Paradigm Hormones Tulsa, PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PARADIGM HORMONES TULSA, PLLC

Practice address

6316 E 102ND St
Tulsa, OK 74137-7061

Phone

(405) 703-7020

Fax

(405) 703-7021

NPI assigned

May 4, 2016

Last updated

May 4, 2016By 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

Nikki Busellato

Title

Insurance Credentialing

Phone

(405) 703-7020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1417303801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6316 E 102ND ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377061",
            "telephone_number": "405-703-7020",
            "fax_number": "405-703-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6316 E 102ND ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741377061",
            "telephone_number": "405-703-7020",
            "fax_number": "405-703-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM HORMONES TULSA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "BUSELLATO",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "INSURANCE CREDENTIALING",
        "authorized_official_telephone_number": "405-703-7020"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Pappas
• Elizabeth Lenis Pappas, CNA
• Sean T Paquette, PA-C
• Amal Intakhab Paracha
• Ancy Johnson Parackal, ARNP
• Paradigm Wound Specialists LLC
• Paradigms Inc (Diagnostica Osteoporosis Center)
• Paragon Medical Group Inc
• Paramount Surgical Assisting
• Kris Parchuri, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.