NPIMap

Organization Active NPI

Planned Parenthood of Arkansas and Eastern Oklahoma, Inc.

  • Obstetrics & Gynecology Physician
  • Tulsa, OK
National Provider Identifier
1265514178
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PLANNED PARENTHOOD OF ARKANSAS AND EASTERN OKLAHOMA, INC.
Practice address
205 E Pine St Ste 5
Tulsa, OK 74106-4855
Phone
(918) 587-1101
Fax
(918) 592-7610
NPI assigned
Oct 19, 2006
Last updated
Aug 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Authorized official

Name
Victoria Parks
Title
Director of Health Services Ops
Phone
(918) 587-4621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

205 E Pine St Ste 5
Tulsa, OK 74106-4855

Mailing address

4401 W 109TH St Ste 200
Leawood, KS 66211-1303
Phone (918) 587-1101

Other identifiers 1

IdentifierTypeStateIssuer
100728930BMedicaidOK

Other names 1

  • PPAEO Prenatal Other name

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood of Arkansas and Eastern Oklahoma Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1265514178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 W 109TH ST STE 200",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111303",
            "telephone_number": "918-587-1101",
            "fax_number": "918-592-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E PINE ST STE 5",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741064855",
            "telephone_number": "918-587-1101",
            "fax_number": "918-592-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF ARKANSAS AND EASTERN OKLAHOMA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH SERVICES OPS",
        "authorized_official_telephone_number": "918-587-4621"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100728930B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PPAEO Prenatal",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PPAEO Prenatal",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 29, 2019; 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.