DR. MARTIN LEO MARTUCCI (NPI# 1962405035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962405035 |
| Entity Type | Individual |
| Full Name | DR. MARTIN LEO MARTUCCI |
| Credential | M.D. |
| Practice Address |
10810 E 45th St Ste 400 Tulsa OK 74146-3806 |
| Practice Telephone | 9187427030 |
| Practice Fax Number | 9187429958 |
| Mailing Telephone | 9187427030 |
| Mailing Fax Number | 9187429958 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
23167 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200004950A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2000 S Wheeling Ave, Ste 600, Tulsa, OK 741045645 | 9187427030 | 9187429958 |
| Street Address |
10810 E 45TH ST STE 400 |
| City | TULSA |
| State | OK |
| Zip Code | 74146-3806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809080 | Andreas Frank Revelis | Anesthesiology | 10810 E 45th St Ste 400, Tulsa, OK 74146-3806 | 2005-05-23 |
| 1932613288 | Jessica Louise Mcelhenny | Nurse Practitioner | 10810 E 45th St Ste 400, Tulsa, OK 74146-3806 | 2017-11-24 |
| 1609392505 | Suzanne Stella Bjornson | Nurse Practitioner | 10810 E 45th St Ste 400, Tulsa, OK 74146-3806 | 2017-08-22 |
| 1265882930 | Keah Allen | Nurse Practitioner | 10810 E 45th St Ste 400, Tulsa, OK 74146-3806 | 2016-06-14 |
| 1316074834 | Tulsa Pain Consultants, Inc | Clinic/Center | 10810 E 45th St Ste 400, Tulsa, OK 74146-3806 | 2007-02-28 |
| 1447298120 | Bryan Andrew Vandoren | Internal Medicine | 10810 E 45th St Ste 400, Tulsa, OK 74146-3806 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
| 1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
| 1184158404 | Alexis Lauren Allen | Case Manager/Care Coordinator | 9820 E 41st St #400, Tulsa, OK 74146 | 2017-04-13 |
| 1578995908 | Adrian Gheorghe Butuc | Massage Therapist | 5635 S Mingo #b, Tulsa, OK 74146 | 2013-08-08 |
| 1336587088 | Tulsa Cancer Institute, Pllc | Obstetrics & Gynecology | 12697 E. 51st St. South, Tulsa, OK 74146 | 2013-06-04 |
| 1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
| 1619232972 | Diagnostic Imaging Associates | General Acute Care Hospital | 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 | 2012-07-11 |
| 1790046654 | Aundra Lamar Fuller | Behavioral Analyst | 10922 E. 39th St., Tulsa, OK 74146 | 2012-06-06 |
| 1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
| 1922307958 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5115 S. 122nd East Ave., Suite 204, Tulsa, OK 74146 | 2011-03-16 |
| Find all providers in zip 74146 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437657590 | Advanced Pain Management Center of Oklahoma, LLC | Anesthesiology | 7107 S Yale Ave # 288, Tulsa, OK 74136-6308 | 2018-01-24 |
| 1841692274 | Precision Pain Management LLC | Anesthesiology | 6717 S Yale Ave Ste 210, Tulsa, OK 74136-3328 | 2014-09-17 |
| 1578880225 | Patricia Eugenie Jumelle | Anesthesiology | 8131 S Memorial Dr Ste 100, Tulsa, OK 74133-4348 | 2010-04-20 |
| 1518129733 | Adam Joseph Wallace | Anesthesiology | 3336 E 32nd St Ste 220, Tulsa, OK 74135-4442 | 2008-06-29 |
| 1851581185 | Emad Samir Attallah-wasif | Anesthesiology | 10124 S Sheridan Rd, Ste B, Tulsa, OK 74133-6742 | 2007-08-01 |
| 1528061603 | Clinton Scott Anthony | Anesthesiology | 6802 S Olympia Ave, Suite 100, Tulsa, OK 74132-1823 | 2005-05-23 |
| 1902809080 | Andreas Frank Revelis | Anesthesiology | 10810 E 45th St Ste 400, Tulsa, OK 74146-3806 | 2005-05-23 |
| 1043835309 | Seva Pain and Wellness | Anesthesiology | 2811 E 15th St Ste 102, Tulsa, OK 74104-5242 | 2020-06-12 |
| 1689144602 | The Spine and Pain Center LLC | Anesthesiology | 3336 E 32nd St Ste 220, Tulsa, OK 74135-4442 | 2018-12-03 |
| 1639575160 | Uber Group Pllc | Anesthesiology | 9709 E 79th St, Tulsa, OK 74133-4566 | 2014-11-11 |
| 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.