Urosource Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

UROSOURCE MEDICAL LLC

Practice address

5350 S Peoria Ave
Suite L
Tulsa, OK 74105-6820

Phone

(918) 742-3387

Fax

(918) 745-6019

NPI assigned

Oct 23, 2012

Last updated

Oct 23, 2012By 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

Mr. John R Sontag

Title

Member

Phone

(918) 742-3387

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1194078535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 S PEORIA AVE",
            "address_2": "SUITE L",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056820",
            "telephone_number": "918-742-3387",
            "fax_number": "918-745-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 S PEORIA AVE",
            "address_2": "SUITE L",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056820",
            "telephone_number": "918-742-3387",
            "fax_number": "918-745-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROSOURCE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "SONTAG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "918-742-3387",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Lynn Urias, LPN
• Ashton Urich, COTA/L
• Urologic Specialists of Oklahoma
• Urologic Specialists of Oklahoma Inc
• Urologic Specialists of Tulsa, Inc
• Elizabeth Jean Urrea, APRN-CNP
• US Radiology Partners of Texas Inc
• Usacs Observation Medicine Services of Oklahoma, LLC
• Shahabudeen Usman, M.D.
• Sarah Usry

• Durable Medical Equipment & Medical Supplies in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.