Individual provider Active NPI

Judy Marks-Snelling, D.O.

  • Adult Medicine Physician
  • Tulsa, OK
National Provider Identifier
1700953338
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
2649 Issued in OK
Practice address
4833 S Sheridan Rd
416
Tulsa, OK 74145-5750
Phone
(918) 749-3187
Fax
(918) 491-9925
NPI assigned
Nov 29, 2006
Last updated
Dec 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 2649 OK Primary
Occupational Medicine Physician 2083X0100X 2649 OK

Addresses

Primary practice location

4833 S Sheridan Rd
416
Tulsa, OK 74145-5750

Mailing address

4833 S Sheridan Rd
416
Tulsa, OK 74145-5750
Phone (918) 749-3187

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
2649OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical & Cosmetic Center PastSince Feb 22, 2010 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1700953338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 S SHERIDAN RD",
            "address_2": "416",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741455750",
            "telephone_number": "918-749-3187",
            "fax_number": "918-491-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 S SHERIDAN RD",
            "address_2": "416",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741455750",
            "telephone_number": "918-749-3187",
            "fax_number": "918-491-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS-SNELLING",
        "first_name": "JUDY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "OK",
            "license": "2649",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OK",
            "license": "2649",
            "primary": false
        }
    ],
    "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 Dec 28, 2015; 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.