Active NPI
Inter Id Inc
- Infectious Disease Physician
- Tulsa, OK
National Provider Identifier
1104803956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- INTER ID INC
- Practice address
- 6565 S Yale Ave
Ste 812
Tulsa, OK 74136-8354 - Phone
- (918) 494-9486
- Fax
- (918) 494-9480
- NPI assigned
- Dec 22, 2005
- 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
- Dr. Mark Dillier Rowland, MD
- Title
- President
- Phone
- (918) 494-9486
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
6565 S Yale Ave
Ste 812
Tulsa, OK 74136-8354
Mailing address
6565 S Yale Ave
Ste 812
Tulsa, OK 74136-8354
Phone (918) 494-9486
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100737010A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Tulsa, OK
- NPI 1063496859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355702400000",
"number": "1104803956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6565 S YALE AVE",
"address_2": "STE 812",
"city": "TULSA",
"state": "OK",
"postal_code": "741368354",
"telephone_number": "918-494-9486",
"fax_number": "918-494-9480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 S YALE AVE",
"address_2": "STE 812",
"city": "TULSA",
"state": "OK",
"postal_code": "741368354",
"telephone_number": "918-494-9486",
"fax_number": "918-494-9480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTER ID INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-22",
"last_updated": "2012-12-17",
"status": "A",
"authorized_official_last_name": "ROWLAND",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "DILLIER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "918-494-9486",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100737010A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
- Integrations Center Inc
- Integrative Healthcare Solutions LLC
- Integrative Medical Center of Tulsa, LLC
- Integrity Nursing Services LLC
- Integrity Surgical Associates, PLLC
- Interim Healthcare of Tulsa, Inc
- Interim Healthcare of Tulsa, Inc.
- Intermed Ok, LLC
- International University
- Interpreting Services Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.