Tulsa Ambulatory Procedure Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

TULSA AMBULATORY PROCEDURE CENTER LLC

Practice address

2811 E 15TH St Ste 101
Tulsa, OK 74104-5242

Phone

(918) 935-3200

Fax

(918) 935-3201

NPI assigned

Jan 5, 2012

Organization subpart

No

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

Authorized official

Name

Jayen Patel, MDNPI 1215028204

Title

Owner

Phone

(918) 935-3200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Listed as

Tulsa Ambulatory Procedure Center LLCCCN 37C0001067

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

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

• Jayen Harshad Patel, MD

  • Pain Medicine (Anesthesiology) Physician
  • Tulsa, OK
  • NPI 1215028204
  NPD (past) Authorized official

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1346510476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 E 15TH ST",
            "address_2": "STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045245",
            "telephone_number": "918-935-3200",
            "fax_number": "918-935-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 E 15TH ST STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045242",
            "telephone_number": "918-935-3200",
            "fax_number": "918-935-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA AMBULATORY PROCEDURE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAYEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-935-3200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200501680A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Marie Tully, ARNP
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• Tulsa Behavioral Medicine LLC
• Tulsa Birth Center
• Tulsa Bone & Joint Associates PC

• Ambulatory Surgical Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Ambulatory Surgical Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.

Verify at the official NPI Registry.