NPIMap

Organization Active NPI

Mentor Abi, LLC

  • Special Hospital
  • Tulsa, OK
National Provider Identifier
1508913336
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
2371 Issued in OK
Legal business name
MENTOR ABI, LLC
Practice address
2408 E 81St St
Suite 2600
Tulsa, OK 74137-4200
Phone
(918) 477-5111
Fax
(918) 477-5199
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Cindy A Beaty
Title
Director of Reimbursement
Phone
(501) 758-8799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X 2371 OK Primary

Addresses

Primary practice location

2408 E 81St St
Suite 2600
Tulsa, OK 74137-4200

Mailing address

4500 W Commercial Dr
North Little Rock, AR 72116-7055
Phone (501) 758-8799

Other identifiers 1

IdentifierTypeStateIssuer
2371OtherOKGEN MEDSURG HOSPITAL

Other names 1

  • Oklahoma NeuroSpecialty Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mentor Abi37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Locations

4500 W Commercial Dr
North Little Rock, AR 72116

2408 E 81st St
Ste 2600
Tulsa, OK 74137
Phone (918) 477-5111

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1508913336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 W COMMERCIAL DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167055",
            "telephone_number": "501-758-8799",
            "fax_number": "501-753-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 E 81ST ST",
            "address_2": "SUITE 2600",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374200",
            "telephone_number": "918-477-5111",
            "fax_number": "918-477-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTOR ABI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BEATY",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "501-758-8799"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "OK",
            "license": "2371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEN MEDSURG HOSPITAL",
            "identifier": "2371",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma NeuroSpecialty",
            "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 Mar 7, 2023; 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.