Active NPI
Christopher Delozier, PA-C
- Medical Physician Assistant
- Tulsa, OK
National Provider Identifier
1134565369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2252
- Practice address
- 9709 E 79TH St
Tulsa, OK 74133 - Phone
- (918) 994-4000
- Fax
- (918) 994-4090
- NPI assigned
- May 15, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2252 | OK | |
| Medical Physician Assistant | 363AM0700X | 2252 | OK | Primary |
Addresses
Primary practice location
9709 E 79TH St
Tulsa, OK 74133
Mailing address
9709 E 79TH St
Tulsa, OK 74133-4566
Phone (918) 994-4000
Other practice location 1
1130 E Lansing St
Broken Arrow, OK 74012-2429
Phone (918) 258-9990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130820000358 | OK | Practitioner - Physician Assistant | 6608018742 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Neurological Surgery Inc
Practice addresses (Care Compare)
6767 S Yale Ave
Suite a
Tulsa, OK 74136-3302
Phone (918) 492-7587
Hospital & facility affiliations
- Saint Francis Hospital, Inc
- Oklahoma Surgical Hospital, LLC
- Tulsa Spine & Specialty Hospital
- Hillcrest Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2252 | OK | MD | Optometrist |
Interoperability endpoints
- chris.delozier@invictus.directbygreenway.com
- https://fhir4.healow.com/fhir/r4/AEICCD/Endpoint/AEICCD
- cdelozier@ubergroup.gwaydirect.com
- cdelozier1311217@ahs.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1134565369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9709 E 79TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741334566",
"telephone_number": "918-994-4000",
"fax_number": "918-994-4090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9709 E 79TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "74133",
"telephone_number": "918-994-4000",
"fax_number": "918-994-4090"
}
],
"practiceLocations": [
{
"address_1": "1130 E Lansing St",
"address_purpose": "LOCATION",
"city": "Broken Arrow",
"state": "OK",
"postal_code": "740122429",
"country_code": "US",
"telephone_number": "918-258-9990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELOZIER",
"first_name": "CHRISTOPHER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-15",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "2252",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OK",
"license": "2252",
"primary": true
}
],
"identifiers": [],
"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 Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.