NPIMap

Organization Active NPI

Linda J Truitt MD Inc

  • Gynecology Physician
  • Oklahoma City, OK
National Provider Identifier
1104268903
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
17676 Issued in OK
Legal business name
LINDA J TRUITT MD INC
Practice address
5622 N Portland Ave
101
Oklahoma City, OK 73112-2096
Phone
(405) 943-1114
Fax
(405) 943-1661
NPI assigned
Jul 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Dr. Linda J Truitt, MDNPI 1598722142
Title
Owner/Physician
Phone
(405) 943-1114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 17676 OK Primary

Addresses

Primary practice location

5622 N Portland Ave
101
Oklahoma City, OK 73112-2096

Mailing address

5622 N Portland Ave
101
Oklahoma City, OK 73112-2096
Phone (405) 943-1114

Other identifiers 1

IdentifierTypeStateIssuer
100113010AMedicaidOK

National Provider Directory

National Provider Directory
Tax ID family
Linda J Truitt MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5622 N Portland Ave
Ste 101
Oklahoma City, OK 73112
Phone (405) 942-5513

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1104268903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5622 N PORTLAND AVE",
            "address_2": "101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122096",
            "telephone_number": "405-943-1114",
            "fax_number": "405-943-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5622 N PORTLAND AVE",
            "address_2": "101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122096",
            "telephone_number": "405-943-1114",
            "fax_number": "405-943-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA J TRUITT MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "TRUITT",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "405-943-1114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OK",
            "license": "17676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100113010A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.