Integrative Medical Center of Tulsa, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

22665 Issued in OK

Legal business name

INTEGRATIVE MEDICAL CENTER OF TULSA, LLC

Practice address

3105 E Skelly Dr
Suite 303
Tulsa, OK 74105-6358

Phone

(918) 281-6471

Fax

(918) 281-6480

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Lewis

Title

Office Manager

Phone

(918) 743-7097

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Constance Gilbert Honeycutt, DO

  • Addiction Medicine (Preventive Medicine) Physician
  • Tulsa, OK
  • NPI 1275518045
  NPD (past)
• Cynthia Joan McCoy, M.D.

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1831180322
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316094063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 E SKELLY DR",
            "address_2": "SUITE 303",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056358",
            "telephone_number": "918-743-7097",
            "fax_number": "918-743-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 E SKELLY DR",
            "address_2": "SUITE 303",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056358",
            "telephone_number": "918-281-6471",
            "fax_number": "918-281-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICAL CENTER OF TULSA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-743-7097",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "22665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Medical Incorporated (Charter Clinic Immediate Care)
• Integrated Physical Health LLC
• Integrated Toxicology LLC
• Integrations Center Inc (Integrations Health Center)
• Integrative Healthcare Solutions LLC (H2O HC Systems)
• Integrity Nursing Services LLC (Integrity Homemaker and Companion Care Agency)
• Integrity Surgical Associates, PLLC
• Inter Id Inc
• Interim Healthcare of Tulsa, Inc (Interim Healthcare Hospice of Tulsa)
• Interim Healthcare of Tulsa, Inc.

• Internal Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.