Active NPI
RT Medical
- Family Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1659560563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3988
- Legal business name
- RT MEDICAL
- Practice address
- 2514 North Meridian Avenue
Oklahoma City, OK 73107-1035 - Phone
- (405) 722-1110
- Fax
- (405) 721-8263
- NPI assigned
- Oct 16, 2007
- 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
- Heather Ross Tipsword, D.O.
- Title
- Owner
- Phone
- (405) 722-1110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3988 | OK | Primary |
Addresses
Primary practice location
2514 North Meridian Avenue
Oklahoma City, OK 73107-1035
Mailing address
2514 North Meridian Avenue
Oklahoma City, OK 73107-1035
Phone (405) 722-1110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200032500A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
8105 NW Expressway
Oklahoma City, OK 73162
Phone (405) 602-3500
2514 N Meridian Ave
Oklahoma City, OK 73107
Phone (405) 722-1110
2512 N Meridian Ave
Oklahoma City, OK 73107
Phone (405) 605-5415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274918400000",
"number": "1659560563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2514 NORTH MERIDIAN AVENUE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731071035",
"telephone_number": "405-722-1110",
"fax_number": "405-721-8263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2514 NORTH MERIDIAN AVENUE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731071035",
"telephone_number": "405-722-1110",
"fax_number": "405-721-8263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RT MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-16",
"last_updated": "2010-05-27",
"status": "A",
"authorized_official_last_name": "TIPSWORD",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "ROSS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-722-1110",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OK",
"license": "3988",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200032500A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.