Organization Active NPI

Priority Health Care LLC

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1285356139
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIORITY HEALTH CARE LLC
Practice address
5125 E 81St Street
Suite 1
Tulsa, OK 74137
Phone
(918) 994-6363
Fax
(539) 444-7067
NPI assigned
Sep 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Ryan Myers, MDNPI 1174840045
Title
Owner
Phone
(248) 631-9139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5125 E 81St Street
Suite 1
Tulsa, OK 74137

Mailing address

5125 E 81St St Ste 1
Tulsa, OK 74137-2292
Phone (918) 994-6363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230112001966 OK Part B Supplier - Clinic/Group Practice 5395115174 Receives reassigned benefits from 4 practitioners
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

5125 E 81st St
Ste 1
Tulsa, OK 74137
Phone (918) 994-6363

10119 E 80th St
Ste B
Tulsa, OK 74133
Phone (918) 994-6363

Practitioners & affiliated clinicians

Practitioners 5

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": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1285356139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 E 81ST ST STE 1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372292",
            "telephone_number": "918-994-6363",
            "fax_number": "539-444-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 E 81ST STREET",
            "address_2": "SUITE 1",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74137",
            "telephone_number": "918-994-6363",
            "fax_number": "539-444-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-631-9139",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.