Organization Active NPI

Id Specialists of Tulsa PC

  • Infectious Disease Physician
  • Tulsa, OK
National Provider Identifier
1255309019
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
18896 Issued in OK
Legal business name
ID SPECIALISTS OF TULSA PC
Practice address
1145 S Utica Ave
Ste 800
Tulsa, OK 74104-4017
Phone
(918) 582-6343
Fax
(918) 583-4376
NPI assigned
Mar 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David Nathan Scheck, MD
Title
President
Phone
(918) 582-6343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 18896 OK Primary

Addresses

Primary practice location

1145 S Utica Ave
Ste 800
Tulsa, OK 74104-4017

Mailing address

1145 S Utica Ave
Ste 800
Tulsa, OK 74104-4017
Phone (918) 582-6343

National Provider Directory

National Provider Directory

Locations

1145 S Utica Ave
Ste 800
Tulsa, OK 74104
Phone (918) 582-6343

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255309019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE",
            "address_2": "STE 800",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044017",
            "telephone_number": "918-582-6343",
            "fax_number": "918-583-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE",
            "address_2": "STE 800",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044017",
            "telephone_number": "918-582-6343",
            "fax_number": "918-583-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ID SPECIALISTS OF TULSA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHECK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-582-6343",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OK",
            "license": "18896",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 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.