Active NPI
Springer Clinic Fee for Service Group
- General Practice Physician
- Tulsa, OK
National Provider Identifier
1487812087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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, 2008
- Organization subpart
- Yes
- Parent organization
- WARREN CLINIC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100728700A | Medicaid | OK |
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.