Active NPI
Elisha Rannell Dolbow, C.F.A.
- Surgical Technologist
- Tulsa, OK
National Provider Identifier
1699969873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 88620
- Practice address
- 8803 S 101St East Ave
Tulsa, OK 74133-5726 - Phone
- (918) 392-5696
- Fax
- (918) 392-5697
- NPI assigned
- Aug 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 88620 | OK | Primary |
Addresses
Primary practice location
8803 S 101St East Ave
Tulsa, OK 74133-5726
Mailing address
8803 S 101St East Ave Ste 383
Tulsa, OK 74133-5732
Phone (918) 392-5696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88620 | OK | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1699969873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8803 S 101ST EAST AVE STE 383",
"city": "TULSA",
"state": "OK",
"postal_code": "741335732",
"telephone_number": "918-392-5696",
"fax_number": "918-392-5697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8803 S 101ST EAST AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741335726",
"telephone_number": "918-392-5696",
"fax_number": "918-392-5697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLBOW",
"first_name": "ELISHA",
"middle_name": "RANNELL",
"name_prefix": "Mrs.",
"credential": "C.F.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-30",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "OK",
"license": "88620",
"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 Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.