Oklahoma Cardiovascular Center, LLC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

OKLAHOMA CARDIOVASCULAR CENTER, LLC

Doing business as

Tulsa Cardiovascular Clinic

Practice address

11912 S Norwood Ave Ste 110
Tulsa, OK 74137-5547

Phone

(918) 943-5303

Fax

(918) 943-5302

NPI assigned

May 6, 2019

Last updated

Sep 15, 2026By 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

Matthew Comstock, DONPI 1174750749

Title

Owner

Phone

(918) 943-5303

Specialties & licenses 3

Addresses

Other names 2

• Tulsa Cardiovascular Clinic Doing business as
• Interventional Cardiology of Tulsa Former legal business name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 6

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.

• Matthew Joseph Comstock, D.O.

  • Interventional Cardiology Physician
  • Tulsa, OK
  • NPI 1174750749

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD Authorized official
• John Kesler Evans, D.O.

  • Interventional Cardiology Physician
  • Tulsa, OK
  • NPI 1790075034
  Medicare reassignment Care Compare group NPD
• Summer R Winger

  • Medical Physician Assistant
  • Tulsa, OK
  • NPI 1003646910
  Medicare reassignment NPD
• Jordan Elizabeth Johnson, PA-C

  • Physician Assistant
  • Oklahoma City, OK
  • NPI 1962040162
  Medicare reassignment
• Sierra Lynn Stouffer, PA-S

  • Physician Assistant
  • Tulsa, OK
  • NPI 1669013835
  Medicare reassignment
• Marianna Sofia Voola

  • Physician Assistant
  • Tulsa, OK
  • NPI 1902788847
  NPD

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1578128591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740370200",
            "telephone_number": "918-943-5303",
            "fax_number": "855-312-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11912 S NORWOOD AVE STE 110",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741375547",
            "telephone_number": "918-943-5303",
            "fax_number": "918-943-5302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13616 E 103rd St N Ste C",
            "address_purpose": "LOCATION",
            "city": "Owasso",
            "state": "OK",
            "postal_code": "740554592",
            "country_code": "US",
            "telephone_number": "918-943-5303",
            "fax_number": "855-312-3594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OKLAHOMA CARDIOVASCULAR CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-06",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "COMSTOCK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-943-5303",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tulsa Cardiovascular Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tulsa Cardiovascular Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interventional Cardiology of Tulsa",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Interventional Cardiology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Interventional Cardiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.