Management Worldwide, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MANAGEMENT WORLDWIDE, LLC

Practice address

4415 S Harvard Ave Ste 201
Tulsa, OK 74135-2618

Phone

(918) 895-9100

Fax

(918) 731-4521

NPI assigned

Jan 22, 2020

Organization subpart

No

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

Authorized official

Name

Jennifer Rubottom

Title

Business Manager

Phone

(316) 633-1507

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Oklahoma Mens Clinic Doing business as

Locations

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1356971071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13303 W MAPLE",
            "address_2": "SUITE 139 #103",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67235",
            "telephone_number": "316-633-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 S HARVARD AVE STE 201",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352618",
            "telephone_number": "918-895-9100",
            "fax_number": "918-731-4521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3727 NW 63rd St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731161923",
            "country_code": "US",
            "telephone_number": "405-622-4747",
            "fax_number": "405-888-5395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MANAGEMENT WORLDWIDE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "RUBOTTOM",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "316-633-1507"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1811374770",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1902822802",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1053811273",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma Mens Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elandia Diane Maloy, LPN
• Kaci Maloy
• Patricia L Maltby, LADCH/MH, LPC,
• Kristal Rose Malveaux, LCSW
• Robert Benedict Mammana, M.D.
• Dee Ann Manatowa, BSW
• James Manchester
• Nicole Lisette Mancinelli, PA-C
• Donna Mancini
• Margaret Manders

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

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