Ozark Neuro

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

OZARK NEURO

Practice address

9521 Riverside Pkwy
338
Tulsa, OK 74137-7418

Phone

(214) 269-3875

Fax

(903) 328-6568

NPI assigned

Jan 9, 2017

Last updated

Jan 9, 2017By 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

Gina Sullivan

Title

Billing Manager

Phone

(214) 269-3875

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1093251407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1996",
            "address_2": "338",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731011996",
            "telephone_number": "214-269-3875",
            "fax_number": "903-328-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9521 RIVERSIDE PKWY",
            "address_2": "338",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377418",
            "telephone_number": "214-269-3875",
            "fax_number": "903-328-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK NEURO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "214-269-3875"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oxford Springs Tulsa MC LLC
• Felipe Andres Oyarzo, BA
• Temitayo Oyekan, D.O.
• Sharon Oyibo
• Allyson Jo Oyler, PHARMD
• Ozark Radiology Services, PLLC
• Roselyne Ozueh, CRNA
• P & G Medical Transport, LLC (HealthRide)
• P a Gelwick, Inc.
• P T Products

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.