Organization Active NPI

October Tuesday Corp

  • Anesthesiology Physician
  • Oklahoma City, OK
National Provider Identifier
1891123600
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4422 Issued in OK
Legal business name
OCTOBER TUESDAY CORP
Practice address
4131 NW 122ND St
Oklahoma City, OK 73120-8869
Phone
(405) 775-9350
Fax
(405) 775-9360
NPI assigned
Oct 15, 2013
Last updated
Oct 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Authorized official

Name
Natasha Renee Knowlton, DONPI 1346484607
Title
Owner
Phone
(405) 775-9350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4422 OK Primary

Addresses

Primary practice location

4131 NW 122ND St
Oklahoma City, OK 73120-8869

Mailing address

4131 NW 122ND St
Oklahoma City, OK 73120-8869
Phone (405) 775-9350

National Provider Directory

National Provider Directory

Locations

3705 NW 63rd St
Ste 10
Oklahoma City, OK 73116
Phone (405) 463-3484

8125 S Walker Ave
Ste C
Oklahoma City, OK 73139
Phone (405) 602-6500

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1891123600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 NW 122ND ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208869",
            "telephone_number": "405-775-9350",
            "fax_number": "405-775-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 NW 122ND ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208869",
            "telephone_number": "405-775-9350",
            "fax_number": "405-775-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTOBER TUESDAY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "KNOWLTON",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-775-9350",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "4422",
            "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 Oct 15, 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.