Active NPI
Vein Care Center of Oklahoma PLLC
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Tulsa, OK
National Provider Identifier
1629386529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 20034
- Legal business name
- VEIN CARE CENTER OF OKLAHOMA PLLC
- Practice address
- 6151 S Yale Ave
Suite 1-302
Tulsa, OK 74136-1907 - Phone
- (918) 502-3600
- Fax
- (918) 502-3610
- NPI assigned
- Sep 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert B. Mammana, M.D.
- Title
- Managing Member
- Phone
- (918) 502-3600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 20034 | OK | Primary |
Addresses
Primary practice location
6151 S Yale Ave
Suite 1-302
Tulsa, OK 74136-1907
Mailing address
6151 S Yale Ave
Suite 1-302
Tulsa, OK 74136-1907
Phone (918) 502-3600
National Provider Directory
National Provider DirectoryLocations
6151 S Yale Ave
Ste 1302
Tulsa, OK 74136
Phone (918) 502-3600
6151 S Yale Ave
Ste 1
Tulsa, OK 74136
Phone (918) 502-3600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285891200000",
"number": "1629386529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6151 S YALE AVE",
"address_2": "SUITE 1-302",
"city": "TULSA",
"state": "OK",
"postal_code": "741361907",
"telephone_number": "918-502-3600",
"fax_number": "918-502-3610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6151 S YALE AVE",
"address_2": "SUITE 1-302",
"city": "TULSA",
"state": "OK",
"postal_code": "741361907",
"telephone_number": "918-502-3600",
"fax_number": "918-502-3610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VEIN CARE CENTER OF OKLAHOMA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-14",
"last_updated": "2010-10-01",
"status": "A",
"authorized_official_last_name": "MAMMANA",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "918-502-3600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "OK",
"license": "20034",
"primary": true
}
],
"identifiers": [],
"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 Oct 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.