Organization Active NPI

Heart Care of Tulsa, Inc.

  • Cardiovascular Disease Physician
  • Tulsa, OK
National Provider Identifier
1497965818
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
1226 Issued in OK
Legal business name
HEART CARE OF TULSA, INC.
Practice address
802 South Jackson
Suite 225
Tulsa, OK 74127
Phone
(918) 582-3332
Fax
(918) 582-7003
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Authorized official

Name
Dr. Wilbert W Stoever, D.O.
Title
President
Phone
(918) 582-3332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 1226 OK Primary

Addresses

Primary practice location

802 South Jackson
Suite 225
Tulsa, OK 74127

Mailing address

Lockbox Dept 1910
Tulsa, OK 74182
Phone (918) 582-3332

Other identifiers 2

IdentifierTypeStateIssuer
336285508004OtherOKBLUE CROSS BLUE SHIELD
100052530CMedicaidOK

National Provider Directory

National Provider Directory

Locations

Lockbox
Dept 1910
Tulsa, OK 74182

802 S Jackson Ave
Ste 225A
Tulsa, OK 74127
Phone (918) 582-3332

Practitioners & affiliated clinicians

Practitioners 1

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1497965818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LOCKBOX DEPT 1910",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74182",
            "telephone_number": "918-582-3332",
            "fax_number": "918-582-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 SOUTH JACKSON",
            "address_2": "SUITE 225",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74127",
            "telephone_number": "918-582-3332",
            "fax_number": "918-582-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART CARE OF TULSA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "STOEVER",
        "authorized_official_first_name": "WILBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-582-3332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "1226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "336285508004",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100052530C",
            "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 Mar 11, 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.

Verify at the official NPI Registry.