Organization Active NPI

Oklahoma Neurocare PLLC

  • Neurocritical Care Physician
  • Oklahoma City, OK
National Provider Identifier
1861237216
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurocritical Care PhysicianTaxonomy code 2084A2900X
Legal business name
OKLAHOMA NEUROCARE PLLC
Practice address
10240 Broadway Ext
Oklahoma City, OK 73114-6309
Phone
(405) 900-8850
NPI assigned
Jun 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Dr. James Vernon Rooks, MDNPI 1841269792
Title
Manager
Phone
(918) 688-8120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Neurocritical Care PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084A2900X Primary

Addresses

Primary practice location

10240 Broadway Ext
Oklahoma City, OK 73114-6309

Mailing address

10726 S Quebec Ave
Tulsa, OK 74137-6815
Phone (918) 688-8120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240822003734 OK Part B Supplier - Clinic/Group Practice 9638618523 Receives reassigned benefits from 2 practitioners
Practice locations: Tulsa, OK; Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

10240 Broadway Ext
Ste 320
Oklahoma City, OK 73114

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1861237216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10726 S QUEBEC AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741376815",
            "telephone_number": "918-688-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 BROADWAY EXT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731146309",
            "telephone_number": "405-900-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA NEUROCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "ROOKS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "VERNON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "918-688-8120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.