Michele L Neil DO, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4105 Issued in TX

Legal business name

MICHELE L NEIL DO, PLLC

Doing business as

Functional Medical Institute

Practice address

6048 S Sheridan Rd
Tulsa, OK 74145-9212

Phone

(918) 748-3640

Fax

(918) 748-3644

NPI assigned

Mar 28, 2012

Organization subpart

No

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

Authorized official

Name

Michele L Neil, DO

Title

Owner

Phone

(918) 748-3640

Specialties & licenses 2

Addresses

Other names 1

• Functional Medical Institute Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1720354202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6048 S SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459212",
            "telephone_number": "918-748-3640",
            "fax_number": "918-748-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6048 S SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741459212",
            "telephone_number": "918-748-3640",
            "fax_number": "918-748-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE L NEIL DO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "NEIL",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-748-3640",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "4105",
            "primary": true
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "TX",
            "license": "4105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Functional Medical Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Michaels, HHC,NP,BFT
• Murray Frank Michaels X
• Brady Wayne Michalek, B.S. PSYCHOLOGY
• Marisa Anneliese Michealson, MD
• Elliot Michel, CRNA
• Michele Scott, Inc (Home Helpers and Direct Link 58799)
• Joseph Michie, MD
• Michigan Intraoperative Neurology PC
• Michigan Spine Services PLLC
• Galina Bogdan Michka, ARNP

• Internal Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.