Allure Medical Spa of Oklahoma, LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

ALLURE MEDICAL SPA OF OKLAHOMA, LLC

Practice address

4700 W Urbana St
Broken Arrow, OK 74012-5997

Phone

(918) 237-8346

Fax

(918) 359-5828

NPI assigned

Jan 29, 2014

Last updated

Jul 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Fair

Title

Director of Operations

Phone

(918) 523-0002

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gayle Derington, M.D.

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1346200177
  NPD (past)

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1184047953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 S YALE AVE",
            "address_2": "STE 202",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363313",
            "telephone_number": "918-359-5940",
            "fax_number": "918-359-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 W URBANA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125997",
            "telephone_number": "918-237-8346",
            "fax_number": "918-359-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLURE MEDICAL SPA OF OKLAHOMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "FAIR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "918-523-0002"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryttne Allen
• Shelby N Allen, M.S. CCC-SLP
• Alliance Vision Services PLLC
• Allied Hospice, LLC
• Kassie A Allison, OTR/L
• Curtis Todd Alpers, PT OCS CHT
• Alpha & Omega Therapy and Doula Services Inc.
• Lily Altieri
• Mariangela Altieri
• Amattco LLC (New Leaf Wellness Center)

• Vascular & Interventional Radiology Physician in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Vascular & Interventional Radiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.