Active NPI
Urologic Specialists of Oklahoma Inc
- Urology Physician
- Tulsa, OK
National Provider Identifier
1174546162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- UROLOGIC SPECIALISTS OF OKLAHOMA INC
- Practice address
- 10901 E 48TH St
Tulsa, OK 74146-5830 - Phone
- (918) 749-8765
- Fax
- (918) 392-2155
- NPI assigned
- Jul 25, 2006
- 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
- Deeann Long
- Title
- Credentialing Manager
- Phone
- (918) 749-8765
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
10901 E 48TH St
Tulsa, OK 74146-5830
Mailing address
10901 E 48TH St
Tulsa, OK 74146-5830
Phone (918) 749-8765
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, AR, MO
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040302000514 | OK | Part B Supplier - Clinic/Group Practice | 3779470091 |
Receives reassigned benefits from 42 practitioners Practice locations: Tulsa, OK |
| O20100930004520 | OK | DME Supplier - Physician - Urology | 3779470091 | Practice locations: Tulsa, OK |
| O20140725001707 | AR | Part B Supplier - Clinic/Group Practice | 3779470091 |
Receives reassigned benefits from 31 practitioners Practice locations: Fort Smith, AR |
| O20140801000939 | MO | Part B Supplier - Clinic/Group Practice | 3779470091 |
Receives reassigned benefits from 19 practitioners Practice locations: Joplin, MO |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryLocations
100 Mercy Way
Ste 530
Joplin, MO 64804
Phone (417) 556-3828
2408 E 81st St
Ste 109
Tulsa, OK 74137
Interoperability endpoints
- shaungrewal@usoinc.medalliesdirect.net
- thomasrashid@usoinc.medalliesdirect.net
- jennybirks@usoinc.medalliesdirect.net
- carlyemcnamara@usoinc.medalliesdirect.net
- angelaconrad@usoinc.medalliesdirect.net
- kendraarmer@usoinc.medalliesdirect.net
- curtispowell@usoinc.medalliesdirect.net
- michaelwilkin@usoinc.medalliesdirect.net
- orenmiller@usoinc.medalliesdirect.net
- joshuavicena@usoinc.medalliesdirect.net
- tillmanhudson@usoinc.medalliesdirect.net
- allisonhagen@usoinc.medalliesdirect.net
- williamcook@usoinc.medalliesdirect.net
- jackmiller@usoinc.medalliesdirect.net
- jeremycarrico@usoinc.medalliesdirect.net
- jamesmcgeady@usoinc.medalliesdirect.net
- robertbruce@usoinc.medalliesdirect.net
- kevingancarczyk@usoinc.medalliesdirect.net
- charlespritchard@usoinc.medalliesdirect.net
- stephenconfer@usoinc.medalliesdirect.net
Practitioners & affiliated clinicians
Practitioners 54
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": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649116800000",
"number": "1174546162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10901 E 48TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741465830",
"telephone_number": "918-749-8765",
"fax_number": "918-392-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10901 E 48TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741465830",
"telephone_number": "918-749-8765",
"fax_number": "918-392-2155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGIC SPECIALISTS OF OKLAHOMA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2022-04-05",
"certification_date": "2020-10-08",
"status": "A",
"authorized_official_last_name": "LONG",
"authorized_official_first_name": "DEEANN",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "918-749-8765"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"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 Apr 5, 2022; 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.