Innovative Neurophysiologics LLC

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Legal business name

INNOVATIVE NEUROPHYSIOLOGICS LLC

Practice address

1715 S Baltimore Ave
Tulsa, OK 74119-4807

Phone

(918) 895-7680

Fax

(918) 236-4646

NPI assigned

Feb 11, 2020

Organization subpart

No

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

Authorized official

Name

Valerie Shehan

Title

Billing Associate

Phone

(918) 895-7680

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1699307264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268977 DEPT 1071",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268977",
            "telephone_number": "918-895-7680",
            "fax_number": "918-236-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 S BALTIMORE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741194807",
            "telephone_number": "918-895-7680",
            "fax_number": "918-236-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE NEUROPHYSIOLOGICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "SHEHAN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "BILLING ASSOCIATE",
        "authorized_official_telephone_number": "918-895-7680"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "valerie@ansmonitoring.com",
            "affiliation": "N",
            "address_1": "1715 S Baltimore Ave",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741194807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Surgical Technologist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Surgical Technologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.