Northeast Orhtopaedics & Sports Medicine

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

NORTHEAST ORHTOPAEDICS & SPORTS MEDICINE

Practice address

6312 E 101St Street
Tulsa, OK 74137

Phone

(918) 701-2000

Fax

(918) 893-6202

NPI assigned

Apr 4, 2007

Last updated

Nov 25, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jerry J Cole, D.O.

Title

President

Phone

(918) 701-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18518/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tetyana Volodymyrivna Klimenko, APRN

  • Acute Care Nurse Practitioner
  • Tulsa, OK
  • NPI 1962744359
  NPD (past)
• Christopher Robert Lynch, M.D.

  • Gastroenterology Physician
  • Tulsa, OK
  • NPI 1447211990
  NPD (past)
• Amjad Mreyoud, MD

  • Gastroenterology Physician
  • Tulsa, OK
  • NPI 1518107051
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1306968839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 E 101ST STREET",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741375726",
            "telephone_number": "918-701-2000",
            "fax_number": "918-893-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6312 E 101ST STREET",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74137",
            "telephone_number": "918-701-2000",
            "fax_number": "918-893-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ORHTOPAEDICS & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-701-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900522113",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Gail North, LPN
• Emmaleigh Grace Northcutt, PA-C
• Northeast Oklahoma Eye Institute (Pinnacle Specialty Hospital)
• Northeast Oklahoma Hand & Upper Extremity Surgery PLLC
• Northeast Oklahoma Spine and Sports LLC
• Northeastern Retina, P.C.
• Northern Neuromonitoring PLLC
• Northland Hearing Center, Inc. (Economy Hearing Tulsa)
• Northland Hearing Centers, Inc. (Sears Hearing Center)
• Joshua Richard Northrup

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.