Ctca Physicans Group of Oklahoma, Inc
Organization Active NPI Specialist · Tulsa, OK
NPI 1053309591 · NPPES record last updated Jul 29, 2021
Key facts
- NPI
- 1053309591
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 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
- Organization subpart
- No
Authorized official
- Name
- Neetu Masuta
- Title
- Chief Accounting Officer
- Phone
- (847) 342-6978
Practitioners 63
-
Khalid Saad Aly, MD
-
Joseph John Back, DO
-
Ann E Bartoloni, MD
-
Howard J Boos, D.C.
-
John D Dewitt, DO
-
Judy A Distefano, D.O.
-
Morad L El-Raheb, MD
-
Elizabeth Frost, MD
-
Haysam Ghannoum, MD
-
Shannon Renae Gulbranson, D.C.
-
Maryhelen Hagge, M.D.
-
Roger Lee Hobgood, D.O.
-
Erin Nicole Jones, PA-C
-
Scott G Lilly, MD
-
Erich H Muckala, DO
-
Patrick O'Hayre II, D.O.
-
Ziad Sous, MD
National Provider Directory
Locations
2330 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358
2330 Payshere Cir
Chicago, IL 60674
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ctcatulsaclinic@ctcac.allscriptsdirect.net | Direct |
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.