South Tulsa Medical Group Llc
LBN: South Tulsa Medical Group Llc
South Tulsa Medical Group Llc is an health care organization with primary practice located at 8803 S 101St East Ave Ste 100, Tulsa OK 74133-5726. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
South Tulsa Medical Group Llc can be contacted via phone (918) 392-5470, or through Brewer, Debbie via phone (877) 892-9813.
Contact Information
Primary practice address
8803 S 101St East Ave Ste 100
Tulsa OK 74133-5726
Phone: (918) 392-5470
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist | 364S00000X |
Profile Details
| NPI number | 1518998483 |
|---|---|
| LBN Legal business name | South Tulsa Medical Group Llc |
| DBA Doing business as | |
| Authorized official | Brewer, Debbie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Sep 9th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518998483 | NPPES |
| Oklahoma | MEDICAID | 200106940A |
Popular Providers
-
Douglas Brown Md Pc
1705 E 19Th St Suite 503, Tulsa OK 74104-5405 -
Integrative Medical Center Of Tulsa, Llc
3105 E Skelly Dr Suite 303, Tulsa OK 74105-6358 -
Ahs Oklahoma Physician Group, Llc
9245 S. Mingo , Tulsa OK 74133 -
Board Fo Regents Of The University Of Oklahoma Ou Physicians Tulsa
2325 South Harvard Ste 400A Outach Family & Children'S Services, Tulsa OK 74114 -
Cardiology Of Oklahoma Inc
802 S Jackson Ave , Tulsa OK 74127-9015 -
Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa
4444 E 41St Street 3Rd Floor Ste B Schusterman Center Clinic, Tulsa OK 74135-2527 -
Ahs Oklahoma Physician Group Llc
1145 S Utica Ave Suite 110, Tulsa OK 74104-4000 -
Ahs Oklahoma Physician Group, Llc
9245 South Mingo , Tulsa OK 74133