ELITE FAMILY MEDICINE LLC (NPI# 1992224349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992224349 |
| Entity Type | Organization |
| Organization Name | ELITE FAMILY MEDICINE LLC |
| Practice Address |
3336 E 32nd St Ste 205 Tulsa OK 74135-4454 |
| Practice Telephone | 9183980800 |
| Practice Fax Number | 9183980810 |
| Mailing Telephone | 9183980800 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2020-06-10 |
| Authorized Official Name | DR. VISHAL AGGARWAL (MEMBER) |
| Authorized Official Telephone | 9187424900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200749030B | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 120 S 3rd St, Ponca City, OK 746015308 | 9183980800 | 9183980810 |
| Street Address |
3336 E 32ND ST STE 205 |
| City | TULSA |
| State | OK |
| Zip Code | 74135-4454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144862731 | Trancendental Union With Love and Spiritual Advancement | Clinical Medical Laboratory | 3336 E 32nd St Ste 205, Tulsa, OK 74135-4454 | 2019-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386185353 | Neuropathy Treatment Clinic of Oklahoma LLC | Clinic/Center | 1810 E 15th St Ste D, Tulsa, OK 74104-4611 | 2017-03-10 |
| 1417303801 | Paradigm Hormones Tulsa, Pllc | Clinic/Center | 6316 E 102nd St, Tulsa, OK 74137-7061 | 2016-05-04 |
| 1487116612 | Allergy Relief of South Tulsa, LLC | Clinic/Center | 9940 E 81st St Ste 100, Tulsa, OK 74133-4501 | 2019-04-05 |
| 1952898751 | Emerge Medical & Well Spa | Clinic/Center | 9124 S Sheridan Rd, Tulsa, OK 74133-5332 | 2018-04-17 |
| 1578927141 | Healthworks Medical Group of Oklahoma P C | Clinic/Center | 3900 N Mingo Rd, Turbine Building Md 4, Tulsa, OK 74116-5000 | 2016-04-11 |
| 1972854768 | Morton Comprehensive Health Services, Inc. | Clinic/Center | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2012-09-20 |
| 1134474034 | Morton Comprehensive Health Services, Inc. | Clinic/Center | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2012-07-17 |
| 1003179664 | Morton Comprehensive Health Services, Inc. | Clinic/Center | 1334 N Lansing Ave, Tulsa, OK 74106-5907 | 2012-06-19 |
| 1356609739 | Ntco LLC | Clinic/Center | 2511 E 21st St, Tulsa, OK 74114-1705 | 2012-04-24 |
| 1902111602 | Ou Health Access Network | Clinic/Center | 4502 E 41st St, Tulsa, OK 74135-9923 | 2010-08-18 |
| 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.