Breast Surgery of Tulsa P L L C

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BREAST SURGERY OF TULSA P L L C

Practice address

1120 S Utica Ave
Ste G200
Tulsa, OK 74104-4012

Phone

(918) 299-8232

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Lanette F Smith, MD

Title

Owner

Phone

(918) 299-8232

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1295840155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21228",
            "address_2": "DEPT 229",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741211228",
            "telephone_number": "918-299-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S UTICA AVE",
            "address_2": "STE G200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044012",
            "telephone_number": "918-299-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST SURGERY OF TULSA P L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LANETTE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-299-8232",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100749120A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonnie Brazwell, M.S.
• Breaking Cycles Inc.,
• Breakthrough Family Counseling Services
• Cheri Rose Breashears, ATC
• Breast Health Specialists of Oklahoma PLLC
• Breastfeeding Connections
• Breath of Life Respiratory Home Care LLC
• Breathe Birth & Wellness, LLC
• Corlissa M Breaux
• Ashley Brecht

• Surgery Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.