Carson Kendall Agee
Surgery

Address: 5401 N Portland Ave Ste 540, Oklahoma City, OK 73112-2092
Phone: 4056044224

Carson Kendall Agee (NPI# 1942203575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1942203575
Entity Type Individual
Full Name Carson Kendall Agee
Credential M.D.
Gender Male
Practice Address 5401 N Portland Ave Ste 540
Oklahoma City
OK 73112-2092
Practice Telephone 4056044224
Practice Fax Number 4057024734
Mailing Address 5300 N Independence Ave Ste 280
Oklahoma City
OK 73112-5555
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2005-05-27
Last Update Date 2018-09-24

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 208600000X Surgery Allopathic & Osteopathic Physicians 048474 GA

Other Provider Identifier

State Identifier Issuer Type Code
GA 00866555A MEDICAID

Physician Overview

NPI 1942203575
PAC ID by PECOS 7315950086
Professional Enrollment ID I20151203002766
Full Name Carson Agee
Organization Legal Name DEACONESS PHYSICIAN SERVICES LLC
Phone Number 4056044475
Gender M
Credential MD
Medical School ORAL ROBERTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1983
Primary Specialty GENERAL SURGERY
Group Practice PAC ID 0840232070
Number of Group Practice Members 21
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370032 ALLIANCEHEALTH DEACONESS

Office Location

Street Address 5401 N PORTLAND AVE STE 540
City OKLAHOMA CITY
State OK
Zip Code 73112-2092

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821376039 Brett A Stone Surgery 5401 N Portland Ave Ste 540, Oklahoma City, OK 73112-2092 2011-07-22
1578547170 Arun Kumar Sachdev Internal Medicine 5401 N Portland Ave Ste 540, Oklahoma City, OK 73112-2092 2005-12-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336627223 Thomas Tedford Cook Nurse Practitioner 5700 N Portland, Ste 101, Oklahoma City, OK 73112 2018-08-01
1801380159 Crysten Cheatwood Do, PC Obstetrics & Gynecology 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 2018-06-20
1841707387 Katie Pankowsky Nurse Practitioner 4121 Nw 58th St, Oklahoma City, OK 73112 2018-01-05
1306352521 Victoria Ann Kappel Thoracic Surgery (Cardiothoracic Vascular Surgery) 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 2017-12-26
1376052944 Northside Psychiatry Pllc Nurse Practitioner 2301 W I 44 Service Rd Ste 300, Oklahoma City, OK 73112 2017-09-26
1871014886 Tanesia Michelle Smith Case Management 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 2017-06-29
1619414257 Edwige Gwanyama Student in an Organized Health Care Education/Training Program 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 2017-01-20
1619424017 Jennifer Beaver Peer Specialist 2808 Nw 31st, Oklahoma City, OK 73112 2016-09-02
1417305368 Gabriel Plank Counselor 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 2016-06-01
1912364365 Sams East Inc Durable Medical Equipment & Medical Supplies 4101 N May Ave, Oklahoma City, OK 73112 2016-01-15
Find all providers in zip 73112

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700123916 Laura Jane Holsey Surgery 3543 West Memorial Road, Holsey Cosmetic Surgery & Spa, Oklahoma City, OK 73134 2013-01-08
1417218611 Shani Ortiz Harvey Surgery 4221 S Western Ave Ste 4005, Oklahoma City, OK 73109 2012-06-04
1619234572 Esan Kiel Harris Surgery 15200 S May Ave, Oklahoma City, OK 73170-8600 2012-04-17
1912290917 Katie Christine Wiggins-dohlvik Surgery 1200 Everett Dr # 2320, Oklahoma City, OK 73104-5047 2011-05-24
1760788962 Rowlan Surgical Pllc Surgery 3400 Nw Expressway Bldg C, Suite 812, Oklahoma City, OK 73112-4493 2011-02-04
1396063392 Laura E Fischer Surgery 920 Department of Surgery, Williams Pavilion 2140, Oklahoma City, OK 73104-5033 2010-05-14
1982843793 Scott W Calhoon Surgery 210 Park Ave, Suite 2820, Oklahoma City, OK 73102-5636 2009-02-18
1700046737 Jeremy J Johnson Surgery 920 Stanton L Young Blvd # 2140, Oklahoma City, OK 73104-5020 2008-06-12
1528194321 Jay Cannon Md PC Surgery 3435 Nw 56th St Ste 210, Oklahoma City, OK 73112-4414 2007-02-26
1700927175 Timothy Vavricka Surgery 401 Sw 80th St Ste 101, Oklahoma City, OK 73139 2007-02-09
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73112

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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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