NPIMap

Organization Active NPI

Neuropathy Treatment Clinic of Oklahoma LLC

  • Multi-Specialty Clinic/Center
  • Tulsa, OK
National Provider Identifier
1386185353
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
NEUROPATHY TREATMENT CLINIC OF OKLAHOMA LLC
Practice address
4636 S Harvard Ave Ste 102
Tulsa, OK 74135-2908
Phone
(918) 708-1816
NPI assigned
Mar 10, 2017
Last updated
Sep 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
James Warren Linn
Title
Owner, Ceo
Phone
(918) 708-1816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

4636 S Harvard Ave Ste 102
Tulsa, OK 74135-2908

Mailing address

4636 S Harvard Ave Ste 102
Tulsa, OK 74135-2908
Phone (918) 708-1816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190320000017 OK Part B Supplier - Clinic/Group Practice 5799025268 Receives reassigned benefits from 13 practitioners
Practice locations: Bartlesville, OK; Oklahoma City, OK; Tulsa, OK

National Provider Directory

National Provider Directory

Locations

1810 E 15th St
Ste D
Tulsa, OK 74104
Phone (918) 708-1816

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1386185353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4636 S HARVARD AVE STE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352908",
            "telephone_number": "918-708-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4636 S HARVARD AVE STE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352908",
            "telephone_number": "918-708-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPATHY TREATMENT CLINIC OF OKLAHOMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "LINN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "918-708-1816"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.