Tulsa Cardiology Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TULSA CARDIOLOGY CLINIC

Practice address

2100 S Utica Ave Ste 202
Tulsa, OK 74114-1437

Phone

(918) 932-3836

Fax

(918) 203-0027

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jawad Trad, DO

Title

Owner

Phone

(405) 880-5600

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1619711512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 S UTICA AVE STE 202",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141437",
            "telephone_number": "918-932-3836",
            "fax_number": "918-203-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S UTICA AVE STE 202",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141437",
            "telephone_number": "918-932-3836",
            "fax_number": "918-203-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA CARDIOLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "TRAD",
        "authorized_official_first_name": "JAWAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-880-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201302020A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tulsa Cardiac Apc
• Tulsa Cardiovascular Center of Excellence, L.L.C
• Tulsa Center for Behaviour Health
• Tulsa Center for Child Psychology PLLC
• Tulsa Children'S Development Center
• Tulsa Chiropractic Rehab, LLC

• Internal Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.