Organization Active NPI

Cardiology Diagnostics of Tulsa

  • Cardiovascular Disease Physician
  • Tulsa, OK
National Provider Identifier
1194751495
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOLOGY DIAGNOSTICS OF TULSA
Practice address
6151 S Yale Ave
#400
Tulsa, OK 74136-1907
Phone
(918) 494-8500
Fax
(918) 307-5578
NPI assigned
Jun 25, 2006
Last updated
Sep 18, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CARDIOLOGY OF TULSA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Dr. Michael G Spain, M.D.NPI 1952357733
Title
President & Ceo
Phone
(918) 494-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

6151 S Yale Ave
#400
Tulsa, OK 74136-1907

Mailing address

6151 S Yale Ave
#400
Tulsa, OK 74136-1907
Phone (918) 494-8500

Other identifiers 2

IdentifierTypeStateIssuer
100738900AMedicaidOK
CS9846OtherOKRAILROAD MEDICARE

National Provider Directory

National Provider Directory
Part of
Cardiology of Tulsa Inc Dba Cardiology Diagnostics of Tulsa

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1194751495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 S YALE AVE",
            "address_2": "#400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361907",
            "telephone_number": "918-494-8500",
            "fax_number": "918-307-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 S YALE AVE",
            "address_2": "#400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361907",
            "telephone_number": "918-494-8500",
            "fax_number": "918-307-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY DIAGNOSTICS OF TULSA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARDIOLOGY OF TULSA, INC.",
        "enumeration_date": "2006-06-25",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "SPAIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "918-494-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100738900A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS9846",
            "state": "OK"
        }
    ],
    "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 Sep 18, 2008; 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.