NPIMap

Individual provider Active NPI

Claudia E Cea, MD

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1083677892
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24356 Issued in OK
Practice address
9001 S 101St East Ave
Suite 370
Tulsa, OK 74133-5708
Phone
(918) 392-7500
Fax
(918) 254-2119
NPI assigned
Apr 11, 2006
Last updated
Oct 16, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24356 OK Primary

Addresses

Primary practice location

9001 S 101St East Ave
Suite 370
Tulsa, OK 74133-5708

Mailing address

9001 S 101St East Ave
Suite 370
Tulsa, OK 74133-5708
Phone (918) 392-7500

Other identifiers 1

IdentifierTypeStateIssuer
200112230AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050815000837 OK Practitioner - Family Practice 9335183714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

9001 S 101St E Ave
Suite 370
Tulsa, OK 74133-5796
Phone (918) 392-5640

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group LLC Family Medicine CurrentSince Nov 1, 2014 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Nov 1, 2014 Accepting new patients
Pacific Physician Services, LLC Past Accepting new patients
Pacific Physician Services, LLC Family Medicine Past Accepting new patients
Broken Arrow Medical Group LLC Family Medicine Past Accepting new patients
Village Chiropractic and Wellness P.L.L.C. Past Accepting new patients

Locations

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

8803 S 101st East Ave
Ste 260
Tulsa, OK 74133
Phone (918) 294-4688

9001 S 101st East Ave
Ste 300
Tulsa, OK 74133
Phone (918) 392-5424

9001 S 101st East Ave
Ste 370
Tulsa, OK 74133
Phone (918) 392-5555

Dept 1206
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: cceauy112726@ahs.direct-ci.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1083677892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 S 101ST EAST AVE",
            "address_2": "SUITE 370",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335708",
            "telephone_number": "918-392-7500",
            "fax_number": "918-254-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 S 101ST EAST AVE",
            "address_2": "SUITE 370",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335708",
            "telephone_number": "918-392-7500",
            "fax_number": "918-254-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEA",
        "first_name": "CLAUDIA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "24356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200112230A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.