Active NPI
Ronald Woosley, M.D.
- Neurological Surgery Physician
- Tulsa, OK
National Provider Identifier
1790746493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 13894
- Practice address
- 2000 S Wheeling Ave
200
Tulsa, OK 74104-5649 - Phone
- (918) 748-7854
- Fax
- (918) 748-7524
- NPI assigned
- Mar 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 13894 | OK | Primary |
Addresses
Primary practice location
2000 S Wheeling Ave
200
Tulsa, OK 74104-5649
Mailing address
2000 S Wheeling Ave
200
Tulsa, OK 74104-5649
Phone (918) 748-7854
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100790060D | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John Physicians, Inc | Current | Accepting new patients | |
| St. John Physicians, Inc. | Neurological Surgery | Current | Accepting new patients |
| PLW Anesthesia LLC | Past | Accepting new patients |
Locations
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
2000 S Wheeling Ave
Ste 200
Tulsa, OK 74104
Phone (918) 748-7854
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
- NPI 1700040680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214438400000",
"number": "1790746493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 S WHEELING AVE",
"address_2": "200",
"city": "TULSA",
"state": "OK",
"postal_code": "741045649",
"telephone_number": "918-748-7854",
"fax_number": "918-748-7524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 S WHEELING AVE",
"address_2": "200",
"city": "TULSA",
"state": "OK",
"postal_code": "741045649",
"telephone_number": "918-748-7854",
"fax_number": "918-748-7524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOSLEY",
"first_name": "RONALD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2008-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "OK",
"license": "13894",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100790060D",
"state": "OK"
}
],
"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 Jun 26, 2008; 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.