Active NPI
Nicole Marie Castellese, MD
- Surgery Physician
- Tulsa, OK
National Provider Identifier
1831375500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25592
- Practice address
- 1723 E 15TH St Ste 100
Tulsa, OK 74104-4608 - Phone
- (918) 939-8339
- Fax
- (918) 872-9091
- NPI assigned
- Jan 12, 2008
- Last updated
- Apr 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25592 | OK | Primary |
Addresses
Primary practice location
1723 E 15TH St Ste 100
Tulsa, OK 74104-4608
Mailing address
3336 E. 32ND St
#106
Tulsa, OK 74135
Phone (918) 939-8339
Other names 1
- Nicole Marie Patel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25592 | OK | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1831375500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3336 E. 32ND ST",
"address_2": "#106",
"city": "TULSA",
"state": "OK",
"postal_code": "74135",
"telephone_number": "918-939-8339",
"fax_number": "918-872-9091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1723 E 15TH ST STE 100",
"city": "TULSA",
"state": "OK",
"postal_code": "741044608",
"telephone_number": "918-939-8339",
"fax_number": "918-872-9091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTELLESE",
"first_name": "NICOLE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-12",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "25592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "PATEL",
"middle_name": "MARIE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}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 24, 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.