NPIMap

Organization Active NPI

Gamble Family Medical Practice

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1013510775
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GAMBLE FAMILY MEDICAL PRACTICE
Doing business as
Family Medical Practice
Practice address
4134 S Harvard Ave Ste B3
Tulsa, OK 74135-2613
Phone
(918) 442-2236
Fax
(918) 794-2333
NPI assigned
Nov 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Authorized official

Name
Tandaleo Gamble, NURSE PRACTITIONERNPI 1578025078
Title
Ceo
Phone
(918) 760-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4134 S Harvard Ave Ste B3
Tulsa, OK 74135-2613

Mailing address

4134 S Harvard Ave Ste B3
Tulsa, OK 74135-2613
Phone (918) 442-2236

Other names 1

  • Family Medical Practice Doing business as

National Provider Directory

National Provider Directory

Locations

4134 S Harvard Ave
Ste B3
Tulsa, OK 74135
Phone (918) 442-2236

4134 S Harvard Ave
Tulsa, OK 74135

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23867/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1013510775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4134 S HARVARD AVE STE B3",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352613",
            "telephone_number": "918-442-2236",
            "fax_number": "918-794-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4134 S HARVARD AVE STE B3",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352613",
            "telephone_number": "918-442-2236",
            "fax_number": "918-794-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMBLE FAMILY MEDICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "TANDALEO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-760-2200",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Medical Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 12, 2022; 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.