NPIMap

Organization Active NPI

Audiology of Tulsa, PLLC

  • Audiologist
  • Tulsa, OK
National Provider Identifier
1528225893
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
00008 Issued in OK
Legal business name
AUDIOLOGY OF TULSA, PLLC
Practice address
4564 S Harvard Ave
Ste a
Tulsa, OK 74135-2918
Phone
(918) 745-9052
Fax
(918) 749-9770
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Authorized official

Name
Dr. Stanley R Lang, PH.D.NPI 1730285917
Title
Owner
Phone
(918) 745-9052

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 00008 OK Primary

Addresses

Primary practice location

4564 S Harvard Ave
Ste a
Tulsa, OK 74135-2918

Mailing address

4564 S Harvard Ave
Ste a
Tulsa, OK 74135-2918
Phone (918) 745-9052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080715000602 OK Part B Supplier - Clinic/Group Practice 3375616980 Receives reassigned benefits from 4 practitioners
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

4564 S Harvard Ave
Ste A
Tulsa, OK 74135
Phone (918) 743-9052

Practitioners & affiliated clinicians

Practitioners 4

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": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1528225893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4564 S HARVARD AVE",
            "address_2": "STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352918",
            "telephone_number": "918-745-9052",
            "fax_number": "918-749-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4564 S HARVARD AVE",
            "address_2": "STE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352918",
            "telephone_number": "918-745-9052",
            "fax_number": "918-749-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY OF TULSA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-745-9052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "OK",
            "license": "00008",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.