Active NPI
Antidote Medical Partners LLC
- Family Medicine Physician
- Tulsa, OK
National Provider Identifier
1760970875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ANTIDOTE MEDICAL PARTNERS LLC
- Practice address
- 9220 S Toledo CT Ste B
Tulsa, OK 74137-2745 - Phone
- (918) 558-3088
- NPI assigned
- Apr 24, 2018
- Last updated
- Apr 25, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Natasha Marie Kauffman
- Title
- Office Assistant
- Phone
- (539) 444-8082
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
9220 S Toledo CT Ste B
Tulsa, OK 74137-2745
Mailing address
9220 S Toledo CT
Tulsa, OK 74137-2744
Phone (918) 558-3088
National Provider Directory
National Provider DirectoryLocations
9220 S Toledo Ct
Tulsa, OK 74137
9220 S Toledo Ct
Ste B
Tulsa, OK 74137
Phone (918) 558-3088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524614400000",
"number": "1760970875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9220 S TOLEDO CT",
"city": "TULSA",
"state": "OK",
"postal_code": "741372744",
"telephone_number": "918-558-3088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9220 S TOLEDO CT STE B",
"city": "TULSA",
"state": "OK",
"postal_code": "741372745",
"telephone_number": "918-558-3088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTIDOTE MEDICAL PARTNERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-24",
"last_updated": "2018-04-25",
"status": "A",
"authorized_official_last_name": "KAUFFMAN",
"authorized_official_first_name": "NATASHA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OFFICE ASSISTANT",
"authorized_official_telephone_number": "539-444-8082"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"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 Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.