NPIMap

Organization Active NPI

Premier Rheumatology of Oklahoma

  • Rheumatology Physician
  • Glenpool, OK
National Provider Identifier
1891282877
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
PREMIER RHEUMATOLOGY OF OKLAHOMA
Practice address
12142 S Yukon Ave
Glenpool, OK 74033-6621
Phone
(918) 488-8840
Fax
(918) 488-8842
NPI assigned
Apr 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Debbie Gladd Foley, D.O.NPI 1134140924
Title
DO/Owner
Phone
(918) 488-8840

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
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

12142 S Yukon Ave
Glenpool, OK 74033-6621

Mailing address

12142 S Yukon Ave
Glenpool, OK 74033-6621
Phone (918) 488-8840

Other practice location 1

6114 E. 61st Street
Tulsa, OK 74136
Phone (918) 488-8840

Other names 1

  • Premier Rheumatology of Oklahoma Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180613001564 OK Part B Supplier - Clinic/Group Practice 3577818665 Receives reassigned benefits from 4 practitioners
Practice locations: Glenpool, OK

National Provider Directory

National Provider Directory

Locations

6114 E 61st St
Tulsa, OK 74136
Phone (918) 488-8840

Practitioners & affiliated clinicians

Practitioners 4

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": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1891282877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12142 S YUKON AVE",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740336621",
            "telephone_number": "918-488-8840",
            "fax_number": "918-488-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12142 S YUKON AVE",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740336621",
            "telephone_number": "918-488-8840",
            "fax_number": "918-488-8842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6114 E. 61st Street",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "74136",
            "country_code": "US",
            "telephone_number": "918-488-8840",
            "fax_number": "918-488-8842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER RHEUMATOLOGY OF OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "GLADD",
        "authorized_official_title_or_position": "DO/OWNER",
        "authorized_official_telephone_number": "918-488-8840",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Rheumatology of Oklahoma",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glenpool, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.