Active NPI
Daryl W. Thompson, M.D.
- Neurology Physician
- Tulsa, OK
National Provider Identifier
1851377451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 27703
- Practice address
- 2000 S Wheeling Ave
Ste 200
Tulsa, OK 74104-5649 - Phone
- (918) 748-7854
- Fax
- (918) 748-7883
- NPI assigned
- Dec 16, 2005
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 27703 | OK | Primary |
| Neurology Physician | 2084N0400X | 108947 | MO |
Addresses
Primary practice location
2000 S Wheeling Ave
Ste 200
Tulsa, OK 74104-5649
Mailing address
1515 N Harvard Ave
Ste E
Tulsa, OK 74115-4957
Phone (918) 832-6049
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208004218 | Medicaid | MO | |
| 200289870A | Medicaid | OK |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108947 | MO | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health Physicians | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Kansas City, MO
- NPI 1669456257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292889600000",
"number": "1851377451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 N HARVARD AVE",
"address_2": "STE E",
"city": "TULSA",
"state": "OK",
"postal_code": "741154957",
"telephone_number": "918-832-6049",
"fax_number": "918-832-6055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 S WHEELING AVE",
"address_2": "STE 200",
"city": "TULSA",
"state": "OK",
"postal_code": "741045649",
"telephone_number": "918-748-7854",
"fax_number": "918-748-7883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "DARYL",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2010-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OK",
"license": "27703",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "108947",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208004218",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200289870A",
"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 Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.