SOUTH TULSA PERFORMANCE HEALTH (NPI# 1790969053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790969053 |
| Entity Type | Organization |
| Organization Name | SOUTH TULSA PERFORMANCE HEALTH |
| Practice Address |
7112 S Mingo Rd Ste 101 Tulsa OK 74133-3267 |
| Practice Telephone | 9189496622 |
| Practice Fax Number | 9188729913 |
| Mailing Telephone | 9189496622 |
| Mailing Fax Number | 9188729913 |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2008-08-21 |
| Authorized Official Name | DR. JASON COOK (OWNER) |
| Authorized Official Telephone | 9189496622 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
3785 | OK | Ambulatory Health Care Facilities |
| Street Address |
7112 S MINGO RD STE 101 |
| City | TULSA |
| State | OK |
| Zip Code | 74133-3267 |
| 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 | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861568859 | Goodwill Industries of Tulsa Inc | Clinic/Center | 2800 Southwest Blvd, Tulsa, OK 74107-3817 | 2006-11-28 |
| 1770544371 | Select Physical Therapy Holdings Inc | Clinic/Center | 12221 E 51st St, Tulsa, OK 74146-6216 | 2006-03-31 |
| 1811958440 | Select Physical Therapy Holdings Inc | Clinic/Center | 11055 S Memorial Dr, Tulsa, OK 74133-7362 | 2006-03-31 |
| 1043634942 | Trinity Rehabilitation Group Inc | Clinic/Center | 6048 S Sheridan Rd, Suite E, Tulsa, OK 74145-9212 | 2014-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499250 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 4400 Grant Blvd Ste 105, Yukon, OK 73099-0038 | 2020-05-18 |
| 1982238077 | Integris Ambulatory Care Corporation | Clinic/Center | 11801 S May Ave, Oklahoma City, OK 73170-2560 | 2020-02-27 |
| 1891329983 | Integris Ambulatory Care Corporation | Clinic/Center | 2901 Marilyn Williams Dr, Edmond, OK 73003-1001 | 2020-02-27 |
| 1194373027 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 1841 Piedmont Rd N Ste C, Piedmont, OK 73078-7008 | 2019-09-04 |
| 1013570357 | Select Physical Therapy Holdings Inc. | Clinic/Center | 3402 W 114th St, Suite 101, Jenks, OK 74037 | 2019-04-22 |
| 1245708957 | Integris Ambulatory Care Corporation | Clinic/Center | 7301 Sw 44th St Ste G, Oklahoma City, OK 73179-4308 | 2018-11-12 |
| 1568946119 | Integris Ambulatory Care Corporation | Clinic/Center | 11101 Hefner Pointe Dr Ste 207, Oklahoma City, OK 73120-5054 | 2018-09-19 |
| 1477090652 | Integris Ambulatory Care Corporation | Clinic/Center | 2203 S Main St, Grove, OK 74344-5329 | 2017-01-25 |
| 1609972058 | State of Oklahoma | Clinic/Center | 2002 E Robinson St, Norman, OK 73071-7420 | 2006-09-15 |
| 1801819099 | Integris South Oklahoma City Corporation | Clinic/Center | 4100 S Douglas Ave, Oklahoma City, OK 73109-3210 | 2006-07-26 |
| Find all providers with the same taxonomy | ||||
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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.