NPIMap

Organization Active NPI

Viemed Clinical Services, LLC

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1528648227
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
VIEMED CLINICAL SERVICES, LLC
Practice address
9726 E 42ND St Ste 135
Tulsa, OK 74146-3626
Phone
(833) 452-0220
Fax
(800) 398-9547
NPI assigned
Apr 8, 2021
Last updated
Apr 8, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
VIEMED, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Ryan Sullivan
Title
Executive VP
Phone
(337) 504-3802

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary
In Home Supportive Care Agency 253Z00000X NU
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

9726 E 42ND St Ste 135
Tulsa, OK 74146-3626

Mailing address

9726 E 42ND St Ste 135
Tulsa, OK 74146-3626
Phone (833) 452-0220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220318000552 OK Part B Supplier - Clinic/Group Practice 9830501543 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Viemed Clinical Services LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

9726 E 42nd St
Tulsa, OK 74146

9726 E 42nd St
Ste 135
Tulsa, OK 74146

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1528648227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9726 E 42ND ST STE 135",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463626",
            "telephone_number": "833-452-0220",
            "fax_number": "800-398-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9726 E 42ND ST STE 135",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463626",
            "telephone_number": "833-452-0220",
            "fax_number": "800-398-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIEMED CLINICAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIEMED, INC",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "337-504-3802"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 8, 2021; 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.