Organization Active NPI

Ear, Nose & Throat Specialists of Tulsa, LLP

  • Otolaryngology Physician
  • Tulsa, OK
National Provider Identifier
1093873168
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
19093 Issued in OK
Legal business name
EAR, NOSE & THROAT SPECIALISTS OF TULSA, LLP
Practice address
6802 S Olympia Ave Ste 200
Tulsa, OK 74132-1826
Phone
(918) 388-9090
Fax
(918) 388-9093
NPI assigned
Dec 4, 2006
Last updated
Oct 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Authorized official

Name
Mrs. Cynthia Denise Anderson
Title
Billing Rep
Phone
(918) 388-9749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 19093 OK Primary

Addresses

Primary practice location

6802 S Olympia Ave Ste 200
Tulsa, OK 74132-1826

Mailing address

6802 S Olympia Ave Ste 200
Tulsa, OK 74132-1826
Phone (918) 388-9090

Other identifiers 3

IdentifierTypeStateIssuer
1972593622OtherOKEHR INCENTIVE PROGRAM
1154310555OtherOKEHR INCENTIVE PROGRAM
1245229657OtherOKEHR INCENTIVE PROGRAM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041005000764 OK Part B Supplier - Clinic/Group Practice 5991764094 Receives reassigned benefits from 8 practitioners
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

2448 E 81st St
Ste 1350
Tulsa, OK 74137
Phone (918) 582-8217

6802 S Olympia Ave
Ste 200
Tulsa, OK 74132
Phone (918) 388-9090

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1093873168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 S OLYMPIA AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321826",
            "telephone_number": "918-388-9090",
            "fax_number": "918-388-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 S OLYMPIA AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321826",
            "telephone_number": "918-388-9090",
            "fax_number": "918-388-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAR, NOSE & THROAT SPECIALISTS OF TULSA, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "BILLING REP",
        "authorized_official_telephone_number": "918-388-9749",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OK",
            "license": "19093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EHR INCENTIVE PROGRAM",
            "identifier": "1972593622",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EHR INCENTIVE PROGRAM",
            "identifier": "1154310555",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EHR INCENTIVE PROGRAM",
            "identifier": "1245229657",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "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 Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.