Professional Management Services, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1326179375 Issued in OK

Legal business name

PROFESSIONAL MANAGEMENT SERVICES, INC.

Doing business as

Professional Medical Services

Practice address

4100 E 51St St
Suite 120
Tulsa, OK 74135-3628

Phone

(918) 742-6700

Fax

(918) 742-6878

NPI assigned

Mar 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jimmy Charles Martin, M.D.

Title

President

Phone

(918) 742-6700

Specialties & licenses 1

Addresses

Other names 1

• PROFESSIONAL MEDICAL SERVICES Doing business as

Locations

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508998386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 E 51ST ST",
            "address_2": "SUITE 120",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353628",
            "telephone_number": "918-742-6700",
            "fax_number": "918-742-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 E 51ST ST",
            "address_2": "SUITE 120",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353628",
            "telephone_number": "918-742-6700",
            "fax_number": "918-742-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MANAGEMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-742-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "1326179375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROFESSIONAL MEDICAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.