Squareone Compassion Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SQUAREONE COMPASSION INC

Doing business as

SquareOne Medical Center

Practice address

5323 South 65TH West Avenue
Tulsa, OK 74107

Phone

(918) 340-5024

NPI assigned

Mar 26, 2020

Last updated

Dec 31, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

SQUAREONE COMPASSION INCAs reported in NPPES

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

Authorized official

Name

Mr. Matthew Riley Blair

Title

President

Phone

(918) 521-4185

Specialties & licenses 1

Addresses

Other names 1

• SquareOne Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Squareone Compassion Inc

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21321/brand/1/csg/1/fhir/r4

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Faith Blair, APRN

  • Family Nurse Practitioner
  • Tulsa, OK
  • NPI 1255890935
  Medicare reassignment Care Compare group NPD
• Abel L Lau, MD

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1174545040
  Medicare reassignment Care Compare group NPD
• Cortney Ranae Reed, APRN

  • Family Nurse Practitioner
  • Jenks, OK
  • NPI 1285256883
  Medicare reassignment Care Compare group NPD
• Stacie Marie Cortright, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Tulsa, OK
  • NPI 1598350779
  Medicare reassignment NPD
• Sheila Kay Reed, APRN-FNP

  • Family Nurse Practitioner
  • Sapulpa, OK
  • NPI 1508224882
  Medicare reassignment NPD
• Rebecca Lynn Wright, D.O.

  • General Practice Physician
  • Chickasha, OK
  • NPI 1801183249
  Medicare reassignment NPD

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640908800000",
    "number": "1508493784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 SOUTH 65TH WEST AVENUE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74107",
            "telephone_number": "918-340-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 SOUTH 65TH WEST AVENUE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74107",
            "telephone_number": "918-340-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUAREONE COMPASSION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SQUAREONE COMPASSION INC",
        "enumeration_date": "2020-03-26",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "RILEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-521-4185",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SquareOne Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Terese Spruiell, M.A.M.F.T.
• Brent Spurling, DO
• Michelle Marie Spurling, CRNA
• Tori Spurlock
• Jill S Spurrell, O.T.
• Kade Olsen Squires
• Alison Ann Sreaves
• Derek Srouji
• Baha A Srour, MSW
• Eldon St Clair, C. ACU.

• Primary Care Clinic/Center in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.