Organization Active NPI

Tulsa Neuro Specialists PC

  • Neurology Physician
  • Tulsa, OK
National Provider Identifier
1669989166
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
19558 Issued in OK
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

Updated by the provider on Jan 8, 2018

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.