DR. JOHN RUSSELL BOZALIS


Address: 750 Ne 13th St, Oklahoma City, OK 73104-5051
Phone: 4052350040

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207K00000X Allergy & Immunology 8498 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK 100133760A 05

Office Location

Street Address 750 NE 13TH ST
City OKLAHOMA CITY
State OK
Zip Code 73104-5051

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City OKLAHOMA CITY
Zip Code 73104

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Dataset Information

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.

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