MEDICARE: RENETTA REEVES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0505X	Adult Medicine Physician	ME 62145	FL
2	207Q00000X	Family Medicine Physician	16980	OK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	17769Z	OTHER	FL	MEDICARE PTAN

General Provider Information

NPI Number	:	1386880698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENETTA REEVES MD

Provider Business Mailing Address
First Line	:	4500 S 129TH EAST AVE
Second Line	:	SUITE 191
City	:	TULSA
State	:	OK
Zip	:	74134-5801
Country	:	US
Telephone Number	:	800-993-8244
Fax Number	:

Provider Business Practice Location Address
First Line	:	4500 S 129TH EAST AVE
Second Line	:	SUITE 191
City	:	TULSA
State	:	OK
Zip	:	74134-5801
Country	:	US
Telephone Number	:	800-993-8244
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2008
Last Update Date	:	04/23/2015

Similar Medicare Providers

1841254612 — DR. STEPHANIE W COBBLE MD
Practice Location Address:

4500 S 129TH EAST AVE , SUITE 191
TULSA, OK
74134-5801

Practice Phone: 918-779-7472
Practice Fax: 918-779-7456

1609828680 — KIMBERLY KAY HUTTON MD
Practice Location Address:

4500 S 129TH EAST AVE , SUITE 191
TULSA, OK
74134-5801

Practice Phone: 918-392-4544
Practice Fax: 918-779-7425

1053658047 — MEDSTAFF PC
Practice Location Address:

4500 S 129TH EAST AVE , SUITE 191
TULSA, OK
74134-5801

Practice Phone: 918-779-7900
Practice Fax: 918-779-7425

1730534520 — LARRY MATHIAS III D.O.
Practice Location Address:

5801 E 41ST ST STE 900
TULSA, OK
74135-5631

Practice Phone: 918-747-4975
Practice Fax: 918-743-8552

1902801731 — MRS. LESLIE ANNE TAYLOR PA-C
Practice Location Address:

5801 E 41ST ST STE 900
TULSA, OK
74135-5631

Practice Phone: 918-747-4975
Practice Fax: 918-743-8552

1013913359 — MR. ANDREW GOTTEHRER M.D.
Practice Location Address:

10505 E 91ST ST , SUITE 208
TULSA, OK
74133-5801

Practice Phone: 918-307-5470
Practice Fax: 918-307-5471

Directions to “ RENETTA REEVES MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.