East West Integrated Care Center LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

EAST WEST INTEGRATED CARE CENTER LLC

Doing business as

Maplebrook Acupuncture Center LLC

Practice address

6703 E 81St St Ste J
Tulsa, OK 74133-4157

Phone

(918) 814-7650

Fax

(844) 249-7650

NPI assigned

Sep 22, 2020

Last updated

Sep 22, 2020By 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

Mrs. Ildiko Bercak

Title

Owner

Phone

(941) 993-6299

Specialties & licenses 1

Addresses

Other names 1

• Maplebrook Acupuncture Center LLC Doing business as

Locations

Practitioners 1

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.

• Dewayne Allen Baugus, AP

  • Acupuncturist
  • Tulsa, OK
  • NPI 1134524671
  NPD

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1407462732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W TUCSON ST APT 801",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740117246",
            "telephone_number": "918-814-7650",
            "fax_number": "844-249-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6703 E 81ST ST STE J",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334157",
            "telephone_number": "918-814-7650",
            "fax_number": "844-249-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST WEST INTEGRATED CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "BERCAK",
        "authorized_official_first_name": "ILDIKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-993-6299",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maplebrook Acupuncture Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa L Earnest, M.A.
• Dianna Earnhardt, CDT
• Danielle J Easley
• James Easley, M.D.
• East Tulsa Medical Group
• Angela M Easter, MS, LPC
• Phillip William Easterly, PT
• Eastern Ok Ear Nose and Throat
• Eastern Oklahoma Center for Women Inc
• Eastern Oklahoma Chiropractic, PLLC

• Acupuncturist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Acupuncturist in Oklahoma

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