Active NPI
Em Madd, LLC
- Pulmonary Disease Physician
- Tulsa, OK
National Provider Identifier
1528375995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- EM MADD, LLC
- Practice address
- 8803 S 101St East Ave
Suite 383
Tulsa, OK 74133-5726 - Phone
- (918) 994-4130
- Fax
- (918) 994-4132
- NPI assigned
- Sep 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian D Worley, MD
- Title
- Owner
- Phone
- (918) 994-4130
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
8803 S 101St East Ave
Suite 383
Tulsa, OK 74133-5726
Mailing address
8803 S 101St East Ave
Suite 383
Tulsa, OK 74133-5726
Phone (918) 994-4130
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100069180A | Medicaid | OK | |
| 200309830A | Medicaid | OK |
Other names 1
- Brian Worley, MD
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443571200000",
"number": "1528375995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8803 S 101ST EAST AVE",
"address_2": "SUITE 383",
"city": "TULSA",
"state": "OK",
"postal_code": "741335726",
"telephone_number": "918-994-4130",
"fax_number": "918-994-4132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8803 S 101ST EAST AVE",
"address_2": "SUITE 383",
"city": "TULSA",
"state": "OK",
"postal_code": "741335726",
"telephone_number": "918-994-4130",
"fax_number": "918-994-4132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EM MADD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-08",
"last_updated": "2015-09-30",
"status": "A",
"authorized_official_last_name": "WORLEY",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-994-4130",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100069180A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200309830A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Brian Worley, MD",
"code": "5",
"type": "Other Name"
}
]
}
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 Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.