Active NPI
Ear, Nose & Throat Specialists of Tulsa, LLP
- Otolaryngology Physician
- Tulsa, OK
National Provider Identifier
1093873168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 19093
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972593622 | Other | OK | EHR INCENTIVE PROGRAM |
| 1154310555 | Other | OK | EHR INCENTIVE PROGRAM |
| 1245229657 | Other | OK | EHR INCENTIVE PROGRAM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Audiologist
- Tulsa, OK
- NPI 1578719530
-
- Pediatric Otolaryngology Physician
- Tulsa, OK
- NPI 1790199560
-
- Audiologist
- Tulsa, OK
- NPI 1003087495
-
- Otolaryngology Physician
- Tulsa, OK
- NPI 1972593622
-
- Otolaryngology Physician
- Tulsa, OK
- NPI 1154310555
-
- Otolaryngology Physician
- Tulsa, OK
- NPI 1245229657
-
- Audiologist
- Tulsa, OK
- NPI 1467502377
-
- Otolaryngology/Facial Plastic Surgery Physician
- Tulsa, OK
- NPI 1396123246
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.