Active NPI
Northeast Oklahoma Eye Institute
Doing business as Pinnacle Specialty Hospital
- General Acute Care Hospital
- Tulsa, OK
National Provider Identifier
1386800019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- NORTHEAST OKLAHOMA EYE INSTITUTE
- Doing business as
- Pinnacle Specialty Hospital
- Practice address
- 2408 E 81St St
Suite 600
Tulsa, OK 74137-4200 - Phone
- (918) 392-2789
- NPI assigned
- Aug 1, 2008
- 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
- Roberta Wagle
- Title
- Office Manager
- Phone
- (918) 392-2780
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
2408 E 81St St
Suite 600
Tulsa, OK 74137-4200
Mailing address
2408 E 81St St
Suite 600
Tulsa, OK 74137-4200
Phone (918) 392-2780
Other names 1
- Pinnacle Specialty Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Hospital certification: CCN 370233
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- PINNACLE SPECIALTY HOSPITAL
- Certification status
- Terminated Voluntary: risk of involuntary termination, Nov 27, 2018
- Provider type (POS)
- Hospital – Short-term
- Participating since
- May 30, 2009
- Last certification
- Feb 18, 2015
- Beds
- 4
- Ownership / control type
- Private (for profit)
- Facility address
- 2408 East 81St Street, Suite 600
Tulsa, OK 74137
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba BVA Advanced Eyecare and Retina Vitreous Affiliates
- Ophthalmology Physician
- Edmond, OK
- NPI 1427051408
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522800000000",
"number": "1386800019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2408 E 81ST ST",
"address_2": "SUITE 600",
"city": "TULSA",
"state": "OK",
"postal_code": "741374200",
"telephone_number": "918-392-2780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2408 E 81ST ST",
"address_2": "SUITE 600",
"city": "TULSA",
"state": "OK",
"postal_code": "741374200",
"telephone_number": "918-392-2789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST OKLAHOMA EYE INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-01",
"last_updated": "2018-04-04",
"status": "A",
"authorized_official_last_name": "WAGLE",
"authorized_official_first_name": "ROBERTA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "918-392-2780"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pinnacle Specialty Hospital",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pinnacle Specialty Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tulsa, OK
- Norsekal LLC
- North Texas Neuroprotekt, PA
- North Tulsa Counseling Services, LLC
- Kimberly Gail North, LPN
- Emmaleigh Grace Northcutt, PA-C
- Northeast Oklahoma Hand & Upper Extremity Surgery PLLC
- Northeast Oklahoma Spine and Sports LLC
- Northeast Orhtopaedics & Sports Medicine
- Northeastern Retina, P.C.
- Northern Neuromonitoring PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.