Transforming Lives PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

TRANSFORMING LIVES PLLC

Practice address

1800 Renaissance Blvd
Second Floor
Edmond, OK 73013-3023

Phone

(405) 359-2475

Fax

(405) 341-2495

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Gregory Walton, MDNPI 1750316949

Title

Owner

Phone

(405) 359-2475

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 2

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

• Gregory F Walton, MD

  • Surgery Physician
  • Edmond, OK
  • NPI 1750316949
  Medicare reassignment NPD Authorized official
• Toby D Broussard, M.D.

  • Surgery Physician
  • Edmond, OK
  • NPI 1770587636
  Medicare reassignment NPD

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1689729907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 RENAISSANCE BLVD",
            "address_2": "SECOND FLOOR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133023",
            "telephone_number": "405-359-2468",
            "fax_number": "405-359-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 RENAISSANCE BLVD",
            "address_2": "SECOND FLOOR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133023",
            "telephone_number": "405-359-2475",
            "fax_number": "405-341-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMING LIVES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-359-2475",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ha Le Tran, PHARMD
• Trang Minh Tran, PHARMD
• Transcendent Mental Health
• Transcranial Institute of Oklahoma
• Transformation Christian Counseling,LLC
• Lindsey Treece, OTR/L
• Tresa Roebuck Spencer, PHD, PLLC
• Trinity Home Care Serivces, Inc.
• Tristar Healthcare Inc
• Trivana LLC

• Surgery Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.