NPIMap

Organization Active NPI

Tulsa Ear Nose and Throat Center, PC

  • Otolaryngology Physician
  • Tulsa, OK
National Provider Identifier
1497979686
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
TULSA EAR NOSE AND THROAT CENTER, PC
Practice address
8803 S 101St East Ave Ste 165
Tulsa, OK 74133-5750
Phone
(918) 459-8824
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Deanne Nunn
Title
Office Manager
Phone
(918) 459-8824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

8803 S 101St East Ave Ste 165
Tulsa, OK 74133-5750

Mailing address

8803 S 101St East Ave Ste 165
Tulsa, OK 74133-5750
Phone (918) 459-8824

Other identifiers 1

IdentifierTypeStateIssuer
100747960AMedicaidOK

Other names 1

  • South Tulsa Ear Nose and Throat Center, PC Doing business as

National Provider Directory

National Provider Directory

Locations

9228 S Mingo Rd
Ste 102
Tulsa, OK 74133
Phone (918) 459-8824

Practitioners & affiliated clinicians

Practitioners 5

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1497979686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8803 S 101ST EAST AVE STE 165",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335750",
            "telephone_number": "918-459-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8803 S 101ST EAST AVE STE 165",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335750",
            "telephone_number": "918-459-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA EAR NOSE AND THROAT CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "NUNN",
        "authorized_official_first_name": "DEANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-459-8824"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100747960A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Tulsa Ear Nose and Throat Center, PC",
            "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 Nov 8, 2011; 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.