Organization Active NPI

RT Medical

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1659560563
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3988 Issued in OK
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

Updated by the provider on May 27, 2010

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200032500AMedicaidOK

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.