Organization Active NPI

Antidote Medical Partners LLC

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1760970875
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.