SOUTH TULSA ASC, LLC (NPI# 1174084982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174084982 |
| Entity Type | Organization |
| Organization Name | SOUTH TULSA ASC, LLC |
| Practice Address |
9840 E 81st St Ste 200 Tulsa OK 74133-4584 |
| Mailing Address |
20235 N Cave Creek Rd # 104-472 Phoenix AZ 85024-4424 |
| Practice Telephone | 6237642780 |
| Mailing Telephone | 6237642780 |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |
| Authorized Official Name | MR. TERRANCE WADE O'NEAL (OWNER/PARTNER) |
| Authorized Official Telephone | 6237642780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
9840 E 81ST ST STE 200 |
| City | TULSA |
| State | OK |
| Zip Code | 74133-4584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275755654 | Brian W Macha | Anesthesiology | 9840 E 81st St Ste 200, Tulsa, OK 74133-4584 | 2007-05-03 |
| 1912385212 | Buchan Anesthesia Consultants Pllc | Anesthesiology | 9840 E 81st St Ste 200, Tulsa, OK 74133-4584 | 2015-05-07 |
| 1346647310 | Turner Anesthesia Consultants Pllc | Anesthesiology | 9840 E 81st St Ste 200, Tulsa, OK 74133-4554 | 2014-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225497019 | Langley Holdings, LLC | Clinic/Center | 9840 E 81st St, Suite 200, Tulsa, OK 74133-4582 | 2016-02-22 |
| 1306214705 | Gsi Asc, LLC | Clinic/Center | 10210 E. 91st Street South, Tulsa, OK 74133 | 2015-09-02 |
| 1033543863 | Weir Asc LLC | Clinic/Center | 9840 East 81 St, Suite 200, Tulsa, OK 74133 | 2013-08-28 |
| 1346510476 | Tulsa Ambulatory Procedure Center LLC | Clinic/Center | 2811 E 15th St Ste 101, Tulsa, OK 74104-5242 | 2012-01-05 |
| 1912090218 | Tulsa Hand Surgery Center LLC | Clinic/Center | 2000 S Wheeling, Suite 910, Tulsa, OK 74104-5647 | 2006-10-02 |
| 1417916800 | Tulsa Ok Endoscopy Asc LLC | Clinic/Center | 4200 E Skelly Dr, Suite 100, Tulsa, OK 74135-3247 | 2006-03-22 |
| 1114990736 | Tulsa Ok Ophthalmology Asc LLC | Clinic/Center | 7191 S Yale Ave, Tulsa, OK 74136-6326 | 2006-02-13 |
| 1487655627 | Union Pines Surgery Center,llc | Clinic/Center | 4800 S 109th E Ave, Tulsa, OK 74146 | 2005-08-10 |
| 1205452521 | Seva Surgery Center Oklahoma LLC | Clinic/Center | 2811 E 15th St Ste 101, Tulsa, OK 74104-5242 | 2020-06-23 |
| 1669956934 | Ambulatory Procedure Center | Clinic/Center | 2811 E 15th St Ste 101, Tulsa, OK 74104-5242 | 2018-09-21 |
| 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.