Elite Medical Care PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

23724 Issued in OK

Legal business name

ELITE MEDICAL CARE PLLC

Practice address

3336 E. 32ND Street
Suite 200
Tulsa, OK 74135-4442

Phone

(918) 742-4900

Fax

(918) 742-4901

NPI assigned

Aug 16, 2007

Last updated

Sep 22, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vishal Aggarwal, MDNPI 1295705663

Title

Member

Phone

(918) 742-4900

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 5

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.

• Vishal Aggarwal, MD

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1295705663
  Medicare reassignment Care Compare group NPD Authorized official
• Pallavi Agarwal, M.D.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1831249812
  Medicare reassignment Care Compare group NPD
• Ashton Danielle Peterson

  • Family Nurse Practitioner
  • Broken Arrow, OK
  • NPI 1992263453
  Medicare reassignment NPD
• Katharine Whitekiller, FNP-BC

  • Family Nurse Practitioner
  • Tulsa, OK
  • NPI 1730642612
  NPD
• Linda Sue Adams, APRN-CNP

  • Nurse Practitioner
  • Tulsa, OK
  • NPI 1578907101
  NPD (past)

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506038400000",
    "number": "1396937082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 E. 32ND STREET",
            "address_2": "SUITE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741354442",
            "telephone_number": "918-742-4900",
            "fax_number": "918-742-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 E. 32ND STREET",
            "address_2": "SUITE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741354442",
            "telephone_number": "918-742-4900",
            "fax_number": "918-742-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2017-09-22",
        "status": "A",
        "authorized_official_last_name": "AGGARWAL",
        "authorized_official_first_name": "VISHAL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "918-742-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "23724",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "OK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2001129820A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20026000C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Elias III, PHARM D.
• Elite Chiropractic PC (Elite Chiropractic)
• Elite Family Medicine LLC
• Elite Footcare Center PC
• Elite Medical Care
• Elite Medical Clinic PLLC
• Elite Oral and Maxillofacial Surgery of Oklahoma, PLLC
• Elite Surgical Assisting, LLC
• Elite Wound Care, LLC
• Elizabeth a Greenwood, P.C. (Elizabeth A Greenwood, PH.D.)

• Internal Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; 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.