Organization Active NPI

Gerald R Hale DO PLLC

  • Pain Medicine Physician
  • Tulsa, OK
National Provider Identifier
1487787909
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
GERALD R HALE DO PLLC
Practice address
2448 E 81St St
Suite 363
Tulsa, OK 74137-4250
Phone
(918) 477-5950
Fax
(918) 477-5951
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Dr. Gerald R Hale, D.O.
Title
Managing Member
Phone
(918) 477-5950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

2448 E 81St St
Suite 363
Tulsa, OK 74137-4250

Mailing address

2448 E 81St St
Suite 363
Tulsa, OK 74137-4250
Phone (918) 477-5950

Other identifiers 1

IdentifierTypeStateIssuer
200037360AMedicaidOK

Other names 1

  • Tulsa Integrated Pain Services Doing business as

National Provider Directory

National Provider Directory

Locations

2448 E 81st St
Ste 363
Tulsa, OK 74137
Phone (918) 477-5942

2488 E 81st St
Ste 363
Tulsa, OK 74137
Phone (918) 477-5950

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1487787909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST",
            "address_2": "SUITE 363",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374250",
            "telephone_number": "918-477-5950",
            "fax_number": "918-477-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST",
            "address_2": "SUITE 363",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374250",
            "telephone_number": "918-477-5950",
            "fax_number": "918-477-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD R HALE DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "918-477-5950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200037360A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tulsa Integrated Pain Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 27, 2013; 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.