Active NPI
Cliff Timmons
- Other Technician
- Tulsa, OK
National Provider Identifier
1619962248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 00689341
- Practice address
- 1334 N Lansing Ave
Tulsa, OK 74106-5907 - Phone
- (918) 587-2171
- Fax
- (918) 582-0529
- NPI assigned
- Sep 20, 2005
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 00689341 | OK | Primary |
Addresses
Primary practice location
1334 N Lansing Ave
Tulsa, OK 74106-5907
Mailing address
1334 N Lansing Ave
Tulsa, OK 74106-5907
Phone (918) 587-2171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371803 | Other | OK | MEDICARE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00689341 | OK | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morton Comprehensive Health Services | Past | Accepting new patients | |
| Morton Comprehensive Health Services Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Medical Laboratory
- Tulsa, OK
- NPI 1619963030
-
- Body Imaging Physician
- Tulsa, OK
- NPI 1720075112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198713600000",
"number": "1619962248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1334 N LANSING AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741065907",
"telephone_number": "918-587-2171",
"fax_number": "918-582-0529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1334 N LANSING AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741065907",
"telephone_number": "918-587-2171",
"fax_number": "918-582-0529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMMONS",
"first_name": "CLIFF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2007-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "OK",
"license": "00689341",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "371803",
"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 Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.