Active NPI
Tulsa Neuro Specialists PC
- Neurology Physician
- Tulsa, OK
National Provider Identifier
1669989166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 19558
- Legal business name
- TULSA NEURO SPECIALISTS PC
- Practice address
- 5010 E 68TH St
Tulsa, OK 74136-3323 - Phone
- (918) 492-6333
- NPI assigned
- Jan 5, 2018
- 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
- Jorge Gonzalez, MD
- Title
- Owner
- Phone
- (918) 492-6333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 19558 | OK | Primary |
Addresses
Primary practice location
5010 E 68TH St
Tulsa, OK 74136-3323
Mailing address
6966 S Utica Ave Ste 225
Tulsa, OK 74136-3903
National Provider Directory
National Provider DirectoryLocations
5010 E 68th St
Tulsa, OK 74136
Phone (918) 492-6464
5010 E 68th St
Ste 204
Tulsa, OK 74136
Phone (918) 236-5881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515369600000",
"number": "1669989166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6966 S UTICA AVE STE 225",
"city": "TULSA",
"state": "OK",
"postal_code": "741363903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5010 E 68TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741363323",
"telephone_number": "918-492-6333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TULSA NEURO SPECIALISTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-05",
"last_updated": "2018-01-08",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "JORGE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-492-6333",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OK",
"license": "19558",
"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 Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.