Organization Active NPI

Tulsa Neurology & Headache Clinic, Inc

  • Specialist
  • Tulsa, OK
National Provider Identifier
1659566370
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
13418 Issued in OK
Legal business name
TULSA NEUROLOGY & HEADACHE CLINIC, INC
Practice address
1145 S Utica Ave
Suite 520
Tulsa, OK 74104-4000
Phone
(918) 587-5534
Fax
(918) 587-5610
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Shashi A Husain, M.DNPI 1750324844
Title
President
Phone
(918) 587-5534

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 13418 OK Primary

Addresses

Primary practice location

1145 S Utica Ave
Suite 520
Tulsa, OK 74104-4000

Mailing address

PO Box 21228
Dept 144
Tulsa, OK 74121-1228
Phone (187) 774-2631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080609000606 OK Part B Supplier - Clinic/Group Practice 6305916982 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

1145 S Utica Ave
Ste 520
Tulsa, OK 74104
Phone (918) 587-5534

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1659566370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21228",
            "address_2": "DEPT 144",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741211228",
            "telephone_number": "187-774-2631",
            "fax_number": "281-812-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE",
            "address_2": "SUITE 520",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044000",
            "telephone_number": "918-587-5534",
            "fax_number": "918-587-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA NEUROLOGY & HEADACHE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HUSAIN",
        "authorized_official_first_name": "SHASHI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-587-5534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "13418",
            "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 Apr 20, 2008; 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.