Oklahoma Occupational Health Center

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA545OK Issued in OK

Legal business name

OKLAHOMA OCCUPATIONAL HEALTH CENTER

Practice address

5640 S Memorial Dr
Tulsa, OK 74145-9001

Phone

(918) 622-5669

Fax

(918) 624-2673

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Judy W Nielsen, PA

Title

PA

Phone

(918) 622-5669

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1265632129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459001",
            "telephone_number": "918-622-5669",
            "fax_number": "918-624-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459001",
            "telephone_number": "918-622-5669",
            "fax_number": "918-624-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA OCCUPATIONAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PA",
        "authorized_official_telephone_number": "918-622-5669",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "PA545OK",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oklahoma Medical Services & Supply Inc
• Oklahoma Mental Health Council
• Oklahoma Mobility Solutions LLC
• Oklahoma Neurofeedback Specialists LLC
• Oklahoma Neurosurgical Associates
• Oklahoma Oncology & Hematology PC
• Oklahoma Oncology and Hematology, P.C.
• Oklahoma Oncology and Hematology, P.C.
• Oklahoma Oncology and Hematology, P.C.
• Oklahoma Oncology Inc

• Medical Physician Assistant in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.