Active NPI
Terry J Arnold, PA-C
- Physician Assistant
- Tulsa, OK
National Provider Identifier
1780681684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1458
- Practice address
- 1516 South Yorktown Avenue
Tulsa, OK 74104-0000 - Phone
- (918) 712-8888
- Fax
- (918) 712-8892
- NPI assigned
- Jul 7, 2005
- Last updated
- Mar 30, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 003295 | GA | |
| Physician Assistant | 363A00000X | 1458 | OK | Primary |
Addresses
Primary practice location
1516 South Yorktown Avenue
Tulsa, OK 74104-0000
Mailing address
1516 South Yorktown Avenue
Tulsa, OK 74104-0000
Phone (918) 712-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000000350B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003295 | GA | MD | Physical Therapy Assistant |
| 3295 | GA | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David B Minor MD PC | Current | Accepting new patients | |
| Sergio Marano O.D. Mark Grisar O.D. PC | Past | Accepting new patients |
Locations
1516 S Yorktown Pl
Tulsa, OK 74104
Phone (918) 712-8888
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Tulsa, OK
- NPI 1881670032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1780681684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 SOUTH YORKTOWN AVENUE",
"city": "TULSA",
"state": "OK",
"postal_code": "741040000",
"telephone_number": "918-712-8888",
"fax_number": "918-712-8892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1516 SOUTH YORKTOWN AVENUE",
"city": "TULSA",
"state": "OK",
"postal_code": "741040000",
"telephone_number": "918-712-8888",
"fax_number": "918-712-8892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "TERRY",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "003295",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "1458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000000350B",
"state": "GA"
}
],
"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 Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.