Tulsa Neurology Clinic Inc.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

TULSA NEUROLOGY CLINIC INC.

Practice address

7134 S Yale Ave
Suite 450
Tulsa, OK 74136-6372

Phone

(918) 743-2882

Fax

(918) 745-0323

NPI assigned

Jul 17, 2006

Last updated

Sep 28, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jay K Johnson, DONPI 1043224264

Title

Owner

Phone

(918) 743-2882

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jay Kevin Johnson, D.O.

  • Neurology Physician
  • Tulsa, OK
  • NPI 1043224264
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1851318497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7134 S YALE AVE",
            "address_2": "SUITE 450",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366372",
            "telephone_number": "918-743-2882",
            "fax_number": "918-745-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7134 S YALE AVE",
            "address_2": "SUITE 450",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366372",
            "telephone_number": "918-743-2882",
            "fax_number": "918-745-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULSA NEUROLOGY CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-743-2882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100137280A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1851318497",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "448664025001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP2445",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tulsa Ok Ophthalmology ASC LLC (Eye Surgery Center of Tulsa)

• Neurology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Neurology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.