Active NPI
DRS Karlak and Martin
- Internal Medicine Physician
- Tulsa, OK
National Provider Identifier
1487826608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 14327
- Legal business name
- DRS KARLAK AND MARTIN
- Practice address
- 1725 E 19TH St
Suite 602
Tulsa, OK 74104-5437 - Phone
- (918) 748-7677
- Fax
- (918) 748-7606
- NPI assigned
- Mar 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lynda G Meyer
- Title
- Office Manager
- Phone
- (918) 748-7677
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 14327 | OK | Primary |
| Internal Medicine Physician | 207R00000X | 14394 | OK |
Addresses
Primary practice location
1725 E 19TH St
Suite 602
Tulsa, OK 74104-5437
Mailing address
1725 E 19TH St
Suite 602
Tulsa, OK 74104-5437
Phone (918) 748-7677
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04444887152 | Medicaid | OK | |
| 444488715P | Other | OK | MEDICARE |
| 484622519001 | Other | OK | BCBS |
| 730536372059 | Other | OK | BCBS |
| 00484622519 | Medicaid | OK | |
| 048462251T | Other | OK | MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1725 E 19th St
Ste 602
Tulsa, OK 74104
Phone (918) 748-7677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406246400000",
"number": "1487826608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 E 19TH ST",
"address_2": "SUITE 602",
"city": "TULSA",
"state": "OK",
"postal_code": "741045437",
"telephone_number": "918-748-7677",
"fax_number": "918-748-7606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 E 19TH ST",
"address_2": "SUITE 602",
"city": "TULSA",
"state": "OK",
"postal_code": "741045437",
"telephone_number": "918-748-7677",
"fax_number": "918-748-7606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS KARLAK AND MARTIN",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-27",
"last_updated": "2014-07-25",
"status": "A",
"authorized_official_last_name": "MEYER",
"authorized_official_first_name": "LYNDA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "918-748-7677"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "OK",
"license": "14327",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "OK",
"license": "14394",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04444887152",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "444488715P",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "484622519001",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "730536372059",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00484622519",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "048462251T",
"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 Jul 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.