Thomas R Todd, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20778 Issued in OK

Practice address

4716 W Urbana St Ste 211
Broken Arrow, OK 74012-6157

Phone

(187) 104-1129

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• TRT Medical PLLC

  • Internal Medicine Physician
  • Cleveland, OK
  • NPI 1215120613
  NPD (past) Authorized official
• Creek Nation Hospital & Clinics

  • Clinic/Center
  • Muskogee, OK
  • NPI 1366593923

  Family Medicine

  NPD
• Total Health Solutions LLC

  • Pain Medicine Physician
  • Poteau, OK
  • NPI 1487015830
  NPD
• Dermatology & Allergy Solutions LLC

  • Multi-Specialty Clinic/Center
  • Broken Arrow, OK
  • NPI 1619371473
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1619919487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 W URBANA ST",
            "address_2": "STE 211",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740126157",
            "telephone_number": "918-710-4112",
            "fax_number": "918-710-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 W URBANA ST STE 211",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740126157",
            "telephone_number": "187-104-1129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2530 E 25th St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741143209",
            "country_code": "US",
            "telephone_number": "405-379-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TODD",
        "first_name": "THOMAS",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "20778",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "20778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100132190C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Tinsley
• Shawn D Tittle, DC
• Todd a. Gentling, D.D.S., Inc., P.C.
• Hanna Kirby Todd, OTR/L
• Holli J Todd, PTA
• Makina Jane Tomlinson, OT
• Roya Toraby, RN-BSN, CDCES
• Hadrianna Elijahbel Torres
• Total Anesthesia Group LLC
• Total Care Physicians Group

• Family Medicine Physician in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.