MORTON COMPREHENSIVE HEALTH SERVICES INC (NPI# 1720075112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720075112 |
| Entity Type | Organization |
| Organization Name | MORTON COMPREHENSIVE HEALTH SERVICES INC |
| Other Organization Name | MORTON COMPREHENSIVE HEALTH SERVICES INC X-RAY |
| Practice Address |
1334 N Lansing Ave Tulsa OK 74106-5907 |
| Practice Telephone | 9182956137 |
| Practice Fax Number | 9185820529 |
| Mailing Telephone | 9182956137 |
| Mailing Fax Number | 9185820529 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2019-07-24 |
| Authorized Official Name | SAUNYA MOORE (CFO) |
| Authorized Official Telephone | 9182956107 |
| Is Organization Subpart | Y |
| Parent Organization Name | RADIOLOGY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | MEDICARE | 371803 | 01 |
| Other Name | Type Code |
|---|---|
| Morton Comprehensive Health Services Inc X-Ray | Doing Business As Name - Organization |
| Street Address |
1334 N LANSING AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74106-5907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316948656 | Michael T Montague | Family Medicine | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2005-08-09 |
| 1750928974 | Martha Lievano-stanton | Social Worker | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2019-12-06 |
| 1700420155 | Molly Ann Hannagan | Nurse Practitioner | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2019-10-29 |
| 1629535174 | Jan Laverne Figart | Nurse Practitioner | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2019-02-20 |
| 1326533324 | Paula Jean Rowan | Nurse Practitioner | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2018-06-22 |
| 1457877433 | Amber Jones | Nurse Practitioner | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2017-08-21 |
| 1003336942 | Carter G Brashears | Pharmacist | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2017-06-21 |
| 1265884340 | Caleb Demarais | Counselor | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2016-07-12 |
| 1033565676 | Elizabeth J Archer-cooper | Physician Assistant | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2016-05-13 |
| 1821466244 | Emily Spencer | Nurse Practitioner | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2015-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538895 | Desma Johnson | Technician | 784 East 43rd Street North, Tulsa, OK 74106 | 2019-10-01 |
| 1912462094 | Breyan Lashawn Jackson | Case Manager/Care Coordinator | 3606 N Mlk Jr. Blvd, Tulsa, OK 74106 | 2019-02-04 |
| 1740751445 | Ernest Kaara Maina | Family Medicine | 3606 M.l.k. Jr Blvd, Tulsa, OK 74106 | 2018-12-07 |
| 1568969632 | A&m Healthcare Clinic | Nurse Practitioner | 3606 North Mlk Blvd, Tulsa, OK 74106 | 2018-04-06 |
| 1265880819 | Paula Patricia Tullis | Psychologist | 1232 N Boston, Tulsa, OK 74106 | 2016-05-24 |
| 1326413030 | Eartha Mcalester | Counselor | 628 E. Virgin St., Tulsa, OK 74106 | 2015-12-07 |
| 1114334182 | James O Brannon Jr. | Behavioral Analyst | 2745 North Main, Tulsa, OK 74106 | 2014-07-22 |
| 1952718512 | Teresa Marie Williams | Counselor | 3601 N. Martin Luther King Blvd, Tulsa, OK 74106 | 2014-07-16 |
| 1639580764 | Lynnette Dixon | Case Management | 708 East 38th Street North, Tulsa, OK 74106 | 2014-05-12 |
| 1184975898 | Tiara Delonia | Social Worker | 1 W 36th St N Suite 1, Tulsa, OK 74106 | 2012-09-21 |
| Find all providers in zip 74106 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124186820 | Erika N Alfaro Marshall | Radiology | 1334 N Lansing, Tulsa, OK 74106 | 2006-12-05 |
| 1679549166 | Ronald Allan Stillerman | Radiology | 4500 S Garnett Rd Ste 300, Tulsa, OK 74146-5238 | 2006-02-24 |
| 1043214497 | Shawn D Grant | Radiology | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2005-06-13 |
| 1689652869 | Carole M Dentino | Radiology | 4500 S Garnett Rd, Suite 300, Tulsa, OK 74146-5229 | 2006-01-06 |
| 1851380703 | Jestine A Gahagan | Radiology | 603 E Pine St, Tulsa, OK 74106-4849 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437652740 | Bns Associates LLC | Radiology | 2553 S Kelly Ave Ste 110, Edmond, OK 73013-3890 | 2018-03-13 |
| 1407901085 | Paula Ann Deupree | Radiology | 13509 N Meridian Ave, Suite 6, Oklahoma City, OK 73120-8396 | 2007-01-24 |
| 1790005809 | Ryan Brandon Hurst | Radiology | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2010-06-11 |
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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.