Active NPI
Tonja Branham, CST/CFA
- Surgical Technologist
- Tulsa, OK
National Provider Identifier
1205919453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 82714
- Practice address
- 1265 S. Utica Ave.
Suite 105
Tulsa, OK 74104-4243 - Phone
- (918) 749-6400
- Fax
- (918) 749-2168
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 82714 | OK | Primary |
Addresses
Primary practice location
1265 S. Utica Ave.
Suite 105
Tulsa, OK 74104-4243
Mailing address
1145 S. Utica Avenue
Suite 110
Tulsa, OK 74104-4013
Phone (918) 579-1262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82714 | Other | OK | SURGICAL TECHNOLOGIST CER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82714 | OK | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242345600000",
"number": "1205919453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 S. UTICA AVENUE",
"address_2": "SUITE 110",
"city": "TULSA",
"state": "OK",
"postal_code": "741044013",
"telephone_number": "918-579-1262",
"fax_number": "918-579-3826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 S. UTICA AVE.",
"address_2": "SUITE 105",
"city": "TULSA",
"state": "OK",
"postal_code": "741044243",
"telephone_number": "918-749-6400",
"fax_number": "918-749-2168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANHAM",
"first_name": "TONJA",
"name_prefix": "Ms.",
"credential": "CST/CFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2009-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "OK",
"license": "82714",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SURGICAL TECHNOLOGIST CER",
"identifier": "82714",
"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 May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.