Organization Active NPI

Tulsa Neurospine, PLLC

  • Neurological Surgery Physician
  • Tulsa, OK
National Provider Identifier
1437338480
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
TULSA NEUROSPINE, PLLC
Practice address
6565 South Yale
Suite 709
Tulsa, OK 74136-8308
Phone
(918) 481-4965
Fax
(918) 481-4996
NPI assigned
Oct 26, 2007
Last updated
Jan 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
James A. Rodgers, M.D.
Title
President
Phone
(918) 481-4965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

6565 South Yale
Suite 709
Tulsa, OK 74136-8308

Mailing address

6565 South Yale
Suite 709
Tulsa, OK 74136-8308
Phone (918) 481-4965

Other identifiers 1

IdentifierTypeStateIssuer
442542694004OtherOKBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

6565 S Yale Ave
Ste 709
Tulsa, OK 74136
Phone (918) 481-4965

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1437338480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 SOUTH YALE",
            "address_2": "SUITE 709",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368308",
            "telephone_number": "918-481-4965",
            "fax_number": "918-481-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 SOUTH YALE",
            "address_2": "SUITE 709",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368308",
            "telephone_number": "918-481-4965",
            "fax_number": "918-481-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA NEUROSPINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-481-4965",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "442542694004",
            "state": "OK"
        }
    ],
    "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 Jan 24, 2012; 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.