Lotus Medical LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

LOTUS MEDICAL LLC

Practice address

219 East Choctaw
Sallisaw, OK 74955

NPI assigned

Apr 19, 2021

Last updated

Apr 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelli ThompsonNPI 1285094979

Title

Owner

Phone

(918) 721-4989

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vanessa Gail Lee, APRN-FNP

  • Family Nurse Practitioner
  • Poteau, OK
  • NPI 1740755503
  Medicare reassignment NPD
• Ryan A Pitts, DO

  • Sports Medicine (Family Medicine) Physician
  • Poteau, OK
  • NPI 1356314603
  Medicare reassignment NPD
• Scott P Turner, MD

  • Pediatrics Physician
  • Catoosa, OK
  • NPI 1275501470
  Medicare reassignment NPD
• Danny Silver, MD

  • Emergency Medicine Physician
  • Fort Smith, AR
  • NPI 1972582260

  OK

  Medicare reassignment NPD
• Kelli Thompson

  • Counselor
  • Poteau, OK
  • NPI 1285094979
  NPD Authorized official
• Amber Nacole Hughes

  • Family Nurse Practitioner
  • Tulsa, OK
  • NPI 1528437407
  NPD (past)
• David Benjamin Holt, PA-C

  • Physician Assistant
  • Fort Smith, AR
  • NPI 1912533589
  NPD (past)

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1649851932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "74955",
            "telephone_number": "918-721-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 EAST CHOCTAW",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "74955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-721-4989"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Lynn Loewen, LCSW
• Benjamin Andrew Long
• Terri Leigh Long, RN
• Todd Andrew Long
• Andrew Ross Lorenz
• Mach One Medical, Inc.
• Cathy Mack, LPC
• Amber Dawn Mahar, APRN
• Delayna Lynne Marion
• Vera Marie Martin

• Multi-Specialty Clinic/Center in Sallisaw, OK
• Providers in Sallisaw, OK by specialty
• Multi-Specialty Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.