Pulmonary Care Innovations PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PULMONARY CARE INNOVATIONS PLLC

Practice address

2832 E 101St St
Tulsa, OK 74137-5601

Phone

(918) 494-9288

Fax

(918) 494-9289

NPI assigned

Dec 3, 2018

Organization subpart

No

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

Authorized official

Name

Walter M Boomer, MD

Title

Sole Owner- Authorized Official

Phone

(918) 638-4223

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Tom J Gresham, P.A.

  • Physician Assistant
  • Tulsa, OK
  • NPI 1952384232
  NPD

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1124598149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 TOWER DR",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731606181",
            "telephone_number": "405-307-6668",
            "fax_number": "405-701-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2832 E 101ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741375601",
            "telephone_number": "918-494-9288",
            "fax_number": "918-494-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY CARE INNOVATIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "BOOMER",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE OWNER- AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "918-638-4223",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vishnu Priya Pulipati, MBBS
• Sarah Jane Pulley
• Eugenia Lynn Pulliam, PA-C
• Trinity Pulliam
• Amber Pullin
• Pulmonary Medicine Associates Inc
• Pulmonary Medicine of Oklahoma, Inc
• Amy Jo Puls, RD, LD
• Mary P Pulscher
• Kirstin Lee Purcell, OTR/L

• Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.