Organization Active NPI

Neurologic Medicine, PLLC

  • Neurological Surgery Physician
  • Tulsa, OK
National Provider Identifier
1710048467
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUROLOGIC MEDICINE, PLLC
Practice address
5563 S Lewis Ave
Suite 100
Tulsa, OK 74105-7141
Phone
(918) 742-4100
Fax
(918) 512-4846
NPI assigned
Dec 13, 2006
Last updated
Jan 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Dr. John Hastings
Title
Owner
Phone
(918) 742-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

5563 S Lewis Ave
Suite 100
Tulsa, OK 74105-7141

Mailing address

5563 S Lewis Ave
Suite 100
Tulsa, OK 74105-7141
Phone (918) 742-4100

National Provider Directory

National Provider Directory

Locations

1725 E 19th St
Ste 202A
Tulsa, OK 74104
Phone (918) 712-9030

6802 S Olympia Ave
Ste 300
Tulsa, OK 74132
Phone (918) 749-0762

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1710048467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5563 S LEWIS AVE",
            "address_2": "SUITE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057141",
            "telephone_number": "918-742-4100",
            "fax_number": "918-512-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5563 S LEWIS AVE",
            "address_2": "SUITE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057141",
            "telephone_number": "918-742-4100",
            "fax_number": "918-512-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGIC MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "HASTINGS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-742-4100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "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 Jan 21, 2014; 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.