Active NPI
Thomas Van Nunn, D.O.
- Otolaryngology Physician
- Tulsa, OK
National Provider Identifier
1609856350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 2198
- Practice address
- 9001 S 101St East Ave
Suite 280
Tulsa, OK 74133-5708 - Phone
- (918) 459-8824
- Fax
- (918) 307-2239
- NPI assigned
- Jan 19, 2006
- Last updated
- Jun 29, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 2198 | OK | Primary |
Addresses
Primary practice location
9001 S 101St East Ave
Suite 280
Tulsa, OK 74133-5708
Mailing address
9001 S 101St East Ave
Suite 280
Tulsa, OK 74133-5708
Phone (918) 459-8824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100124050A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tulsa Ear Nose and Throat Center, PC | Otolaryngology | Past | Accepting new patients |
Interoperability endpoints
- thomas.nunn@direct.stjohnhealthsystem.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba South Tulsa Ear Nose and Throat Center, PC
- Otolaryngology Physician
- Tulsa, OK
- NPI 1497979686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435536000000",
"number": "1609856350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9001 S 101ST EAST AVE",
"address_2": "SUITE 280",
"city": "TULSA",
"state": "OK",
"postal_code": "741335708",
"telephone_number": "918-459-8824",
"fax_number": "918-307-2239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 S 101ST EAST AVE",
"address_2": "SUITE 280",
"city": "TULSA",
"state": "OK",
"postal_code": "741335708",
"telephone_number": "918-459-8824",
"fax_number": "918-307-2239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNN",
"first_name": "THOMAS",
"middle_name": "VAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2015-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OK",
"license": "2198",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100124050A",
"state": "OK"
}
],
"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 Jun 29, 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.