Active NPI
Jeffrey M. Calava D.O., Inc
- Anesthesiology Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 3179
- Legal business name
- JEFFREY M. CALAVA D.O., INC
- Practice address
- 6802 S Olympia Ave
Ste 250
Tulsa, OK 74132-1827 - Phone
- (918) 481-6494
- Fax
- (918) 481-6726
- NPI assigned
- Nov 9, 2006
- Last updated
- Nov 10, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey M Calava, D.O.
- Title
- Ceo
- Phone
- (918) 481-6494
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 3179 | OK | |
| Anesthesiology Physician | 207L00000X | 3179 | OK | Primary |
Addresses
Primary practice location
6802 S Olympia Ave
Ste 250
Tulsa, OK 74132-1827
Mailing address
6802 S Olympia Ave
Ste 250
Tulsa, OK 74132-1827
Phone (918) 481-6494
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200260790A | Medicaid | OK | |
| 100176380A | Medicaid | OK | |
| 483768838002 | Other | OK | BCBS |
| 050056583 | Other | OK | RAILROAD MEDICARE |
| 800522531 | Other | OK | MEDICARE ID |
| DG6124 | Other | OK | RAILROAD MEDICARE |
Other names 1
- Specialty Pain Management Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2009787 | Specialty Pain Management Center | Certificate of waiver | Jul 13, 2028 |
National Provider Directory
National Provider DirectoryLocations
6802 S Olympia Ave
Ste 250
Tulsa, OK 74132
Phone (918) 481-6494
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Anesthesiology Physician
- Tulsa, OK
- NPI 1194791608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257811200000",
"number": "1346311776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6802 S OLYMPIA AVE",
"address_2": "STE 250",
"city": "TULSA",
"state": "OK",
"postal_code": "741321827",
"telephone_number": "918-481-6494",
"fax_number": "918-481-6726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6802 S OLYMPIA AVE",
"address_2": "STE 250",
"city": "TULSA",
"state": "OK",
"postal_code": "741321827",
"telephone_number": "918-481-6494",
"fax_number": "918-481-6726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY M. CALAVA D.O., INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2009-11-10",
"status": "A",
"authorized_official_last_name": "CALAVA",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "918-481-6494",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "OK",
"license": "3179",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "3179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200260790A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100176380A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "483768838002",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050056583",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "800522531",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DG6124",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Specialty Pain Management Center",
"code": "5",
"type": "Other Name"
}
]
}
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 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.