NPIMap

Organization Active NPI

Ctca Physicans Group of Oklahoma, Inc

  • Specialist
  • Tulsa, OK
National Provider Identifier
1053309591
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CTCA PHYSICANS GROUP OF OKLAHOMA, INC
Practice address
10109 E 79TH St
Tulsa, OK 74133-4564
Phone
(847) 746-4358
Fax
(847) 746-4213
NPI assigned
Oct 10, 2005
Last updated
Jul 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Authorized official

Name
Neetu Masuta
Title
Chief Accounting Officer
Phone
(847) 342-6978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

10109 E 79TH St
Tulsa, OK 74133-4564

Mailing address

5900 Broken Sound Pkwy NW
Boca Raton, FL 33487-2797

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ctcatulsaclinic@ctcac.allscriptsdirect.net Direct

National Provider Directory

National Provider Directory

Locations

2330 Payshere Cir
Chicago, IL 60674

Interoperability endpoints

  • Direct secure messaging: ctcatulsaclinic@ctcac.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 63

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.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1053309591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BROKEN SOUND PKWY NW",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10109 E 79TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334564",
            "telephone_number": "847-746-4358",
            "fax_number": "847-746-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CTCA PHYSICANS GROUP OF OKLAHOMA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "MASUTA",
        "authorized_official_first_name": "NEETU",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "847-342-6978"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ctcatulsaclinic@ctcac.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "2330 Paysphere Cir",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606740023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 29, 2021; 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.