Organization Active NPI

Traditions Health Care of SE Oklahoma, LLC

  • Clinic/Center
  • McAlester, OK
National Provider Identifier
1215652698
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Jun 21, 2024

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Traditions Health Care of SE Oklahoma LLC2 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.

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

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.

Verify at the official NPI Registry.