Organization Active NPI

Cardiovascular Surgery of Tulsa PC

  • Vascular Surgery Physician
  • Midwest City, OK
National Provider Identifier
1114267523
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
21550 Issued in OK
Legal business name
CARDIOVASCULAR SURGERY OF TULSA PC
Practice address
238 N Midwest Blvd
Suite 201
Midwest City, OK 73110-4311
Phone
(405) 869-7013
Fax
(405) 737-0912
NPI assigned
Feb 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Authorized official

Name
Abbas Toughanipour, MDNPI 1578676938
Title
President
Phone
(405) 869-7013

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
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 21550 OK Primary

Addresses

Primary practice location

238 N Midwest Blvd
Suite 201
Midwest City, OK 73110-4311

Mailing address

238 N Midwest Blvd
Suite 201
Midwest City, OK 73110-4311
Phone (405) 869-7013

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040204000716 OK Part B Supplier - Clinic/Group Practice 0840183794 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1114267523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 N MIDWEST BLVD",
            "address_2": "SUITE 201",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104311",
            "telephone_number": "405-869-7013",
            "fax_number": "405-737-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 N MIDWEST BLVD",
            "address_2": "SUITE 201",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104311",
            "telephone_number": "405-869-7013",
            "fax_number": "405-737-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR SURGERY OF TULSA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "TOUGHANIPOUR",
        "authorized_official_first_name": "ABBAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-869-7013",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "OK",
            "license": "21550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.