Ok Pulmonary Care, LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

OK PULMONARY CARE, LLC

Doing business as

Oklahoma Pulmonary Care

Practice address

1245 N Birch Ave
Broken Arrow, OK 74012-2690

Phone

(918) 221-1631

Fax

(918) 480-2220

NPI assigned

Jan 23, 2023

Last updated

May 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael James Scott, DONPI 1457677023

Title

Owner/President

Phone

(918) 294-3278

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Oklahoma Pulmonary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael James Scott, D.O.

  • Pulmonary Disease Physician
  • Broken Arrow, OK
  • NPI 1457677023
  Medicare reassignment NPD Authorized official
• Elizabeth Sue Martinez

  • Physician Assistant
  • Broken Arrow, OK
  • NPI 1639844483
  Medicare reassignment
• Molly Kate Mertz, PA-C

  • Physician Assistant
  • Broken Arrow, OK
  • NPI 1053122317
  Medicare reassignment

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1003521220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 E 144TH ST N",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740217402",
            "telephone_number": "405-229-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 N BIRCH AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122690",
            "telephone_number": "918-221-1631",
            "fax_number": "918-480-2220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12455 E 100th St N Ste 260",
            "address_purpose": "LOCATION",
            "city": "Owasso",
            "state": "OK",
            "postal_code": "740554676",
            "country_code": "US",
            "telephone_number": "918-294-3278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OK PULMONARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "918-294-3278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201138580A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma Pulmonary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oklahoma Pulmonary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spencer J Obryant
• Rikie Ochel
• Amy Marie Oden, APRN, FNP-C
• Ronald Nelson Oglesby, D.O.
• Sarah Christine Oglesby
• Okc Dental Health Associates, P.C. (MyDentist-Broken Arrow)
• Oklahoma Cancer Specialists and Research Institute LLC
• Oklahoma CVS Pharmacy LLC (CVS Pharmacy #04896)
• Oklahoma CVS Pharmacy LLC (CVS Pharmacy #08279)
• Oklahoma CVS Pharmacy LLC (CVS Pharmacy #17479)

• Pulmonary Disease Physician in Broken Arrow, OK
• Providers in Broken Arrow, 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 May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.