Southern Oklahoma Internal Medicine P C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

17220 Issued in OK

Legal business name

SOUTHERN OKLAHOMA INTERNAL MEDICINE P C

Practice address

307 N Monte Vista St
Ada, OK 74820-4607

Phone

(580) 436-4495

Fax

(580) 436-4499

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Barbara K Tuley, M.D.

Title

President

Phone

(580) 436-4495

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1205971694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N MONTE VISTA ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204607",
            "telephone_number": "580-436-4495",
            "fax_number": "580-436-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N MONTE VISTA ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204607",
            "telephone_number": "580-436-4495",
            "fax_number": "580-436-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OKLAHOMA INTERNAL MEDICINE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "TULEY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-436-4495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "17220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "500648296001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeast Oklahoma Oral & Maxillofacial Surgery, PC
• Southeastern Oklahoma Family Services, Inc.
• Southeastern Oklahoma Neurosciences
• Southeastern Women'S Health Center
• Southern Oklahoma Anesthesiology, Inc
• Southern Oklahoma Lifeline LLC
• Southern Oklahoma Pathology Assoc., Inc.
• Southern Oklahoma Pediatrics Inc
• Southern Oklahoma Psychological Associates Inc.
• Southern Oklahoma Treatment Serices, Inc.

• Internal Medicine Physician in Ada, OK
• Providers in Ada, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.