NPIMap

Organization Active NPI

LP Dullye Management, Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Tulsa, OK
National Provider Identifier
1902262421
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
LP DULLYE MANAGEMENT, INC
Practice address
802 S Jackson Ave
Suite 200
Tulsa, OK 74127-9015
Phone
(918) 585-3372
Fax
(918) 599-9116
NPI assigned
Jan 13, 2016
Last updated
Jan 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Larry J Dullye, DONPI 1235208042
Title
President
Phone
(918) 585-3372

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
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X OK Primary

Addresses

Primary practice location

802 S Jackson Ave
Suite 200
Tulsa, OK 74127-9015

Mailing address

802 S Jackson Ave
Suite 200
Tulsa, OK 74127-9015
Phone (918) 585-3372

National Provider Directory

National Provider Directory

Locations

802 S Jackson Ave
Ste 200
Tulsa, OK 74127
Phone (918) 585-3372

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": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1902262421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 S JACKSON AVE",
            "address_2": "SUITE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279015",
            "telephone_number": "918-585-3372",
            "fax_number": "918-599-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 S JACKSON AVE",
            "address_2": "SUITE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279015",
            "telephone_number": "918-585-3372",
            "fax_number": "918-599-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LP DULLYE MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "DULLYE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-585-3372",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OK",
            "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 Jan 13, 2016; 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.