Active NPI
Traditions Health Care of SE Oklahoma, LLC
- Clinic/Center
- McAlester, OK
National Provider Identifier
1215652698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- TRADITIONS HEALTH CARE OF SE OKLAHOMA, LLC
- Doing business as
- Traditions Health of SE Oklahoma
- Practice address
- 1102 E Washington Ave
McAlester, OK 74501-4920 - Phone
- (918) 423-2034
- NPI assigned
- Oct 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Kerndl
- Title
- Cfo & Secretary
- Phone
- (979) 704-6547
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1102 E Washington Ave
McAlester, OK 74501-4920
Mailing address
6840 Carothers Pkwy Ste 550
Franklin, TN 37067-8002
Phone (979) 704-6547
Other practice location 1
613 S Mississippi Ave
Atoka, OK 74525-2526
Phone (580) 889-7901
Other practice location 2
5800 E Skelly Dr Ste 150
Tulsa, OK 74135-6416
Phone (918) 449-0030
Other names 1
- Traditions Health of SE Oklahoma
National Provider Directory
National Provider Directory- Tax ID family
- Traditions Health Care of SE Oklahoma LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- McAlester, OK
- NPI 1962148742
Locations
1102 E Washington Ave
McAlester, OK 74501
Phone (918) 423-2034
5800 E Skelly Dr
Ste 150
Tulsa, OK 74135
Phone (918) 449-0030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718928000000",
"number": "1215652698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6840 CAROTHERS PKWY STE 550",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370678002",
"telephone_number": "979-704-6547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 E WASHINGTON AVE",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745014920",
"telephone_number": "918-423-2034"
}
],
"practiceLocations": [
{
"address_1": "613 S Mississippi Ave",
"address_purpose": "LOCATION",
"city": "Atoka",
"state": "OK",
"postal_code": "745252526",
"country_code": "US",
"telephone_number": "580-889-7901",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5800 E Skelly Dr Ste 150",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741356416",
"country_code": "US",
"telephone_number": "918-449-0030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TRADITIONS HEALTH CARE OF SE OKLAHOMA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-07",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A",
"authorized_official_last_name": "KERNDL",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CFO & SECRETARY",
"authorized_official_telephone_number": "979-704-6547"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Traditions Health of SE Oklahoma",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Traditions Health of SE Oklahoma",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in McAlester, OK
- Leah Faith Torbett, ARNP, FNP-BC
- Total Renal Care, Inc.
- Aaron Ryan Totani, CMT
- Traditions Health Care of McAlester, LLC
- Traditions Health Care of McAlester, LLC
- Traditions Health Care of SE Oklahoma, LLC
- Traditions Home Care, Inc
- Traditions Hospice of Tulsa, LLC
- Amber Lea Tramel, BA
- Catherine Ann Tramel
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.