Tulsa Internal Medicine Physicians, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

12893 Issued in OK

Legal business name

TULSA INTERNAL MEDICINE PHYSICIANS, PLLC

Practice address

2000 S Wheeling Ave
Ste 1000
Tulsa, OK 74104-5649

Phone

(918) 748-8467

NPI assigned

Jul 26, 2006

Last updated

Dec 30, 2010By 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

Paul G Hendrix, M.D.NPI 1306848692

Title

Owner

Phone

(918) 748-8467

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 6

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.

• Paul G. Hendrix, M.D.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1306848692
  Medicare reassignment Care Compare group NPD Authorized official
• Anita Raquel Ramirez

  • Physician Assistant
  • Tulsa, OK
  • NPI 1871134502
  Medicare reassignment Care Compare group
• Marci Love Deck, PA-C

  • Medical Physician Assistant
  • Tulsa, OK
  • NPI 1609298330
  Medicare reassignment
• Emily Hatch Hollaway, PA-C

  • Physician Assistant
  • Tulsa, OK
  • NPI 1053734681
  Medicare reassignment
• Katrina M Sims, PA-C

  • Medical Physician Assistant
  • Tulsa, OK
  • NPI 1841460425
  Medicare reassignment
• Edward Taylor, M.D.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1578566618
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293667200000",
    "number": "1003839283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6966 S UTICA AVE",
            "address_2": "STE 225",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363903",
            "telephone_number": "918-492-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE",
            "address_2": "STE 1000",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045649",
            "telephone_number": "918-748-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA INTERNAL MEDICINE PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-12-30",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-748-8467",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "12893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200035090A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.