Organization Active NPI

Empyreal Healthcare, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Tulsa, OK
National Provider Identifier
1730214362
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
23724 Issued in OK
Legal business name
EMPYREAL HEALTHCARE, LLC
Practice address
8826 S Hudson Ave
Tulsa, OK 74137-2943
Phone
(888) 599-3330
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kavita Devi Aggarwal
Title
Partner
Phone
(888) 599-3330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X 23724 OK Primary

Addresses

Primary practice location

8826 S Hudson Ave
Tulsa, OK 74137-2943

Mailing address

8826 S Hudson Ave
Tulsa, OK 74137-2943
Phone (888) 599-3330

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730214362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8826 S HUDSON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372943",
            "telephone_number": "888-599-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8826 S HUDSON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372943",
            "telephone_number": "888-599-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPYREAL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGGARWAL",
        "authorized_official_first_name": "KAVITA",
        "authorized_official_middle_name": "DEVI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "888-599-3330",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OK",
            "license": "23724",
            "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 Aug 22, 2020; 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.