Organization Active NPI

Premier Neurotechnologies, PA

  • Surgical Technologist
  • Tulsa, OK
National Provider Identifier
1003195678
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
Legal business name
PREMIER NEUROTECHNOLOGIES, PA
Practice address
9521 B Riverside Parkway #338
Tulsa, OK 74137-7422
Phone
(918) 895-7680
Fax
(918) 236-4646
NPI assigned
Aug 12, 2011
Last updated
Oct 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Authorized official

Name
Cristi Vinson
Title
Billing
Phone
(918) 895-7680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZS0410X Primary

Addresses

Primary practice location

9521 B Riverside Parkway #338
Tulsa, OK 74137-7422

Mailing address

PO Box 26158
Oklahoma City, OK 73126-0168
Phone (918) 895-7680

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1003195678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26158",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731260168",
            "telephone_number": "918-895-7680",
            "fax_number": "918-236-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9521 B RIVERSIDE PARKWAY #338",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377422",
            "telephone_number": "918-895-7680",
            "fax_number": "918-236-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER NEUROTECHNOLOGIES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "VINSON",
        "authorized_official_first_name": "CRISTI",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "918-895-7680"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.