Organization Active NPI

Springer Clinic Fee for Service Group

  • General Practice Physician
  • Tulsa, OK
National Provider Identifier
1487812087
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SPRINGER CLINIC FEE FOR SERVICE GROUP
Practice address
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136-3310
Phone
(918) 488-6001
NPI assigned
May 30, 2008
Last updated
May 30, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
WARREN CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Kathy Mason
Title
Credentialing Coordinator
Phone
(918) 488-6687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136-3310

Mailing address

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136-3310

Other identifiers 1

IdentifierTypeStateIssuer
100728700AMedicaidOK

National Provider Directory

National Provider Directory
Part of
Warren Clinic McAt Div

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1487812087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE",
            "address_2": "STE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE",
            "address_2": "STE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363310",
            "telephone_number": "918-488-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGER CLINIC FEE FOR SERVICE GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WARREN CLINIC",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "918-488-6687"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100728700A",
            "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 May 30, 2008; 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.