CHERRY STREET SURGERY CENTER, LLC (NPI# 1902960198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902960198 |
| Entity Type | Organization |
| Organization Name | CHERRY STREET SURGERY CENTER, LLC |
| Practice Address |
1844 E 15th St Tulsa OK 74104-4611 |
| Practice Telephone | 9187497177 |
| Mailing Telephone | 9187497177 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2008-10-07 |
| Authorized Official Name | MARK L MATHERS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9187497177 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 0046 | OK | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100748420A | 05 | |
| OK | BLUE CROSS BLUE SHIELD | 731572836-001 | 01 |
| Street Address |
1844 E 15TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497713671 | Earl Udo Bachenberg | Dermatology | 1844 E 15th St, Tulsa, OK 74104-4611 | 2006-05-03 |
| 1316596190 | Blue Anesthesia Management, LLC | Anesthesiology | 1844 E 15th St, Tulsa, OK 74104-4611 | 2019-09-05 |
| 1235785593 | Oklahoma Commons Surgery Center, LLC | Pain Medicine | 1844 E 15th St, Tulsa, OK 74104-4611 | 2019-08-13 |
| 1225448251 | David L Akers Pllc | Anesthesiology | 1844 E 15th St, Tulsa, OK 74104-4611 | 2014-04-29 |
| 1487976320 | Ann E Bartoloni Md PC | Anesthesiology | 1844 E 15th St, Tulsa, OK 74104-4611 | 2010-02-19 |
| 1073835914 | Elizabeth L Frost, Pllc | Anesthesiology | 1844 E 15th St, Tulsa, OK 74104-4611 | 2010-02-19 |
| 1487804258 | Associated Dermatology and Hair Center | Dermatology | 1844 E 15th St, Tulsa, OK 74104-4611 | 2008-09-29 |
| 1124150032 | Mark L Mathers | Plastic Surgery | 1844 E 15th St, Tulsa, OK 74104-4611 | 2007-03-09 |
| 1417011693 | Center for Plastic Surgery PC | Plastic Surgery | 1844 E 15th St, Tulsa, OK 74104-4611 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662170 | Osu Center for Health Sciences | Clinic/Center | 802 S Jackson Ave Ste 410, Tulsa, OK 74127-9059 | 2020-09-01 |
| 1356971071 | Management Worldwide, LLC | Clinic/Center | 4415 S Harvard Ave Ste 201, Tulsa, OK 74135-2618 | 2020-01-22 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1952957995 | Osu Center for Health Sciences | Clinic/Center | 10507 E 91st St Ste 550, Tulsa, OK 74133-5590 | 2019-08-15 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1437627031 | Osu Center for Health Sciences | Clinic/Center | 6475 S Yale Ave Ste 202, Tulsa, OK 74136-7819 | 2018-11-13 |
| 1063990398 | Rodi LLC | Clinic/Center | 8316 E 61st St Ste 101-aa, Tulsa, OK 74133-1910 | 2018-07-30 |
| 1134654627 | Auxarc Imc, Inc | Clinic/Center | 3421 E 21st St, Tulsa, OK 74114-1958 | 2017-04-22 |
| 1831507680 | Osu Center for Health Sciences | Clinic/Center | 5635 N Cincinnati Ave, Tulsa, OK 74126-2253 | 2014-07-24 |
| 1679996656 | Osu Center for Health Sciences | Clinic/Center | 700 N. Greenwood, #265nh, Tulsa, OK 74106-0702 | 2014-01-28 |
| Find all providers in TULSA | ||||
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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.