma City, OK 73104-5010 | 2017-03-31 |
1346697430 | Caleb Mccormick | Student in an Organized Health Care Education/Training Program | 750 Ne 13th St, Oklahoma City, OK 73104-5010 | 2016-05-18 |
1033563895 | Kelly Maloch | Anesthesiology | 750 Ne 13th St, Suite 200, Oklahoma City, OK 73104-5010 | 2016-04-19 |
1457705345 | Thomas Campbell Stevens | Student in an Organized Health Care Education/Training Program | 750 Ne 13th St, Suite 200, Oklahoma City, OK 73104-5010 | 2016-04-18 |
1265886154 | David Van | Anesthesiology | 750 Ne 13th St, Suite 200, Oklahoma City, OK 73104-5010 | 2016-04-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
Find all providers in zip 73104 |
Taxonomy Code | 207K00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336109750 | Amy L. Darter | Allergy & Immunology | 1810 E Memorial Rd, Oklahoma City, OK 73131-1250 | 2006-03-28 |
1659818847 | Integrated Immunology Solutions LLC | Allergy & Immunology | 1810 E Memorial Rd, Oklahoma City, OK 73131-1237 | 2017-01-25 |
1639612518 | St Anthony Physicians Allergy | Allergy & Immunology | 6205 N Santa Fe Ave, Suite 105, Oklahoma City, OK 73118-7537 | 2016-11-28 |
1528343159 | Allergy, Asthma & Clinical Research Center | Allergy & Immunology | 4200 W Memorial Rd, Suite 206, Oklahoma City, OK 73120-9350 | 2011-10-14 |
1790964146 | Amy Libel Darter Md PC | Allergy & Immunology | 1810 E Memorial Rd, Oklahoma City, OK 73131-1250 | 2007-11-01 |
1407951700 | Jason Michael Bellak | Allergy & Immunology | 1810 E Memorial Rd, Oklahoma City, OK 73131-1250 | 2006-09-13 |
1215906920 | Ira N Targoff | Allergy & Immunology | 825 Ne 10th St, Oupb 2300, Oklahoma City, OK 73104-5417 | 2006-03-15 |
1821096488 | James Howard Wells | Allergy & Immunology | 750 Ne 13th St, Oklahoma City, OK 73104-5051 | 2005-07-08 |
1700883808 | Dean Alan Atkinson | Allergy & Immunology | 750 Ne 13th St, Oklahoma City, OK 73104-5010 | 2005-07-05 |
1053318162 | Patricia Ingham Overhulser | Allergy & Immunology | 750 Ne 13th St, Oklahoma City, OK 73104-5010 | 2005-07-05 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73104 |
Please comment or provide details below to improve the information on DR. JOHN RUSSELL BOZALIS.
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.