MENTOR ABI, LLC


Address: 2408 E 81st St, Suite 2600, Tulsa, OK 74137-4200
Phone: 9184775111

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 284300000X Special Hospital 2371 OK Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
OK DEA FO0100420 01
OK GEN MEDSURG HOSPITAL 2371 01

Other Provider/Organization Names

Other Name Type Code
Oklahoma NeuroSpecialty Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 2408 E 81ST ST
SUITE 2600
City TULSA
State OK
Zip Code 74137-4200

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 284300000X
Grouping Hospitals
Classification Special Hospital

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City TULSA
Zip Code 74137

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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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