MENTOR ABI, LLC (NPI# 1508913336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508913336 |
Entity Type | Organization |
Organization Name | MENTOR ABI, LLC |
Other Organization Name | OKLAHOMA NEUROSPECIALTY |
Practice Address |
2408 E 81st St Suite 2600 Tulsa OK 74137-4200 |
Mailing Address |
4500 W Commercial Dr North Little Rock AR 72116-7055 |
Practice Telephone | 9184775111 |
Practice Fax Number | 9184775199 |
Mailing Telephone | 5017588799 |
Mailing Fax Number | 5017538204 |
Enumeration Date | 2007-01-04 |
Last Update Date | 2010-03-18 |
Authorized Official Name | CINDY A BEATY (DIRECTOR OF REIMBURSEMENT) |
Authorized Official Telephone | 5017588799 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 284300000X | Special Hospital | 2371 | OK | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | DEA | FO0100420 | 01 |
OK | GEN MEDSURG HOSPITAL | 2371 | 01 |
Other Name | Type Code |
---|---|
Oklahoma NeuroSpecialty | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639733058 | Mentor Abi, LLC | Psychologist | 4910 Corporate Centre Dr Ste 120, Lawrence, KS 66047-1002 | 2019-05-01 |
1679082234 | Mentor Abi, LLC | Rehabilitation Hospital | 115 Evans Ct, Mount Laurel, NJ 08054-4202 | 2017-09-27 |
1396254959 | Mentor Abi, LLC | Rehabilitation Hospital | 1203 Crofton Ct, Mount Laurel, NJ 08054-4221 | 2017-09-27 |
1386153922 | Mentor Abi, LLC | Rehabilitation Hospital | 8008 Route 130 Ste 400, Delran, NJ 08075-1869 | 2017-09-27 |
1386170504 | Mentor Abi, LLC | Rehabilitation Hospital | 2021 Cavalier Way, Sioux City, IA 51109-1176 | 2017-05-08 |
1619410701 | Mentor Abi, LLC | Rehabilitation Hospital | 1126 Florence Ave, Sioux City, IA 51109-1017 | 2016-11-22 |
1609224203 | Mentor Abi, LLC | Rehabilitation Hospital | 6006 Beverly Rd Sw, Cedar Rapids, IA 52404-7114 | 2016-05-25 |
1801274824 | Mentor Abi, LLC | Rehabilitation Hospital | 2803 262nd St, De Witt, IA 52742-9429 | 2015-05-11 |
1588042733 | Mentor Abi, LLC | Rehabilitation Hospital | 4102 Nw 2nd Ct, Ankeny, IA 50023-6803 | 2015-05-08 |
1215330444 | Mentor Abi, LLC | Rehabilitation Hospital | 3201 Davis Rd, Indianapolis, IN 46239-9305 | 2014-10-02 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MENTOR ABI, LLC | 313 Congress St, Boston, MA 02210-1218 |
Iowa Business Entities | MENTOR ABI, LLC | 313 Congress Street 5th Floor, Boston, MA 02210 |
Oklahoma Business Registrations | MENTOR ABI, LLC | 313 Congress St 5th Fl, C/o The Mentor Network, Boston, MA 02210 |
Indiana Business Entities | MENTOR ABI, LLC | 313 Congress St, 5th Fl, Boston, MA 02210 |
Street Address |
2408 E 81ST ST SUITE 2600 |
City | TULSA |
State | OK |
Zip Code | 74137-4200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487651857 | Oklahoma Surgical Hospital, LLC | General Acute Care Hospital | 2408 E 81st St, Ste 900, Tulsa, OK 74137-4217 | 2005-06-30 |
1033732557 | Michele Stern | Radiologic Technologist | 2408 E 81st St, Tulsa, OK 74137-4200 | 2020-05-19 |
1548898935 | Matthew Evan Marble | Nurse Practitioner | 2408 E 81st St, Tulsa, OK 74137-4200 | 2020-03-31 |
1851715668 | Autumn Thornton | Specialist/Technologist, Other | 2408 E 81st St, Suite 900, Tulsa, OK 74137-4200 | 2014-02-13 |
1578986964 | Lauren Michelle Blase | Physical Therapist | 2408 E 81st St, Tulsa, OK 74137-4200 | 2014-01-21 |
1124451455 | Tulsa-amg Specialty Hospital, LLC | Long Term Care Hospital | 2408 E 81st St, Ste 2800, Tulsa, OK 74137-4200 | 2013-08-09 |
1093083727 | Oncology Development Services | Clinic/Center | 2408 E 81st St, Suite 110, Tulsa, OK 74137-4200 | 2011-12-08 |
1568770105 | Oncology Services LLC | Internal Medicine | 2408 E 81st St, Suite 110, Tulsa, OK 74137-4200 | 2010-09-16 |
1386800019 | Northeast Oklahoma Eye Institute | General Acute Care Hospital | 2408 E 81st St, Suite 600, Tulsa, OK 74137-4200 | 2008-08-01 |
1760644587 | South Tulsa Rt Associates LLC | Radiology | 2408 E 81st St, Ste 110, Tulsa, OK 74137-4215 | 2008-07-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205487493 | Christopher Thibeault | Physician Assistant | 10326 S Oswego Ave, Tulsa, OK 74137 | 2019-09-27 |
1851896237 | Leslie King | Nurse Practitioner | 4809 East 89th Street South, Suite 100, Tulsa, OK 74137 | 2018-03-27 |
1245756428 | Olakunle Ajanaku | Dentist | 4818 East 113th Place South, Tulsa, OK 74137 | 2017-08-18 |
1831610096 | Cameron Craig | Dentist | 9671 South Riverside Drive East, Tulsa, OK 74137 | 2017-06-28 |
1669915336 | Verum Health | Chiropractor | 5014 East 101st Street, Suite 200, Tulsa, OK 74137 | 2016-11-29 |
1518327014 | Richard A Felmlee | General Practice | 8955 S. College Place, Tulsa, OK 74137 | 2016-02-26 |
1164815395 | John F Carletti Dds Prof Corp | Dentist | 2808 E. 101st St., Tulsa, OK 74137 | 2015-03-12 |
1023356581 | The Bair Foundation | Exclusive Provider Organization | 2921 E. 91st St, Tulsa, OK 74137 | 2013-01-17 |
1588900328 | Isaac Newton Causey | Counselor | 9325 S. Erie Avenue, Tulsa, OK 74137 | 2012-12-26 |
1952656894 | Crystal I Phillips | Behavioral Analyst | 2921 E 91st, Tulsa, OK 74137 | 2012-07-17 |
Find all providers in zip 74137 |
Taxonomy Code | 284300000X |
Grouping | Hospitals |
Classification | Special Hospital |
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
Notes: Source: AHA Guide, Registration section, p. A5. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265847925 | Best Friends Veterinary Hospital | Special Hospital | 5417 S Mingo Rd, Tulsa, OK 74146-5738 | 2014-06-21 |
1073500419 | Southwestern Regional Medical Center, Inc | Special Hospital | 10109 E 79th Street South, Tulsa, OK 74133 | 2005-09-30 |
1619219359 | Osu Family Medicine | Special Hospital | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2013-03-20 |
1326255563 | Tulsa Spine & Specialty Hospital Pharmacy | Special Hospital | 6901 S Olympia Ave, Tulsa, OK 74132-1843 | 2007-05-17 |
1619012713 | Orthopedic Hopsital of Oklahoma | Special Hospital | 2408 E 81st St, Tulsa, OK 74137-4200 | 2007-02-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114435666 | Bristow Endeavor Healthcare, LLC | Special Hospital | 3029 W. Main Street, Jenks, OK 74037 | 2018-01-18 |
1679861389 | Amgad Mohammed Haleem Amin | Special Hospital | 825 Ne 10th St Ste 1c, Oklahoma City, OK 73104-5417 | 2011-07-14 |
1841442274 | Oklahoma Heart Hospital South LLC | Special Hospital | 5200 East I-240 Service Rd, Oklahoma City, OK 73135-2610 | 2008-10-16 |
1205051323 | Trc The Recovery Center | Special Hospital | 1215 Nw 25th St., Oklahoma City, OK 73106 | 2007-04-16 |
1326136722 | Quapaw Counseling Services | Special Hospital | 58150 66th Road East, Miami, OK 74355-0876 | 2006-10-11 |
1356340897 | Ihs Acquisition No 168 Inc | Special Hospital | 8210 National Ave, Midwest City, OK 73110-8518 | 2005-07-18 |
1083617005 | Oklahoma Heart Hospital, LLC | Special Hospital | 4050 W Memorial Rd, Oklahoma City, OK 73120-8382 | 2005-05-23 |
1134780265 | Bristow Endeavor Healthcare, LLC | Special Hospital | 2340 E Main St, Cushing, OK 74023-2905 | 2019-06-28 |
1407331895 | Allen Charles Jones Jr. | Special Hospital | 1215 Nw 25th St, Oklahoma City, OK 73106-5629 | 2018-10-01 |
1124545819 | Landmark of Midwest City Specialty Hospital, LLC | Special Hospital | 8210 National Ave, Midwest City, OK 73110-8518 | 2017-08-24 |
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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.