Active NPI
Wallace Bond Love, M.D.
- Internal Medicine Physician
- Tulsa, OK
National Provider Identifier
1144327701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9432
- Practice address
- 9322 E 41St St
Tulsa, OK 74145-3721 - Phone
- (918) 764-7232
- Fax
- (918) 764-7257
- NPI assigned
- Sep 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9432 | OK | Primary |
Addresses
Primary practice location
9322 E 41St St
Tulsa, OK 74145-3721
Mailing address
2119 E 31St PL
Tulsa, OK 74105-2207
Phone (918) 747-5770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9432 | OK | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144327701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2119 E 31ST PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741052207",
"telephone_number": "918-747-5770",
"fax_number": "918-747-5770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9322 E 41ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741453721",
"telephone_number": "918-764-7232",
"fax_number": "918-764-7257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVE",
"first_name": "WALLACE",
"middle_name": "BOND",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "9432",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.