Tulsa Specialty Hospital LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

TULSA SPECIALTY HOSPITAL LLC

Practice address

3219 S 79TH East Ave
Tulsa, OK 74145-1343

Phone

(918) 663-8183

NPI assigned

Sep 14, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deborah Neal

Title

Credentialing Coordinator

Phone

(405) 947-5557

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 373029

Legal name

MEADOWBROOK SPECIALTY HOSPITAL OF TULSA

Certification status

Terminated Other: provider status change, Sep 30, 2004

Provider type (POS)

Hospital – Rehabilitation

Participating since

Apr 15, 1993

Last certification

Sep 30, 2004

Beds

60

Ownership / control type

Private (for profit)

Most recent change of ownership

Sep 30, 2004 (2 total)

Facility address

3219 South 79TH East Avenue
Tulsa, OK 74145

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1003149741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 WILL ROGERS PKWY",
            "address_2": "STE 105",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731081837",
            "telephone_number": "405-947-5557",
            "fax_number": "405-948-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 S 79TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451343",
            "telephone_number": "918-663-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA SPECIALTY HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "405-947-5557"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tulsa Spine & Specialty Hospital
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• Tulsa Therapy Solutions
• Tulsa Time Dental Design

• Pulmonary Disease Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Pulmonary Disease Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.