Active NPI
David Alan Fell, MD
- Neurological Surgery Physician
- Tulsa, OK
National Provider Identifier
1700874013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 10483
- Practice address
- 6767 S Yale Ave
Ste a
Tulsa, OK 74136-3302 - Phone
- (918) 492-7587
- Fax
- (918) 491-3542
- NPI assigned
- Oct 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 10483 | OK | Primary |
| Neurological Surgery Physician | 207T00000X | D7028 | TX |
Addresses
Primary practice location
6767 S Yale Ave
Ste a
Tulsa, OK 74136-3302
Mailing address
6767 S Yale Ave
Ste a
Tulsa, OK 74136-3302
Phone (918) 492-7587
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100217750A | Medicaid | OK |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D7028 | TX | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260921600000",
"number": "1700874013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6767 S YALE AVE",
"address_2": "STE A",
"city": "TULSA",
"state": "OK",
"postal_code": "741363302",
"telephone_number": "918-492-7587",
"fax_number": "918-491-3542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6767 S YALE AVE",
"address_2": "STE A",
"city": "TULSA",
"state": "OK",
"postal_code": "741363302",
"telephone_number": "918-492-7587",
"fax_number": "918-491-3542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELL",
"first_name": "DAVID",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2009-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "OK",
"license": "10483",
"primary": true
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "D7028",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100217750A",
"state": "OK"
}
],
"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 Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.