NPIMap

Organization Active NPI

Medstaffpc

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1861824039
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDSTAFFPC
Practice address
7153 S Yale Ave
Tulsa, OK 74136-6308
Phone
(918) 392-4499
Fax
(404) 494-7500
NPI assigned
Jul 30, 2013
Last updated
Jul 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Ron Woods
Title
Chief Executive Officer
Phone
(918) 779-7428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

7153 S Yale Ave
Tulsa, OK 74136-6308

Mailing address

4500 S 129TH East Ave
Ste 191
Tulsa, OK 74134-5801
Phone (918) 779-7400

National Provider Directory

National Provider Directory
Tax ID family
Medstaffpc27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

7153 S Yale Ave
Tulsa, OK 74136
Phone (539) 271-2160

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1861824039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S 129TH EAST AVE",
            "address_2": "STE 191",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741345801",
            "telephone_number": "918-779-7400",
            "fax_number": "918-779-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7153 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366308",
            "telephone_number": "918-392-4499",
            "fax_number": "404-494-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAFFPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "918-779-7428"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 30, 2013; 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.