TULSA SPECIALTY HOSPITAL LLC (NPI# 1003149741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003149741 |
| Entity Type | Organization |
| Organization Name | TULSA SPECIALTY HOSPITAL LLC |
| Practice Address |
3219 S 79th East Ave Tulsa OK 74145-1343 |
| Mailing Address |
4400 Will Rogers Pkwy Ste 105 Oklahoma City OK 73108-1837 |
| Practice Telephone | 9186638183 |
| Mailing Telephone | 4059475557 |
| Mailing Fax Number | 4059486507 |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2010-01-26 |
| Authorized Official Name | DEBORAH NEAL (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 4059475557 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
3219 S 79TH EAST AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74145-1343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457391260 | Roscoe Gordon Burrows II | Clinical Neuropsychologist | 3219 S 79th East Ave, Tulsa, OK 74145-1343 | 2006-06-08 |
| 1881121697 | Mercy Ngare | Physical Therapist | 3219 S 79th East Ave, Therapy Department, Tulsa, OK 74145-1343 | 2017-05-11 |
| 1982098448 | Farnoush Emamjomeh | Physical Therapist | 3219 S 79th East Ave, Tulsa, OK 74145-1343 | 2015-03-23 |
| 1699110155 | Post Acute Specialty Hospital of Tulsa LLC | Long Term Care Hospital | 3219 S 79th East Ave, Tulsa, OK 74145-1343 | 2013-05-09 |
| 1376760041 | Rebecca Julia Stoklosa | Occupational Therapist | 3219 S 79th East Ave, Tulsa, OK 74145-1343 | 2007-04-20 |
| 1376564351 | Rehabcare Group East, Inc. | Psychologist | 3219 S 79th East Ave, Tulsa, OK 74145-1343 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015606 | Grayson Elaine Kirk | Social Worker | 7028 E 32nd St, Tulsa, OK 74145 | 2018-05-31 |
| 1407378060 | Matthew Ryan Lazar | Case Manager/Care Coordinator | 3405 S 95th East Ave, Tulsa, OK 74145 | 2017-07-14 |
| 1770014243 | Sarah Truman | Counselor | 5332 S. Memorial Dr., Tulsa, OK 74145 | 2017-03-25 |
| 1265977615 | Tsaw LLC | Chiropractor | 6949-51 E. 71st St., Tulsa, OK 74145 | 2016-12-21 |
| 1740722115 | Green Country Pain Management | Internal Medicine | 6048-a S Sheridan Rd, Tulsa, OK 74145 | 2016-11-16 |
| 1790234003 | Joy Home Care Services LLC | In Home Supportive Care | 9434 E 51st Street, Tulsa, OK 74145 | 2016-09-27 |
| 1407302821 | Tammera Mcclenton | Counselor | 7225 E 58th St., Tulsa, OK 74145 | 2016-08-26 |
| 1366839482 | Tesia D. Wells | Marriage & Family Therapist | 7226 E 41st St, Tulsa, OK 74145 | 2015-04-16 |
| 1942613427 | Kevin Bonifield | Counselor | 5327 S Sheridan Rd, Tulsa, OK 74145 | 2014-06-03 |
| 1518208040 | Kelsee Lane Mccutchen | Counselor | 7477 E. 46th Place, Tulsa, OK 74145 | 2013-03-07 |
| Find all providers in zip 74145 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1124598149 | Pulmonary Care Innovations Pllc | Internal Medicine | 2832 E 101st St, Tulsa, OK 74137-5601 | 2018-12-03 |
| 1184145393 | A&r Management Services, Inc. | Internal Medicine | 2621 E 38th St, Tulsa, OK 74105-8206 | 2017-06-28 |
| 1821219098 | Robert Keith Wilson | Internal Medicine | 2753 S. Utica Ave, Tulsa, OK 74114 | 2007-05-02 |
| 1578598074 | Walter Mark Boomer | Internal Medicine | 6485 S Yale, Suite 1200, Tulsa, OK 74136 | 2006-07-12 |
| 1124053624 | Emil Joe Schelbar | Internal Medicine | 6485 S. Yale, Suite 1200, Tulsa, OK 74136 | 2006-07-12 |
| 1295760791 | Pulmonary Medicine Associates Inc | Internal Medicine | 6485 S Yale Ave, 1200, Tulsa, OK 74136 | 2006-07-12 |
| 1972564169 | Daniel A Nader | Internal Medicine | 802 S Jackson Ave, Tulsa, OK 74127-9015 | 2006-03-29 |
| 1013913359 | Andrew Gottehrer | Internal Medicine | 10505 E 91st St, Suite 208, Tulsa, OK 74133-5801 | 2005-06-22 |
| 1114923448 | Fred Garfinkel | Internal Medicine | 591 E 36th St N, Tulsa, OK 74106-1812 | 2005-06-22 |
| 1992083851 | Nataly Monserrath Vasquez Encalada | Internal Medicine | 6161 S Yale Ave, Tulsa, OK 74136 | 2011-07-26 |
| 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.