Eastern Oklahoma Ear Nose and Throat Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

EASTERN OKLAHOMA EAR NOSE AND THROAT INC

Practice address

5020 E 68TH St
Tulsa, OK 74136-3307

Phone

(918) 429-3636

Fax

(918) 494-8915

NPI assigned

Aug 26, 2005

Last updated

Aug 22, 2020By 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

Charles E HeinbergNPI 1790782506

Title

President

Phone

(918) 492-3636

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Eastern Oklahoma Ear Nose and Throat2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eastern Oklahoma Ear, Nose, and Throat

  • Audiologist
  • Tulsa, OK
  • NPI 1497282826
  NPD tax ID

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.

• Charles E Heinberg, M.D.

  • Otolaryngology Physician
  • Tulsa, OK
  • NPI 1790782506
  NPD (past) Authorized official

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205829025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 E 68TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363307",
            "telephone_number": "918-429-3636",
            "fax_number": "918-494-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 E 68TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363307",
            "telephone_number": "918-429-3636",
            "fax_number": "918-494-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN OKLAHOMA EAR NOSE AND THROAT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEINBERG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-492-3636"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008055608",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastern Ok Ear Nose and Throat
• Eastern Oklahoma Center for Women Inc
• Eastern Oklahoma Chiropractic, PLLC
• Eastern Oklahoma Dental Anesthesia Specialists, LLC
• Eastern Oklahoma Dental Institute
• Eastern Oklahoma Ear, Nose & Throat Inc
• Eastern Oklahoma Ear, Nose, and Throat
• Eastern Oklahoma Orthopedic Center Inc
• Eastern Oklahoma Surgery Center LLC
• Eastern Oklahoma Wellness Center

• Medical Specialty Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Medical Specialty Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.