Active NPI
Angela Karathanos, MD
- Neonatal-Perinatal Medicine Physician
- Tulsa, OK
National Provider Identifier
1346202785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 12784
- Practice address
- 1120 S Utica Ave
Suite 2123
Tulsa, OK 74104-4012 - Phone
- (918) 579-5402
- NPI assigned
- Apr 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 12784 | OK | Primary |
Addresses
Primary practice location
1120 S Utica Ave
Suite 2123
Tulsa, OK 74104-4012
Mailing address
1120 S Utica Ave
Suite 2123
Tulsa, OK 74104-4012
Phone (918) 579-5402
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100294420B | Medicaid | KS | |
| 132964001 | Medicaid | AR | |
| 208242511 | Medicaid | MO | |
| 100226900B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12784 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1346202785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 S UTICA AVE",
"address_2": "SUITE 2123",
"city": "TULSA",
"state": "OK",
"postal_code": "741044012",
"telephone_number": "918-579-5402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 S UTICA AVE",
"address_2": "SUITE 2123",
"city": "TULSA",
"state": "OK",
"postal_code": "741044012",
"telephone_number": "918-579-5402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARATHANOS",
"first_name": "ANGELA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "OK",
"license": "12784",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100294420B",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132964001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208242511",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100226900B",
"state": "OK"
}
],
"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 Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.