DANIEL E WILDES (NPI# 1932163565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932163565 |
Entity Type | Individual |
Full Name | DANIEL E WILDES |
Credential | D.O. |
Practice Address |
802 S Jackson Ave Ste 225 Tulsa OK 74127 |
Mailing Address |
802 S Jackson Ave Ste 225 Tulsa OK 74127-9049 |
Practice Telephone | 9185827711 |
Practice Fax Number | 9185835831 |
Mailing Telephone | 9185827711 |
Enumeration Date | 2006-04-12 |
Last Update Date | 2019-02-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
4168 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | MEDICARE | 456078YM2Y | 01 |
OK | 200031260B | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
800 Kenyon Rd, Fort Dodge, IA 505015776 | 5155746840 | 5155767726 |
Street Address |
802 S JACKSON AVE STE 225 |
City | TULSA |
State | OK |
Zip Code | 74127 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922080860 | David Matthew Wilkett | Internal Medicine | 802 S Jackson Ave Ste 225, Tulsa, OK 74127-9049 | 2005-11-16 |
1982026456 | Rebecca Stephen | Physician Assistant | 802 S Jackson Ave Ste 225, Tulsa, OK 74127-9049 | 2014-01-17 |
1396004636 | Tucker James Harrison | Internal Medicine | 802 S Jackson Ave Ste 225, Tulsa, OK 74127-9049 | 2012-05-07 |
1952688509 | Randal Paul Cook | Physician Assistant | 802 S Jackson Ave Ste 225, Tulsa, OK 74127-9049 | 2011-11-10 |
1467698324 | Steve Kim | Internal Medicine | 802 S Jackson Ave Ste 225, Tulsa, OK 74127-9049 | 2008-12-26 |
1386820934 | Vitalsound L. L. C. | Clinical Medical Laboratory | 802 S Jackson Ave Ste 225, Tulsa, OK 74127-9049 | 2008-01-14 |
1306064944 | Sharolyn D Cook | Internal Medicine | 802 S Jackson Ave Ste 225, Tulsa, OK 74127-9049 | 2007-04-20 |
1336102342 | Shane S. Yamane | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 802 S Jackson Ave Ste 225, Tulsa, OK 74127 | 2006-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366966699 | Tarell Lynell Earl | Case Manager/Care Coordinator | 602 N. 28th W. Pl., Tulsa, OK 74127 | 2017-07-28 |
1023538014 | Milton Dean IIi | Counselor | 1234 N Rosedale, Tulsa, OK 74127 | 2017-06-21 |
1740700988 | Lisa Lee Ann Gilliland | Case Manager/Care Coordinator | 2001 W Ute Pl, Tulsa, OK 74127 | 2017-06-20 |
1114456498 | Kevin Thomas Jackson | Counselor | 310 S 49th W Ave, Tulsa, OK 74127 | 2017-06-08 |
1427406180 | Byron Conrad Dixon Jr. | Case Manager/Care Coordinator | 551 N. 28th W. Ave., Tulsa, OK 74127 | 2016-06-02 |
1548621568 | Brandon Worth | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2016-03-18 |
1073987467 | Jo Lowe | Social Worker | 420 S. Lawton Ave. Apt 315, Tulsa, OK 74127 | 2015-11-23 |
1154718575 | William Hughes | Health Educator | 3101 W Edison, Tulsa, OK 74127 | 2015-04-23 |
1801289665 | Kristyn Janelle Zrenda | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2015-03-17 |
1831595719 | Mallory Yarbrough | Counselor | 3005 N 24th West Ave, Tulsa, OK 74127 | 2014-11-05 |
Find all providers in zip 74127 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801355813 | Tulsa Cardiovascular Center of Excellence, L.l.c | Internal Medicine | 11912 S Norwood Ave Ste 105, Tulsa, OK 74137-5509 | 2019-03-19 |
1356621353 | Taraka Vijaya Rama Raju Gadiraju | Internal Medicine | 6151 S Yale Ave Ste 1-304, Tulsa, OK 74136-1907 | 2011-08-22 |
1174750749 | Matthew Joseph Comstock | Internal Medicine | 11912 S Norwood Ave Ste 110, Tulsa, OK 74137-5509 | 2009-06-22 |
1497965818 | Heart Care of Tulsa, Inc. | Internal Medicine | 802 South Jackson, Suite 225, Tulsa, OK 74127 | 2007-05-23 |
1528152899 | Cardiovascular Consultants Inc | Internal Medicine | 5555 E 71 Street, Suite 7200, Tulsa, OK 74136-6544 | 2006-10-03 |
1790717270 | St John Cardiovascular Medicine Inc | Internal Medicine | 1923 E 21st St, Suite 200, Tulsa, OK 74114-1419 | 2006-07-07 |
1598719775 | Richard Lynn Irvin | Internal Medicine | 6151 S Yale Ave Ste 100a, Tulsa, OK 74136-1929 | 2006-05-20 |
1578524013 | Gregory Mcwilliams | Internal Medicine | 5555 E 71st St, Ste 7200, Tulsa, OK 74136 | 2006-03-31 |
1922080860 | David Matthew Wilkett | Internal Medicine | 802 S Jackson Ave Ste 225, Tulsa, OK 74127-9049 | 2005-11-16 |
1194727164 | James Ray Higgins | Internal Medicine | 7912 E 31st Ct, Suite 320, Tulsa, OK 74145-1305 | 2005-08-10 |
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.